Loading...
HomeMy WebLinkAboutHILLSIDE CONSTRUCTION INC - INSURANCE CERTIFICATE (8)ATE q�oRo® CERTIFICATE OF LIABILITY INSURANCE DY) 3/29/2017 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 CONTACT K lie Care CISR NAME: y Yr Flood and Peterson PHONEE,tl(9 JO) 266TX -7148 NC No: (970)506-6845 PO Box 578 E-MAIL KCare flood eterson.com ADDRESS: y@ P Greeley CO 80632 INSURED — Hillside Construction, Inc. 216 Hemlock Street, Suite B INSURER A BITCO General insurance Corp ZUUy_) INSURERS Rinna.Col Assurance. INSURER CNew Day Underwriting - XL Catlin INSURER D : j INSURER E : Fort Collins CO 80524 INSURERF: (1nVFRAr:1z9 CFRTIFICATF NIIMRFR,CL1732916883 RFVISION Nl1MRFR- 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 UCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. T.. _ -- - - --- ILRTYPE OF INSURANCE . 5098 POLICY EFF POLICY EXP LR ' POLICY NUMBER MMiDDlYYYY MM.'DD YYYY LIMITS X ! COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLANS -MADE IXOCCUR j, 1 ! D MAGE TO RENTED PREMISES�occurrencel $ 100,000 -- -- -- MED EXP (Any one person) $ 5,000 CLP3651984 4/1/2017 i 4/1/2018 PERSONAL BADVINJURY $ 1,000,000 _ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY F7 PRO- LOC JECT PRODUCTS COMP/OPAGG $ 2,000,000 OTHER: BLNKT $ I AUTOMOBILE LIABILITY C Ea accident MBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ X I ANY AUTO A ALL OWNED .._.... SCHEDULED I CAP3651985 4/1/2017 4/1/2018 .-_..__., ..._.,_..__ . «.._._._. ----.. BODILY INJURY (Per accident) $ AUTOS AUTOS X X NON -OWNED I (PPReOPPELR� tDAMAGE -- HIRED AUTOS i AUTOS Underinsured motorist $ 1,000,000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE Is 5,000,000 I $ 5,000,000 A EXCESS LIAB CLAIMS -MADE I 1 AGGREGATE DIED i X I RETENTION$ 10,000 $ CUP2813257 4/1/2017 4/1/2018 WORKERS COMPENSATION X OTH a STATUTE f I_ER_ AND EMPLOYERS' LIABILITY /-N ANY PROPRIETOR,PARTNER.rEXECUTIVE r�- �� I. E.L. EACH ACCIDENT $ 1 000000 OFFICEAMEMSER EXCLUDED? N B (Mandatory in NH) N/A 4147214 — — 4/1/2017 4/1/2018 E L. DISEASE EA EMPLOYEE $ lr OOOr_000 If yes. describe under DESCRIPTION OF OPERATIONS belowI _ -.-. _..._..,.. . _._.._.._,..�._. ... E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Leased/Rented Equipment CLP3651984 4/1/2017 4/1/2018 $50,000 Limiti$500 Ded. C Prof. 6 Pol. Liability IPECO04563502 4/1/2017 4/1/201B $2,000,000/$2,000.000 Ea.Occur./Agg. I DESCRIPTION OF OPERATIONS ' LOCATIONS i VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins P.O. Box 580 Fort Collins, CO 80522-0580 L:ANUt`LLA I IUN 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 K Carey, CTSR/KCARFY ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD I N S025 rem a0 i f