HomeMy WebLinkAboutSAUNDERS CONSTRUCTION INC - INSURANCE CERTIFICATE 2023-2024���R�� CERTIFICATE OF LiABILITY INSURANCE a+7��;���0�3 rr
7HIS C�RTIFICATf IS ISSUED AS A MATTER OF IIVFOFEMAT1pN ONLY AND CpNF�RS NO RIGHT5 UPON THE CERFIFICATE HOk.DER. THI:
CERTIFlCATE DO@S NOT AFFIRMATIVE�Y OR N�GATiVELY AMEI�D, EXTEND OR ALTER THE COV�RAG� AFFORQ@D BY 7HE POLICIE:
BELOW. 7HIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BE7WEEN TNE ISSUIi�G INSURER(S), AUTHORIZEI
REPRES�NTATIVE 4R PRQQUCER, AEVD THE CERTIFICATEliOLDER.
IMPpRTANT: If the certificate holder is an A�DITiONA� INSURED, the paiicy(fes) must have ADaITIONAL lNSU�IED provisions or be endorset
If SUBROGATION IS WAIYED, sub�ect to the terms and condltions of ihe palicy, cerlaln policles may requlre an endorsement_ A statement o
thls cert{Hcake does not confer H hts tb the certificate holder in lieu of such endorsement(s .
PpODUCER NAM�• !MA Construction Team
EMA, InC. - Colorado PHONE Faz
1705 17th Street, Suite 100 ac ko :
Denver CO 80202 a�oR�Ess: consttuctioncerts imacar .com
INSURER 5 AFFOROING GOYflqAGE hEA1C M
iNSUR�r� a: American Cantractars �nsurance Corn an Risk 12300
INSURED SAUNCAIY-D2 INSURERB: TI1Q CI11Ctf1l18t1 1115Uf8f1G8 COfTI an 10677
Saunders Construction, Inc.
86 InVevneSS PI2Ce North iNsuRSRc: The Cantinentaf Insurance Com an 35289
Englewood CO 80112 iNsup�r�n: ACIG Insurance Company 19984
:OV�RAGES CEHTIFiCA�E NUM8ER:2078178160 REVISION NUMBER:
THiS IS TO CERTiFY THAi iHE POLICIES OF INSURANCE LI5TED BELOW HAVE BE�N ESSUED TO THE INSURED NAi+AED ABOV� FQR TFiE POLICY PERIOI
INDICATED. NOTWITHSTANDIMG ANY REQUIREMENT, TERM OR CON�ITION OF ANY CONTAACT OR OTHfR DdCUMENT WITH RESPECT TO WHICW THI.
CERTiFICATE MAY BE ISSUED OR iNAY PERTAIiV, TH@ INSURANCE AFFORDE� BY THE POLICI@S DESCAlBED HERElN IS 5lJ8JECT 70 ALL THE TERM:
EXCLU510NS AND CONDlTIpNS dF SUCH POLICIES. UMITS SHOWN MAY HAVE BEEN REDUCE� BY ?A1D CLAIMS.
TR 7YPE 4F INSUFIANCE �AN �L $uV pI POLIGY NUMB�R MMlDDPIYYF M�11V�D� D�YYP � V�TS
��__ _ _.
A X CWiAMERCfAL GENERAL LIABII.ITY G�23A00055 6l1�2Q23 6I9I2Q24 �ACH OCCURRENCE I S 10 000.000
CLAi1viS�MApE x DCCUfi PAEMlSESIEaoGasrrgncB sioo,oao
x B11PD QEO 5285K MEP EXP (My one person) y S,OUO
GEN'L AGC3REGATE lIMfT APP�IES PER
POLICY X PRO• LOC
JECT
OTHER
6 AUTOAAOBFLE LIABILITY
� ANY AUTO
QWNED SCHEnULE�
AU�OS ONLY AUTOS
X HIREn X NON�OWNE�
AUi05 ONLY AUTOS ONLY
C UiNBRELIA GIAs X ���R
X EKCE39 LIAB CLAIMS-MADE
D I WORKERSCOMPENSATION
� AND EMPLOYEfiS' IIABIIkTY
�
•Ad States induded in
Workers Compensalion
AZ, K5, NM, UT
Y!N
� N!A
ENP 0626885
413012Q23 I 6I9I202A
PER54NAL S ADV IN,iURY � 1 O QOO,ODQ
GENERAL AGGREGATE y 1� 000,000
PAODUCTS � COMPIOP AGG S 10 000,004
S
G�OMBIMED SINGLE LIMIT y q,D00,00D
a acdden!
