HomeMy WebLinkAboutHEATH STEEL LLC - INSURANCE CERTIFICATE (7)�®
A C
l`r..(',J�R CERTIFICATE OF LIABILITY INSURANCE
DATE ( /DD/YY
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
Flood and Peterson
PO Box 578
Greeley CO 80632
CONTACT Melanie Lathouwers, CIC _
NAME:
PHONE 720-977-6022 VACX,No:720-977-7113
ADnRESS:MLathouwers@floodpeterson.com
INSURERS AFFORDING COVERAGE
NAIC #
INSURERA:Zurich American Insurance Company
16535
INSURED
Heath Steel, LLC
1730 South College
Fort Collins CO 80525
INSURER B :Travelers Property Casualty Companv
25674
INSURER C :Pinnacol Assurance
41190
INSURER D:
INSURER E :
INSURERF:
rnVFRAnFR CERTIFICATE NUMBER:17/18 REVISION NUMBER:
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 A DL SU_BR POLICY EFF POLICY EXP LIMITS
LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
CLAIMS -MADE � OCCUR
DAMAGE( RENTED
PREMISESSEa occurrence)
$ 300,000
MED EXP (Any one person)
$ 5,000
$2 500 Deductible
GLA013704703
12/31/2017
12/31/2018
PERSONAL BADVINJURY
$ 1,000,000
GENT
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
7-7 POLICY PRO- LOC
PRODUCTS -COMP/OP AGG
$ 2 , 000,000
$
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
a
Ea ccident
$ 1,000,000
BODILY INJURY (Per person)
$
A
X ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
X X NON -OWNED
HIRED AUTOS AUTOS
GLA013704703
12/31/2017
12/31/201B
BODILY INJURY (Per accident)
$
PerOP PROPERTYDAMAGE
$
$
X
UMBRELLA LIAB
X
OCCUR
EACH OCCURRENCE
$ 5,000,000
AGGREGATE
$ 5,000,000
B
EXCESS LIAB
CLAIMS -MADE
DED X I RETENTION$ 10,000
$
ZUP41M1464017NF
12/31/2017
12/31/2018
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
N
ANY PROPRIETOR/PARTNER/EXECUTIVE
X PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYE
$ 1 000 000
C
OFFICER/MEMBER EXCLUDED? ❑
(Mandatory in NH)
N/A
4033691
10/1/2017
10/1/2018
E.L DISEASE - POLICY LIMIT
$ 1,000,000
If yes describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
GEKIWIUA1t NULUtK I,NIrv1.CLL/1IIUIY
City of Fort Collins
PO Box 1190
Fort Collins, CO 80522-1190
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
M Lathouwers, CIC/MLA U.J`Z 1Z_12ci
ACORD 26 (2014101)
INS025 nnl4nn
U 1983-2014 AGUKU GUKF'UKA I IUN. All rlgnIS reserVea.
The ACORD name and logo are registered marks of ACORD