HomeMy WebLinkAboutFIRST STAGE RENOVATIONS, LLC - INSURANCE CERTIFICATEcoRO� CERTIFICATE �F LlABtLtTY INSURANCE DATE(MNrDU/YYYY)
„�.�.� 4/712023
THfS CERTIFICATE IS ISSU�D AS A MA7TER OF INFORMAT{ON ONLY AND CONFER5 NO RIGHTS UPON THE CER7IFICATE HOLQER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDEO BY THE PQLICIES
BELOW. TNIS CERTIFICATE OF INSIlRANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN 7HE ISSUfNG UVSUREFt(S), AUTHORIZED
FtEPRESEiJTAT1VE OR PRODUCER, AND THE C�FiT1FICATE HOLDER.
IMP�RTANT: If the certificate holder Is an ADDlTIONAL INSURED, the policy(les} must have ADpITIONAL INSl1REd provisions or be endorsed.
If SUBROGATION IS WAfVEO, subJect to the terms and condltions of ihe policy, cerlain pollcies may requlre an endorsement. A statement on
thls certiHcate does nat con0er r1 hts ta the certfflcate holder in lleu of such endorsement sj.
PRODUCER NaM� Gmny Kiplin
CRS Insurance Brokerage P„oN� — Fax
9780 5 Meridian Slvd Suite 400 � � 303-996-7809 ac Ho : 303-757-7719
Englew0od CO 80112 aooe�ess: 9kipling�crsdenver.com _
INSURER(S}AFFORDlNG COVERAGE _ NAIC r
iNsuRefl n: Pinnacol Assurance 41190
INSUREO� FIRSSTA.Ut �NSUREq B: TfBVCIefS PfOp C75U8 04 AM 25674
First Stage Renovat�ons, LLC IHSURERC : S81BG11vg If15 Co oi Amer�ca 12572
SDM Realty Group, LLC ------- •-----
P. O Box 16752 INSUREH D:
Denver CO 80216 ,N�„o�o G. i
i i►uuRea F : t
GOVERAGES CERTIFIGATE NUMBER:961915129 REVISION NUMBEH:
THIS IS Td CER7IFY 7HAi 7HE POLICIES OF INSURANCE IISTED BELOW HAVE BEEN 15SUED TO THE lNSURED NAMED RBOVE FOR THE POLICY PEFIOD
INDICATED. NOTWIi'HS�'ANDING ANY REOUIREMENT. TERM OR CONDITION OF ANY CONTRACi OR OTHER DaCUMENT WITH RESPECT TO WN1CH THIS
CERTIFICATE MAY BF ISSl1E0 OR MAY PERTAIN, THE INSURANCE AF�ORDED BY THE POLIGIES D�SCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCI.USIONS AND CONDITiONS OF SIJCH POLICIES. LIMITS SHOWN MAY HAVE BEEN ftEOUCED 8Y PAID CLAIMS.
NSH TYPE OFlNSURANCE �AflOL SUBRj PQLICY EFF i PQtICY ExP
LTR I Wv � POLICVNUMBER MMlDD:YYYY M6VDO7YYYY I.IMITS
C )( COMlYIERCIAL GENERAL LIABIUTV S 2325139 4110I2023 4114/2024 EqCH OCCURRENCE S 1.OQ0.000
i . CIAIMS-MADE %� OGCUR PR�MIS£SjEaoccurrence E500,000
GEN'L AGQREGATE LIMIT APPLIES PER:
�! PUUCY �� EC _ LOC
C AUTOMOBItEUABIUTY
X ANY AUTO
OWtJED SCHEDUI.ED
AUTOS ONLY '` AIJTpS
X HiRED i y f NON OWNEO
AUTOS ONLY ! " � AUTOS ONLY
C X UMBRELLA lIAB X p�CUR
El(CESS LlA9 _ CLAIAAS•MADE
{ DED X i RE7ENilONb
A WORKERSCOMPEk3AT10N ;
ANO EMPI,OYERS' LIABIIfTY Y/ N '
ANYPAOPFiIETOR�PARTNEFi�EXECl3TNE � N f A -
OFFlCEFL•MEMBE REXCLUOED?
(Mendetory In NH)
If yes.descnbe under
DESCRIPTION OF OPERRTIONS bebw
B LeasedlRented Equipment
Speaal FormlAGV
PolluBon Lipbdiry
411Q/2023 � 4/14/2024
4110/1023 I 4/14l2024
2/1/2023 21112024
MED EXP jMy one person) S 15 000
PERSONAL & ADV INJURY j 1,000.060
GENERAL AGGREGATE 52.000,000
paDDUCTS COMP:OP AG6 S2,OQ0,000
Umr.ed Pauuoon 51�0,000
COMBINEO SINGtE LIMIT g 1,000,000
{Ea atadnntJ
6001LY IWURY (Perperson: S
B061LV IN.iUFY Por acGdent} S
PHUYERTYDAMAGE a
Per acc�dong
. 15
F�4CHOCCURRENCE _ 55.0OO,OQO
AGGREGATE 55.000,000
EACN
T
S 1,000,000
=E S 1,OQO,OQO
T S 1.000,000
so.000
1.OQ0
$00,000
4l1412023 I 4l1012024 � Umn
Deductsble
Limil
S 2325139
S 237.5139
4078406
6604J187580
DESCRIP71�►J OF OPERATION9 / LOCA710N31 VEHIClES (ACORD 101. Additional Ranarks Schadule, mey be ettacNed if mae apxce is required)
7E HpLDER
CANCELLATION
City of Fort Coilins
P.O. Box 580
281 N. College Ave
Fort Collins CO $0526
ACORD 25 (2016/03)
SFiOULD ANY OF THE ABOVE DESCRfBED POUCIES 8E CANCELLED BEFORE
THE EXPIFiAT10N DATE TNEREOF, N0710E WILL SE DELIVEFiED IN
ACCORDANCE WITH THE POLiCY PROVISfaNS.
AUTHORIZED FEPRE$ENTATIVE
������,� �.r�.a.�.�,
41988-2015 AC�RD C�RPORATION. All rights reservet
The ACORD �ame end logo are registered marks of ACORD
z� or z �