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HomeMy WebLinkAbout266869 ABS ASSOCIATED BUILDING SPECIALISTS INC - INSURANCE CERTIFICATE (4)ncoRo° CERTIFICATE OF LIABILITY INSURANCE ��. 5/1/2018 FDATE(MMIDD/YYYY) 4/21 /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 have ADDITIONAL INSURED provisions or 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 Lockton Companies 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816) 960-9000 CONTCT NAME, PHONE FAX A/C, No Ext : A/C No): E-MAIL ADDRESS: INSURER AFFORDING COVERAGE NAIC # INSURER A: Ohio Security Insurance Company 24082 INSURED ASSOCIATED BUILDING SPECIALTIES, INC. INSURER B : American Fire and Casualty Company 24066 INSURER C : Colorado Casualty Insurance Company 41785 1352712 3764 IMPERIAL STREET FREDERICK CO 80516 INSURER D : The Ohio Casualty insurance Company 24074 INSURER E : INSURER F : COVERAGES * CERTIFICATE NUMBER: 14095 308 REVISION NUMBER: XXXXXXX 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR Y N BKA1856071740 5/1/2017 5/1/2018 EACH OCCURRENCE 1,000,000 DAMAGERENTED PREMISESS ( Ea occurrence 30O 000 MED EXP (Any oneperson)1 O OOO PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JERCOT- LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOSHIRED IX AUTOS ONLY X AUTOS O ONLDY Y N IIAS1857983294 5/1/2017 5/1/2018 COBI (EaacccNdentSINGLE LIMIT $ 1 ,000 O00 BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ CYY,)(XX � PROPERTY DAMAGE Per accident $ XXX��XXX $XXXXXXX F X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE N N US01856071740 5/1/2017 5/1/2018 EACH OCCURRENCE $ 5000000 AGGREGATE $ S 000000 DED RETENTION $ $ XXXXXXX WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? FN (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA A N XWO1856071740 5/1/2017 5/1/2018 X STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE 1,000,000 E.L. DISEASE - POLICY LIMIT 1 000,000 1 C INSTALLATION/STORED MATERIALS rT 9257 5/1/2017 5/1/2018 $475,000LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CITY OF FORT COLLINS IS ADDITIONAL INSURED ON GENERAL, AND AUTO COVERAGE, IF REQUIRED BY WRITTEN CONTRACT AND SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY. la_K I IFII.A I t r1ULUtK r 1WIN 14095308 CITY OF FORT COLLINS PO BOX 580 FORT COLLINS CO 80524 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 Arnan oc /9n1a1n41 (c)1 �8-2015 ACORD CORPORATION. All riohts reserved The ACORD name and logo are registered marks of ACORD