2018-04-26_PERMIT FILE - M2018020

Home Browse Search

• ^ 1 ® DATE(MM/DD/YYYY) ACORE) CERTIFICATE OF LIABILITY INSURANCE 4/6/2018 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 Valerie Brown Commercial Risk SolutionsPHONE 303-996-7847 `A cx,�:303-757-7719 6600 E Hampden Ave Ste 200 -MAIL Denver CO 80224 ADDRESS: VBrown@crsdenver.com INSURERS)AFFORDING COVERAGE NAIC# INSURER A:Travelers Prop Casualty of AM 25674 , INSURED CASTL-1 INSURER B:CNA 20478 Castle Rock Construction Company of Colorado, LLC INSURER c:Travelers Indemnity Co of CT 25682 6374 S. Racine Circle INSURERD:Charter Oak Fire Insurance Co. 25615 Centennial CO 80111 INsuRERE•FARMINGTON CAS CO 41483 INSURER F: COVERAGES CERTIFICATE NUMBER:763652999 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 ADDL SUER POLICY EFF POLICYEXP LIMITS LTR TYPE OF INSURANCE USD WVD POLICY NUMBER (MM/ODNYYY1 (N:M/DD/YYYYI D X COMMERCIAL GENERAL LIABILITY Y Y C032509449 12/31/2017 12/31/2018 EACH OCCURRENCE $1 000,000 DAMAGE TO RENTED $300,000 CLAIMS-MADE X OCCUR PREMISES(Es oxurrence) MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2,000,000 —+ POLICY PERCO- LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: C AUTOMOBILE LIABILITY V Y 810325D9449 12/31/2017 12/31/2018 _`�OMe INdEeDtSINGLE LIMIT $1.000.000 X ANY AUTO BODILY INJURY(Per person) $ OWNED — SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS _____ UTOSW'5PERTYDAMAGE X HIRED X NON-OWNED (Par accident) $ AUTOS ONLY _— AUTOS ONLY A X UMBRELLA LIAB X OCCUR Y Y CUP325D9449 12/31/2017 12/31/2018 EACH OCCURRENCE $5 000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5000,000 DED X RETENTION$10000 _ $ E WORKERS COMPENSATION Y UB9H13466A 1/1/2018 1/1/2019 X $p UTE OTHER AND EMPLOYERS'LIABILITY Y I N ANYPROPRIETOR/PARTNER/EXECUTIVE (j�"� N+A E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? I (Mandatory in NH) E L DISEASE-EA EMPLOYEE,$500,000 If yes,descnbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 B Pollution& CEO6016175498 12/31/2017 12/31/2018 Each Act 2,000,000 Professional Liability Aggregate 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:ER 144A-002(20254)SH144 Emergency Flood Repairs CDOT Region:4 is included as additional insured for ongoing and completed operations on the General Liability and included as additional insured on the Auto Liability with respect to operations of the named insured for the certificate holder as required by written contract.General Liability coverage is primary and non-contributory-General Liability,Auto Liability and Workers Compensation coverage include waivers of subrogation.General Liability coverage is primary and non-contributory.Umbrella coverage follows form to underlying General Liability,Auto Liability and Workers Compensation coverage.30-day notice of cancellation applies to the General Liability,Auto Liability,Workers Compensation and Umbrella coverage.Al policy terms,conditions and exclusions apply. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CDOT Region:4 120 N. Riverview Road AUTHORIZED REPRESENTATIVE Sterling CO 80751 I fri.e98/1441 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD