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HomeMy WebLinkAbout210449 CONNECTION ONE INCErie Contractor LicenseTown of ,brie CO NTRACTOR' LICEMSE Liases � 8p-DDd035201��::. 'b"dow..:Exp Dab: .. 5'atlaRy 12/912022 Tp NB qO Py/ CQI1MCTgiLCFNBE Pob 4b ArwM Poymnl Ab wcreR apyppp,Tpp ansmzs in.at exapaawm ryp: Ey4b: flab 1Pa1FN'd COVERAGES CERTIFICATE NUMBER: 21-22 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE OF LIABILITY INSURANCE F DATE (MM/DDIYYYY) INSR LTR 05/19/2022 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 Gerald Hayes NAME: Co West Insurance Associates PHONE (303) 515-4699 FAx A/C No Ext): A/C, No): Gerald Hayes E-MAIL ghayes@callahanhayes.com CLAIMS -MADE 7 OCCUR ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # P.O. Box 22869 Denver CO 80222-0869 INSURERA: Employers Mutual Casualty Co. 21415 INSURED INSURER B: Plnnacol Assurance 41190 INSURER C: CONNECTION ONE,INC. 540 W Elk Place INSURER D: INSURER E: Denver CO 80216 INSURER F: COVERAGES CERTIFICATE NUMBER: 21-22 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE 7 OCCUR PREM SES Ea occurrDence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 A 5D89247 07/02/2021 07/02/2022 GEN' LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2'000'000 POLICY ❑X JECT F—]LOC PRODUCTS-COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident BODILY INJURY (Per person) $ X ANYAUTO A OWNED�/ SCHEDULED AUTOS ONLY /� AUTOS 5E89247 07/02/2020 07/02/2022 BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident XHIRED �/ NON -OWNED AUTOS ONLY /� AUTOS ONLY Waiver of Subrogation $ X UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAB CLAIMS -MADE 5J89247 07/02/2021 07/02/2022 AGGREGATE $ 5,000,000 DED I X1 RETENTION $ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA 4211053 07/01/2021 07/01/2022 �/ X STATUTE OTH- ER 1,000,000 E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 Inland Marine -Leased or Rented Any One Item $25,000 A Equipment 5C89247 07/01/2021 07/01/2022 Per Occurrence $25,000 Deductible $1,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Subject to all policy terms, conditions, and exclusions: Please Note: Review your certificate carefully; it may or may not comply with certificate holder requirements. CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Wheat Ridge ACCORDANCE WITH THE POLICY PROVISIONS. 7900 W. 29th Avenue AUTHORIZED REPRESENTATIVE Wheat Ridge CO 80033 Q �) i © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD