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HomeMy WebLinkAbout210491 INDUSTRIAL CONSTRUCTORS2122 CERT - City of Wheat RidgeINDUCON-03 TCORNEJO AC'OR"' CERTIFICATE OF LIABILITY INSURANCE �..-■-' DATE(MMIDDIYYYY) 7/12/2022 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 SU BROGATION 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 License # 0757776 HUB International Insurance Services (COL) 1414 W 4th Street Pueblo, CO 81004 CONTACT Mary Ann Eurlch NAME: PHONE 719 546-6836 FAX 866 908-2103 (A/C, No, Ext): ( ) (A/c, No):( ) ARESS: maryann.eurich@hubinternational.com INSURERS AFFORDING COVERAGE NAIC # 9/1/2021 INSURER A: National Union Fire Insurance Company of Pittsburgh, PA 19445 $ 1'000'000 INSURED INSURER B: Travelers Property Casualty Company of America 25674 INSURER C: Indian Harbor Insurance Company 36940 Industrial Constructors/Managers Inc INSURER D: PERSONAL &ADV INJURY 1432 Stockyard Rd. Pueblo, CO 81001 INSURER E GENERAL AGGREGATE INSURER F: PRODUCTS - COMP/OPAGG $ 2'000'000 COVERAGES CERTIFICATE NUMBER: 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 MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [X]OCCURGL3292126 t r 9/1/2021 9/1/2022 EACH OCCURRENCE $ 1'000'000 DAMAGE TO RENTED PREMISES Ea occurrence 300,000 $ GENT MED EXP (Any oneperson) $ 10'000 PERSONAL &ADV INJURY $ 1'000'000 AGGREGATE LIMIT APPLIES PER: POLICY jEa LOC OTHER: GENERAL AGGREGATE $ 2'000'000 PRODUCTS - COMP/OPAGG $ 2'000'000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY CA4544781 9/1/2021 9/1/2022 COMBINED SINGLE LIMIT Ea accident 1,000,000 $ BODILYINJURY Perperson) $ BODILY INJURY Per accident $ PeOaccident DAMAGE $ IS X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE CUP -9R817831 -21 -NF 9/1/2021 9/1/2022 EACH OCCURRENCE $ 9'000'000 AGGREGATE $ 9'000'000 DED X RETENTION $ 0 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y 1 N ANY PROPRIETOR/PARTNER/EXECUTIVE Ll OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA WCO25893604 9/1/2021 9/1/2022 XPER OTH- STATUTE ER EACH ACCIDENT 1,000,000 $ E.L. DISEASE- EA EMPLOYEE 1,000,000 $ 1'000'000 E.L. DISEASE- POLICY LIMIT 1,000,000 $ C C Pollution Liability Professional Liab. PECO04817205 PECO04817205 9/1/2021 9/1/2021 9/1/2022 9/1/2022 2,000,0001 2,000,0001 4,000,000 4,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) This section intentionally left blank. CERTIFICATE HOLDER CANCELLATION ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Ridge Cit of Wheat Rid THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 7500 W. 29th Ave Wheat Ridge, CO 80033 AUTHORIZED REPRESENTATIVE t r ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Cut along perforated line Public Works Duplicate Building Division 15151 E. Alameda Pky AGR Aurora, CO 80012 OAF 303-739-7420 1622290 CONTRACTOR LICENSE PHONE NO. (303)739-74201 Date of Issue: 05/25/2022 Date of Expiration: 06/01/2023 License Number: 2022 2140953 00 CL Valid through: 06/01/2023 Contractor Name: INDUSTRIAL CONSTRUCTORS MANAGERS INC Contractor: INDUSTRIAL CONSTRUCTORS Type of License: Commercial Building Contractor MANAGERSINC Type of License: Commercial Building Contractor Permits Online User License #: 2022 2140953 00 CL LICENSING OFFICIAL It is the licensee's responsibility to be familiar with the City of Aurora Building Codes Division Chapter 22 Building and Building Regulations, Article III Contractors Division 22-61 through 22-102 for contractor and supervisor licensee responsibilities. maintained in your files. INDUSTRIAL CONSTRUCTORS MANAGERS INC 1432 Stockyard Rd PUEBLO CO 81002 Cut along perforated line Wallet Duplicate ------------------- t Works Building DivisionPublic Works Building Division 15151 E. Alameda Parkway 15151 E. Alameda Parkway �oRopr AURORA, CO 80012 60 AURORA, CO 80012 PHONE NO. (303)739-74201 111 PHONE NO. (303) 739-7420 Valid through: 06/01/2023 Valid through: 06/01/2023 Contractor: INDUSTRIAL CONSTRUCTORS Contractor: INDUSTRIAL CONSTRUCTORS MANAGERSINC MANAGERSINC Type of License: Commercial Building Contractor Type of License: Commercial Building Contractor License #: 2022 2140953 00 CL License #: 2022 2140953 00 CL A signed license by license official should be A signed license by license official should be maintained in your files. maintained in your files.