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HomeMy WebLinkAboutHEATH STEEL LLC - INSURANCE CERTIFICATE (8)AC" "® CERTIFICATE OF LIABILITY INSURANCE FDATE(MWDD/YYYY) �� 2/29/2016 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 NAME: Cindy Zimmerman, CISR Flood and Peterson p% N xt: 970-266-7155 FAX N0:970-506-6845 PO Box 578 E-MAIL CZimmerman@floodpeterson com Greeley INSURED Heath Steel, LLC PO Box 473 ADDRESS: INSURERS AFFORDING COVERAGE CO 80632 INSURERA:Zurich American Insurance Cc INSURERB:Travelers Property Casualty INSURERC:Pinnacol Assurance INSURER E : Fort Collins CO 80522 1INSURERF: COVERAGES CFRTIFICATF NIIMRFR•CL16122815343 QCVICInKI All I;ADCo. NAIC N 16535 25674 41190 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DDNYYY MWDDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F OCCUR EACH OCCURRENCE $ 1, 000, 000 DAMAGE TO RENTED PREMISES Ea occurrence $ 300, 000 X MED EXP (Any one person) $ 5,000 P.D. Ded. , $2,500 GLA013704702 12/31/2016 12/31/2017 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ] JEC LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AGG $ 2,000,000 $ OTHER: LIABILITY (Ea BIKED SINGLE LIMIT $ 1,000,000 FMOBISLE INJURY (Per person) $ A NYAUTOBODILY LLOWNED SCHEDULED UTOAUTOS GLA013704702 12/31/2016 12/31/2017 BODILY INJURY Per accident ( ) $ HIRED AUTOS X NON -OWNED AUTOS X PROPERTY DAMAGE Per accident $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 51000,000 AGGREGATE $ 5,000,000 B EXCESS LIAB CLAIMS -MADE DED I X RETENTION$ 10,000 $ ZUP41M1464016NF 12/31/2016 12/31/2017 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED" �. (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 4033691 10/1/2016 10/1/2017 X PER OTH- 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 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Lf111. -a" IIWN_ C"n 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 C Zimmerman, CISR/CZI © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)