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HomeMy WebLinkAbout583340 BROCC FRAMING INC - INSURANCE CERTIFICATE (6)BROCCA OP ID: JL ACORO ` CERTIFICATE OF LIABILITY INSURANCE ATE (MM/DD/YYYY) TE(MMI DfYY r017 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 Brown & Brown of Colorado, Inc 2170 S. Parker Rd Ste 251 CONTANAME: Julia Luk anenko PHONE 720-963-4300 FAX No : 720-962-5142 A/c No EXt(AJC A DRIESS: jiu�yanenko@bbdenver.com Denver, CO 80231 Kerry Simkins INSURERS AFFORDING COVERAGE NAIC # INSURER A: Pinnacol Assurance Company 41190 INSURED Brocc Framing, Inc. INSURERB: 7668 Big Valley Drive Loveland, CO 80537 INSURER C INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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 I LTR TYPE OF INSURANCE ADDL SUB POLICY NUMBER EFF MM/DD/YYYY MMPOLICY L ICY EXP DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ NO COVERAGE DAMAGE PREM SES Ea occur ence $ NO COVERAGE MED EXP (Any one person) $ NO COVERAGE PERSONAL & ADV INJURY $ NO COVERAGE GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 7 PRO JECT ❑ LOC OTHER GENERAL AGGREGATE $ NO COVERAGE PRODUCTS - COMP/OP AGG $ NO COVERAGE $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS COMBINED SINGLE LIMIT Ea accident $ NO COVERAGE BODILY INJURY (Per person) $ NO COVERAGE BODILY INJURY (Per accident) $ NO COVERAGE PROPERTY DAMAGE Per accident $ NO COVERAGE $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ NO COVERAGE AGGREGATE $ NO COVERAGE DEDT I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ANY PROPRIETOR/PARTNER/EXECUTIVE � OFFICER/MEMBER EXCLUDED? (Mandatory in NH) if yes dcscribc under DESCRIPTION OF OPERATIONS below N / A 4088374 05/01/2017 06/01/2018 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 I $ 1,000,00 E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) All policy terms, conditions and exclusions apply. CFRTIFICATF HOLDER CANCELLATION CITYFTC City of Fort Collins PO Box 580 Fort Collins, CO 80522 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 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD