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HomeMy WebLinkAboutHEINTSCHEL CONSTRUCTION INC - INSURANCE CERTIFICATEHEINT-1 OP ID: SLS ACOR/� CERTIFICATE OF LIABILITY INSURANCE DATE/ � 06/0101/2017Y) 017 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 Phone: 970-223-1804 CONTACT NAME: Front Range Insurance Group PHONE FAX 2002 Caribou Drive, Ste. 101 Fax: A/c No Ext : AIC No): Fort Collins, CO 80525 E-MAIL David A. Wooldridge LUTCFAAI ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Secura Insurance Companies _ 22543 INSURED Heintschel Construction, Inc INSURER B : Builders Insurance Group 10704 dba Alpine View Custom Homes 469 N Denver Ave, Unit A INSURER C : Pinnacol Assurance 41190 Loveland, CO 80537 INSURER D : INSURER E : INSURER F : Rr1VFRA(:FR r:FRTIFICCTF NIIMRFR• RFVISI17N Nt1MRFR- 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. INSRADD LTR TYPE OF INSURANCE L' UB POLICY NUMBER MM ODrPOLICY= EXP MM DDPOLICY/Y`/YY LIMITS B GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx� OCCUR PKG-0195764-02 OS/31/2017 05/31/2018 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY 7 PRO LOC PRODUCTS - COMP/OP AGG $ 2,000,00 $ A AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUTOS X NON -OWNED AUTOS 3193491 05/31/2017 05/31/2018 COMBINED SINGLE LIMIT Ea accident) 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ FIRX Peoa CRd.yr,,) AGE $ $ UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEY/N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) Y If yes, describe under DESCRIPTION OF OPERATIONS below N / A 4156240 06/01/2017 06/01/2018 STATU- OTH- TWO X TORY LIMITS X ER E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYE $ 500,00 E.L. DISEASE - POLICY LIMIT $ 500,00 A A Property Section Contractors Tools CP3193490 CP3193490 05/31/2017 05/31/2017 05/31/2018 05/31/2018 BPP 45,00 Misc Tool 10,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) 1 CDTICIr`ATC Lint 111=0 CANr:FI I ATION CITYOFF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins 300 Laporte Ave Fort Collins, CO 80521 AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD