Loading...
HomeMy WebLinkAbout210502 A2Z BUILDERS - COICERTIFICATE OF LIABILITY INSURANCE DATDTYYYJ oi292022 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), AUTHCHI REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER IMPORTANT: H the certificate holder is an ADDITIONAL INSURED, the policir(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terns and conditions of the polity, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorseme orl PRODUCER Al CC10rad0 Insurance SBMCdS 3443S Gale -M& CONTACT Melissa Hansen NAME 1ANIe°Nx EM e (303) 481-81T/ ueX. No, (303)E470409 ADDRESS. RIM Issd tYdPISMn�i CO 0rad00rg Site 180 INSURERS AFFORDING COVE RAGE NAILIX EMPLOY A080231 INSURER A. ATWVT IC CASUALTY IN S CO 42846 INSURED A2S Builders Inc INSURER B. Pinnal Assurance 41190 482 S Broadway EMPLOY C0 80209 INSURER L: PERBONALIPADV INJURY $ 1,000,000 UMITAPPLIES PER POIJCY jECT LOC OTHER INSURER D: $ 2000000 INSURER E $ 000000 INSURER F: AUTOMOBILE COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTMTH STANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WTH 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. IM ITS SITOWN MAY HAVE BEEN REDUCED BY PAI D CLAIMS. I Los TYPE OF INSURANCE µS0 WVL POLICYNUMBER MMIBIDIYYYF CY Ends MMIBI NYYYY LIMITS A CO MMERCULGENERAL LIABILITY IXAIMSMAOE 12OCCURDAM 0 10FAQ021 10GAQ022 EACH OCCURRENCE $ 11000000 PREM B TO IE ciao rence $ 1661666 OEN'LAOOREOATE J MED Ad' (Any one person) $ 55000 PERBONALIPADV INJURY $ 1,000,000 UMITAPPLIES PER POIJCY jECT LOC OTHER OENERALAOOREOATE $ 2000000 PRODVCTB-COMPIOP A00 $ 000000 $ AUTOMOBILE LIABILITYCE-OaKE ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON OWNEE AUTOS ONLY AUTOS ONLY NdD INGLELIMIT $ LODILY CHURL (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE PeraceparA $ IMBRELLALNB EXCESSNAB OCCUR CLAIMSMADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ B WORKERS COMPENSATION AND EMPLOYERSLIABILITY YIN AMC PLAPRIETOPPARINERERECAVE OFFICERMEMBER EXIXLDEDY (Ma.iudi in NLD Ass describe under DESCRIPTION OF OPERATIONS below NIA 4228314 PAPIP2022 PAPIP2023 PER 0TH STATVTE ER EL EACH ACCIDENT $ 1001000 EL DISEASE-EAEMPLOYEE $ 10p000 EITDISEASE-POLICYUNIT $ 500000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD LY! Atltltliorel RemaMa SFlNi. may be aaachetl it mare apace is repuiretlf CERTIFICATE HOLDER CANCELLATION ©1988-2915 ACORO CORPORATION. All rights ...,ad. ACORO 25 (2918/93) The ACORO name and logo are registered narks of ACORO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cityo WeaIridge ACCORDANCE WITH THE POLICY PROVISIONS. 1500W29TAVM AUTHORISED REPRESENTATIVE�� IMIeaI Ridge CO 80033 ©1988-2915 ACORO CORPORATION. All rights ...,ad. ACORO 25 (2918/93) The ACORO name and logo are registered narks of ACORO City of Boulder ,4 Planning & Development Services OP BQ��p`O 1739 Broadway, Third Floor, Boulder CO 803021 PO Box 791, Boulder CO 80306-0791 P: 303-441-1880 F: 303-441-42411 BoulderPlanDevelop.net I plandevelop@bouldercolorado.gov A2Z BUILDERS 7581 E ACADEMY BLVD 205 DENVER, CO 80230 This document License # LIC -00995812 CONTRACTOR LICENS s that A2Z BUILDERS currently holds the following contractor Iicei July 07, 2022 Expiration Date 07/07/2023