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HomeMy WebLinkAbout479201 HEATH CONSTRUCTION - INSURANCE CERTIFICATE (13)P52NX12&Xi2 DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 12/14/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 1-303-534-4567 CONTACT NAME IMA, Inc. - Colorado Division PHONE. INC. No._ExU:------------------ I (MFAXC. No): -- 1705 17th Street - A -MAIL DonAccountTechs@imacorp.com DonACCountTechsQimacorCom _ Suite 100 _ INSURER(S) AFFORDING COVERAGE NAICY Denver, CO 80202 _ _ INSURERA: CHARTER OAR FIRE INS CO(Travelers) 25615 INSURED INSURER B. Heath Construction, LLC dba SaundersHeath INSURER C 141 Racquette Drive INSURER D: P.O. Box Drawer H INSURERE: Fort Collins, CO 80522 1 INSURER F: COVERAGES CERTIFICATE NUMBER: 51543231 REVISION NUMBER: THIS IS -10 CERTIFY THAT "HE POLICIES OF iNSURANGE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRPOLICY EFF POLICY EXP LTR TYPE OF INSURANCE J= WVD SUER POLICY NUMBER MMIDD/YYYY MMIDDIYYYY LIMBS A X I COMMERCIAL GENERAL LIABILITY DTC07F694337COF17 04/30/17 04/30/18 OCCURRENCE f 1,000,000 I J CLAIMS-MADXE l_ OCCUR _EACH -DAMAGE TO RENTED PREMISES (Ea occurrence -- $ 300,000 X $5, 000 PD Deductible MED EXP (Any one person) f 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMI r APPLIES PER: GENERAL AGGREGATE i 2,000,000 POLICY[ I LOG R, EC l._ PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER. _ f _ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea _accident) f BODILY INJURY (Per person) ANY AU TO $ ALL OWNED SCHEDULED AUTOS __-- - AUTOS BODILY INJURY (Per accident) - $ I NON -OWNED HIRED AUTOS _—_ AUTOS PROPERTY DAMAGE _(Per acudenl) $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE E EXCESS LU18 CLAIMS -MADE DIED RETENTIONS i WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER OTH- STATUTE I ER __._ ANY PROF'RIETOWPARfNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? N NIA E.L. EACH ACCIDENT i ---- --- - - E.L. DISEASE - EA EMPLOYE (Mandatory in NH) $ If yyes, describe under DESCRIP F11 N OF OPERATIONS below = E.L. DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) L.tKI Ir I%,AI It r1VLULK I.APICtLLAI IVI I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 215 North Mason Street AUTHORIZED REPRESENTATIVE lot Floor, South 0052 � Z& Fort Collins, CO 0522-0580 USA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD emarrick 51543231