BODiLY INJURY �Perperson) 5
BODiLY INJURY fQ¢r accident) S
pROPEH7Y0AMAGE S
Per accidenfj.
S
�o�assas5s 61il2Q23 sruaoza �pC1iOCCUFiRENCE a�o,
AGGREGATE 514,
S
WCAOOOOi7223 6l1l2Q23 6l112024 �X gTATUTE E H
E.L. EACk ACCiDENT a i.0
E.L. �ISEASE �@A EMPLOYEE S 1,0
� E.L. DISEASE - POLICY LIMIT S 1.0
DESCRIPTION OF OPERATIONS r LOCAiIDN3 r Y6HIClEB (ACORD tOt, Additional Remarks Stl�edule, mey he attaciied II more space is raquired)
Professional Lia�ility Coverage: Policy #PCA�B-50220�5-0423
Effective aates: 04130l2023-06lOil2024 Ensurer: 6ericley Assurance Company
�10,OD0,000 Aggregate; $1d,004,000 �ach Claim; $50,0�0 Ded�ctible; Claims Made
Pollution L'tability Cvverage: Policy #PCApB-5a22005-0423
Effective pates: 04/30l2023-U6lp112024 Insurer: Berictey Assurance Company
$10,000,040 Limit; $25,004 �eductible; Includes Mold
See Attached...
LDER
SFlOUI.D ANY OF THf ABBVE DESCRIBED PpLICIES 8E CANCELLED BEF4Fi
iHE EXP1RATiON DATE THEqEOF, NOTICE WILL B� p�LIVEREp I
ACCOR�ANCE VYITH TF}E POLICY PROYISIONS.
City of Fort Colltns Admin Services Purchasing pi��sion
PO Box 580
Fort Collms CO 80522-0580
aco�o �s �za��os�
AUTHORIZE� RE fRESENTATIVf
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� 78BB-2015 ACOHo GORPpRA7IpN. All rights resery
The ACORD nsme and logo are reglstered marks of ACORD
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ACO �
`�'
ALiENCY
IMA, �nc. - Coforado
ppLICY NUMBER
CARRIER
NAIC CODE
EFFECTIVE DATE:
Page � of _
THIS A6DITIONAL REMARKS FORM IS A SCHED�LE TO ACO�D FORM,
FORM NUMBER: 2� FOAM TITLE: CERTIFiCATE OF LiAe1LI7Y fNSURANG�
AGENCY CiISTOMER ID: SAUNCdN-02
LQC �1:
ADD�TIONAL REMARKS SCHEDULE
NAMEOINSUREd
Saunders CoRstruction, Inc.
86 lnverness Place North
Englewood CO 80112
Builders Risk Coverage Policy #1H4H59D92742
Eifective Dates: Q4I3012623-06101I2024 insurer: The Hanover Insurance Company
S7,5Q0,000 Frame Lirnit; �8,500,400 Joisted Masonry iirnit; $30 OD4.OD0 Non-CombusUble Limit
$95,000,000 Masanry Non-Combustibie or Better; $50.OQ0 Deductible;
�2,500,OD0 Temporary Storaae Limrt; $50,000 Deductible
52,500,000 Property in Transit Limit, $54,000 DeductibEe; $2 50Q000 Fload (Zone X) timit $50,000 Deductible
�10,Q00,006 Earthquake Limit; S25,OOd Deductible; Replacement Gost ValuaUon. Specia] Cause of �oss;
Equipment BreakdowN'feshng Included; No Coinsurance. Owner and SubconVactors are inclucled as Insured.
Leased 8� Rented Equipment Goverage: Policy #RM4ti59092602
Effective Dates: 04l3612023-06101l2024 lnsurer: The Hanover Casualty Campany
$3,650,000 Limit $1Q,400 Deductible
Crime Coverage: Pakicy #105607068
Effective Dates: 0413Q12Q23-061D112024 Insurer Travelers Casualty and Surety Campany pf Amerioa
55,800,000 Employee Theft Limit; $50 000 Deductible
Ciry ot ForE Collins, Admin Services Purchasing bivision are incEuded as Additional Insured on the General Liabilily and Automobile Liabilrty, poEicies if requirec
by written coniract or agreement and with respect to work pertormed by fnsured, subject to the policy terms and conditions.
ACORa 101 (20081Ufj
� 2008 ACORb CORPORATION, Ail rigMs reserv-
The ACQRq �ame and logo are registered msrks of ACORO
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