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HomeMy WebLinkAbout304369 CONTINENTAL HARDSCAPE SYSTEMS LLC - INSURANCE CERTIFICATE (4)/ ACoR" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 5/25/2017 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 Javier Perez NAME: PHONE (970)356-0123 FAX No:(970)330-1867 -MAILADDRESS: JPerez@F1oodPeterson.com E-MAIL-ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A:Westfield Insurance Company 24112 INSURED Continental Hardscape Systems, LLC 6401 E 72nd Avenue Suite 105 Commerce City CO 80022 INSURER B :Pinnacol Assurance 16535 INSURERC: INSURER D : INSURER E 1 INSURER F COVERAGES CERTIFICATE NUMBER:CL1752517843 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. INSRr TYPE OF INSURANCE LTR II D BRI POLICY NUMBER MM/DDnYYY MMLDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 500,000 A CLAIMS -MADE X i OCCUR PREMISES Ea occurrence $ MED EXP (Any one person) $ 5,000 CWP1817099 7/17/2017 7/17/2018 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 � PRO - POLICY C LOC PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO A ^i BODILY INJURY (Per accident) $ X ALL OWNED SCHEDULED CWP1817099 7/17/2017 7/17/2018 AUTOS AUTOS NON -OWNED X X PROPERTY DAMAGE Per accident)$ HIRED AUTOS AUTOS Medical payments $ 5,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 3 000 000 A EXCESS LIAB CLAIMS -MADE' DED X RETENTION$ 0 $ CWP1817099 7/17/2017 7/17/2018 WORKERS COMPENSATION X PER OTH- STATUTE I ER AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 B OFFICER/MEMBER EXCLUDED? Y� (Mandatory in NH) N / A 4179574 1/1/2017 1/1/2018 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 11000,000 If yes, describe under DESCRIPTION OF OPERATIONS below A Leased/Rented Equipment CWP1817099 7/17/2017 7/17/2018 Limit 50,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins is listed as an Additional Insured as their interest may appear as respects General Liability, for ongoing operations only. Insurance is primary and non-contributory. ER City of Fort Collins PO Box 580 Fort Collins, CO 80522-0000 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 ACORD 25 (2014/01) INS025 ont4nn Javier Perez/JPEREZ U 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD