HomeMy WebLinkAboutTHALLE CONSTRUCTION CO INC - INSURANCE CERTIFICATE 2020-2021rsara�u2newiz
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CERTIFICATE OF LlABILITY lNSURANCE
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THIS CERTIFICATE IS fSSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS 11PON THE CERTiFICATE HOLDER. THIS
CERiIFICATE DOES NOT AFFIRMATIVELY OR NEGATNELY AMEND, EXTEN� OR ALTER THE COVERAGE AFFOR�ED BY THE PflLICIE$
BELdW. THIS CERTIFiCATE OF INSUitANCE �dE3 hp7 CON$1'ITUTE A GONTRACT BETYYEEM THE ISSUING INSURER(Sj, AUTHdRIZED
REPRESENTATNE OR PRO�UCER, AND THE CERTlFICAiE HOLDER.
IMPORTAN7: If the cerlificate holder Is an A[}DITIONAL INSURED, t#ia pollcy(ies) muat hava AD�IiIONAL INSURE� provieions or be endoraed.
If SUBROGATION IS WAIVED, eubJect !o tha terms and candltlons ot the policy, cartaln policlas may raqulre an sndorsement. A statsmant on
this cartificata does noi confer rl hts to the certificate holder in Eieu of such endoraem�n! s.
PROOUCER 1-90$-56b-1010 T ��rt pTataon
Coaetruction Riek Pnrtnars NAAIE:
P�lON�E F��. 646-625-7100 � No. 6�6-625-7099
CAmyue Viaw plaZa
1250 Roulp 28, Su1te 201
BranehburQ, NJ �8876
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Tha11e Con6trucCion Co., inc.
9U0 Hiqhway 86 N
NC 27278
certaeconstrucCiopriekyarCners.cora
_ INSUFi�R�8�jAFFORDIHOCOVERAOE
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NI1VIt311TOR8 INB CO
]IMBAICAN f3Q11R & LI11H INS
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11150
6a30?
CbVERAGES CERTIFiCATE NUMBER: seaTe6ao REVI510N NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEa BELOW HAVE BEEN ISSIiED TD 7HE INSUREd NAMED ABOVE FOR THE POLICY PERIOD
IN�ICATEO. NOTWITFiSTAN0ING ANY REQUIREM@NT, TERM OR COMDITIOIV dF ANY COMTRACT OR DTHER pOCUlu1�NT WITH RESPECi TO WHICH 7NI5
CERTlFICATE MAY BE ISSUED OR MAY PER7AIM, 7HE INSURANCE AFFOROED BY THE POLICIES DESCRIBED HEREiN IS SUBJPCT TO ALL THE TERMS,
EXCLUSIONS AND COM�ITIONS OF SUCH POLICIES LIMITS SNOWN MAY HAVE BEEN REDUCE� BY PAID CLAIMS.
lNSR npEDFINSURANCE DL8 PpLICTNUMBER M LICYEFF POCICYFXP LIMR�
11 E COMMIERCIAL6ENERALUABILf1Y 11PRa88999D9 03/31/20 D3J32l21 EqCHOCCURRENCE f`.000,000
CLAIMS-MADE � OCCUR PREMISES ao icu�eno i a50,000
MED EXP one rson� S 10, 000
PERSONAtdA6VIN,lURY = 4,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL A6GREGATE = 8, 000, 000
POLICYQ �E�T � LOC PRODUC7S-COMPfOPAGG t 8.000,000
OTIiER: _
�► auroMosae�u�eiun l3PAa8899909 03/31/20 Q3/31/si eeid�osiN L LIMIT s Z,000,000
X ANY AUTO BOpILY INJURY (Pet pereonj Z
X OWNED SCHEWLED BO�ILYINJl1RY(PeraccManlj =
AUTOSONLY AUTOS
a HIREO x NON-01NNED PRDPERlYDAi�IAGE f
AUTOS ONLY AUT03 ONiY P
S
B uMeReLULUB g p�CUR s810sxc�a4s86ry 03/31/30 03/31/21 �HOCCl.�RRENCE S 3,OOD,000
E E%CE88LIAB C�,AIMS-AhADE AGGREGATE : 3,00O,OOU
DED RETENTION :
A YYORKERSCOMAEH8A174N YrN 11WCIB899804 (]1Q8) 03/31/20 03/31/21 � PTATUTE ER�
AND EMPLOYERB' LIABILITY
ANYPROAREETORlPARTNEWE%ECUf]VE �'�` N!A E.L.FACHArC'�ENT s 1.000,000
OFFICEFUMEMBER E%CLUDEO?
(AlanAriory In NH� E.L. DISEASE - EA EMP�OYE : 1, 000 r 000
Ifyes descrf6e under
dESCRIPTION OF OF'ERA710NS balow E.L. DFSEASE -POLICY'_,M+7 s 1. ooa, oaa
C�cceas Liability ]1&C 0191868-06 03/31/ZO 03/31/21 Occuaence $2,000,000
!►�Qregate aa,D00,000
OESGRIPi14N OF OPERA710N8 f LOCATSON!!Y£HICLE6 �ACORD 101, Addl8onal R�marlu 6chMul�, mry he attach�d H man ap�a b nqufnd]
'�hf.s cezCiPicate i.e far eample yuryoeee only. 1►n acrual certificate will be iaeued uDoa conCrnct a+cazd.
Re: 8a17.iQen 9Peter �uDPXy Project
The Cl.ty of Bort Collias, ite ofEicare, aqents aad em�loyees and The coasultant, iea officers, eQea�a and emy7.oyeee
shall be aemed additiopal ineurede ou a nrimary and non-contrfbuCory baaie ae required by �vritten coniract.
waiver of aubroqatioa is apnlicabla where requirad by +vritten contxact ana allawed by law.
o! Fort Colline Purchaainy Division
N lSaeon 8treet, and I+loor
Galline, CO E05Z2
ACORD 25 (2016lQ3)
2ihuddy
5877�620
SHOULD ANY OF THE ABQVE DESCRlBEp pOI.ICIES BE GANCELLED BEFORE
THE EXPiRATION �ATE THEREOF, NOTICE WILL BE DELIVEREp IN
ACC4RaANCB WRk THE POLICY PROVI910N3.
AUTHOiiP.�O REPRE8ENTATNE
VS]1 I �- �
� 1988-2015 ACORd CORPORATION. All rights reserved.
Tha ACORI] name and logo are registarad marks of ACORD
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