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Home My WebLink About210497 THRIVING CONSTRUCTORScertificate_City_of_Wheat_Ridge (1)ACOR I @DATE CERTIFICATE OF LIABILITY INSURANCE (MM/DD/YYYY) 07/19/2022 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 have ADDITIONAL INSURED provisions or 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: PHONE (855) 222-5919 FAX A/C No Ext): A/C No): Next First Insurance Agency, Inc. PO Box 60787 Palo Alto, CA 94306 E-MAIL support@nextinsurance.com ADDRESS: pp INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: State National Insurance Company, Inc. 12831 EACH OCCURRENCE INSURED INSURER B: _7RENTECLAIMS-MADE � OCCUR Thriving Constructors CORP 3030 Vantage Dr Hudson, CO 80642 INSURER C INSURER D: INSURER E : $100,000.00 MED EXP (Any one person) INSURER F: COVERAGES CERTIFICATE NUMBER: 309753116 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. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY AUTHORIZED REPRESENTATIVE Click or scan to view EACH OCCURRENCE $1,000,000.00 _7RENTECLAIMS-MADE � OCCUR DAMAGE TO PREM SES (Ea occur ence) $100,000.00 MED EXP (Any one person) $15,000.00 PERSONAL & ADV INJURY $1,000,000.00 A X NXTXNX4YJY-0 1 -G L 11/03/2021 11/03/2022 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000.00 X PRO- ❑ LOC POLICY F]JECT PRODUCTS - COMP/OP AGG $2,000,000.00 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N PER OTH- STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ Each Occurrence: $25,000.00 A Contractors Errors and Omissions X NXTXNX4YJY-01-GL 11/03/2021 11/03/2022 Aggregate: $50,000.00 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The Certificate Holder is City of Wheat Ridge. This Certificate Holder is an Additional Insured on the General Liability policy per the Additional Insured Automatic Status Endorsement. All Certificate Holder privileges apply only if required by written agreement between the Certificate Holder and the insured, and are subject to policy terms and conditions. CERTIFICATE HOLDER CANCELLATION City of Wheat Ridge LIVE CERTIFICATE 7500 W 29th Ave SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Wheat Ridge, CO 80033 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Click or scan to view @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ►r4f City of l ENWheatl , 4e COMMUNITY DEVELOPMENT COn/raC�Dr itt�a%Ver fW Workers' Compensation Insurance Cesar Tarango verify that I am the sole owner or partner of (comparry name): Thriving Constructors Corp. which has no employees and is not required by the State of Colorado to carry workers" compensation insurance. ►:�- r t Ir Colorado Department of Regulatory Agencies Division of Professions and Occupations State Plumbing Board Cesar Tarango Master Plumber MP.03001020 04/05/2022 Number Issue Date Active 02/28/2023 Credential Status Expire Date Verify this credential at: dpo.colorado. gov D I � Division Director Ronne mines Credential older Signature Division of Professions and Occ State Plumbing Board Thriving Constructors Corp Plumbing Contractor PC.0004582 Number Active Credential Status Verify this credential at: 04/08/2022 Issue Date 02/28/2023 Exoir! Date DRIVER LICENSE Oca 1012911978 02.232-1212 i EXP 09118/2023 TARANGO TARANGO CESAR • . 3030 VANTAGE DR HUDSON, CO, $0642 i �•A d ., 6a�,M .H915 -0A' .. EYS.13 cwe NONE , •. iss. 0$(1812020 . ,R •. • Colorado Department of Regulatory Agencies Division of Professions and Occupations State Plumbing Board Cesar Tarango Master Plumber MP.03001020 04/05/2022 Number Issue Date Active 02/28/2023 Credential Status Expire Date Verify this credential at: dpo.colorado. gov D I � Division Director Ronne mines Credential older Signature Division of Professions and Occ State Plumbing Board Thriving Constructors Corp Plumbing Contractor PC.0004582 Number Active Credential Status Verify this credential at: 04/08/2022 Issue Date 02/28/2023 Exoir! Date