HomeMy WebLinkAboutHEATH STEEL LLC - INSURANCE CERTIFICATE (6)DATE (MM/DD/YYYY)
ACoR" CERTIFICATE OF LIABILITY INSURANCE
12/21/2017
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 CONTACT Melanie Lathouwers CIC
NAME:
Flood and Peterson PHONE 720-977-6022 AIC No:720-977-7113
PO Box 578 ADDRESS:MLathouwers@floodpeterson.com
INSURERISI AFFORDING COVERAGE NAIC #
Greeley CO 80632 INSURERA:Zurich American Insurance Company 16535
INSURED INSURERB:TraVelers Property Casualty Company 25674
Heath Steel, LLC INSURER C :Pinnacol Assurance 41190
1730 South College INSURERD:
Fort Collins CO 80525 1 INSURERF:
rnvF:RAr:FS CFRTIFICATF NIIMRFR•17/18 RFVISInN NIIMRFP-
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE 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.
INSR TYPE OF INSURANCE INSID Ma ADDL UBR POLICY NUMBER PCLICY
LTR MM DDNYYY LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
CLAIMS -MADE FxI OCCUR
DAMAGE To RENTED
PREMISES CE,occurrence
$ 300,000
MED EXP (Any one person)
$ 5,000
$2 , 500 Deductible
GLA013704703
12/31/2017
12/31/2018
PERSONAL & ADV INJURY
$ 1,000,000
GENT AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
POLICY I JE� j�,LOC
PRODUCTS - COMP/OPAGG
$ 2,000,000
$
OTHER
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT Ea
accident
$ 1,000,000
BODILY INJURY (Per person)
$
$
A
X ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
GLA013704703
12/31/2017
12/31/2018
BODILY INJURY (Per accident)
PROPERTY DAMAGE
Per acc dent
NON -OWNED
X HIRED AUTOS X AUTOS
$
$
X
UMBRELLA LIAB
X
OCCUR
EACH OCCURRENCE _$ 5,000,000
4D'ED
AGGREGATE $ 5,000,000
B
CESS LIAB
CLAIMS _MADE
I X RETENTION$ 10,000
$
ZUP41M1464017NF
12/31/2017
12/31/2018
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE
X PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$ 1,000,000
C
OFFICER/MEMBER EXCLUDED? ❑
(Mandatory in NH)
N/A
4033691
10/1/2017
10/1/2018
$ 1,000000
E.L. DISEASE - EA EMPLOYE_
If es describe under
DESCRIPTION OF OPERATIONS below
I A
E.L. DISEASE - POLICY LIMIT
1 $ 1,000,000
T
—
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
City of Fort Collins
PO Box 580
Fort Collins, CO 80522
UANI r-LLA 1 IUN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Lathouwers, CIC/MLA C/YL�C4rer� h`a2c�
U 1908-ZU14 AGURU GURPURA I IUN. All rights reserveu.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
INS025 ontami