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Home My WebLink AboutMARK YOUNG CONSTRUCTION LLC - INSURANCE CERTIFICATE 2023-2024CORO� DATE �MMIDD/YVYV) ✓ CERTIFICATE OF LIABILITY INSURANCE 8l21/2023 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: It the certificate holder is an ADDITIONAL INSURED, the policy(fes) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditlons of the poilcy, certaln policies may require an endorsement. A statement on this certificate does not confer ri hts to the cert(ficate holder in Ileu of such endorsement s. PRODUCER NTACT NAME. _ __ KBtle SfT10ti1@fS CRS Insurance Brokerage -PHONe ---- ---- -- - -_ --- -- -_ _ -- _ __ _ . •303-996•7800 ' ac No:303-757-7719 9780 S Meridian Blvd Suite 400 E-MAIL Engiewood CO 80112 aooRess: ksmothers@crsdenver.com _ INSURER 5 AfFORDING COVERAQE __ _ NAIC If - - -- -- - --- -- - --- ---- --- -- _ _. __ __ ._ .__ .. __. ._ - _ -- ... INSURER A : CNA 204%8 INSURED MARKY-1 INSURER B: V8II8� FOf98 I115Uf8f1C8 C0.__ � 20508 Mark Young Construction, LLC ---- - - " - -�- - - -- -- 7200 Miller Place iNsuReRc:_Pinnacol Assuranca 41190 -- — - -- -- Frederick CO 80504 iysuReRo: Columbia Casualty Company 31127 _ _ _. _ __- --_ ._- _ - - ---- INSURER E: Continental Casual Co. I 20443 — -- �- -- - -----�------ INSURER F : � COVERAGES CERTIFICATE NUMBER:434519314 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 � jADDL'SUBRj POLICY EFF POLICY EXP ; LTR I TYPEOF INSURANCE ' IN D� WVD I POLICY NUMBER I MMlDD/YYVY i MM'�D/YYYY ' LIMITS 8 X COMMERCIALGENERALLIABILITY Y' S095053104 I 1 2/3 112 0 2 2 � 12131l2D23 ! EACHOCCURRENCE $1,000,000 --�-- I i i - - --.. � DAMAGE Tb fiENTED � I CLAIMS�MADE � l pCCUR � i I � PRENISE$ {Ea occurre_nce1_ S 300,000 GEN'l AGGREGATE LIMIT APPLIES PER: � - _ 1 PRO• � 1 � POLICY �%�_j �ECT L_; LOC B AUTOMOBILE LIABILITY X � ANY AUTO � OWNED I I SCHEDULED ; AUTOS ONLY `�f AUTOS X: HIRED I X I NON-OWNED AUTOS ONLY I'� I AUTOS ONLY A X' UMBRELLA LIAB X OCCUR -; EXCESS LIAB � CLAIMS Y i 5084045242 I i � ; 5084045208 � IWORKERSCOMPENSATION I A AND EMPLOVERS' LIABILITY Y 1 N� � ANYPROPRIETOR�PARTNER!EXECUTIVE N OFFICERiMEMBEfiEXGLUDED? � i N! A (Mendatory In NH) II ves, describo under � I E Builders Risk D Speaal Form/Theft PolluUonlProtessional Liability 4016391 5093301998 6045680802 C6018403435 �. MEO EXP (Any one persOn) $ 5,000 . PERSONAL & ADV INJURY $ 1,000,000 , GENERALAGGREGATE $2,000,000 , PRODUCTS - COMPiOP AGG $ 2.000.000 12131 /2022 I 12/31/2023 $ GORqdINtU SINGLE LIMIT $ 1,00O,OOD (Ea acc�duntj-- -----. __._. _ _ - --- BODILY INJURY (Per person) $ -- -- - BODILY INJUAV (Per accidenq $ I -- -- PFOPERTYDAMAGE � (Per accideni) , $ 12/31l2022 i 1 213 1 /2 02 3 � EACH OCCURRENCE I$10,000,000 , � — -- � � AGGREGATE $ 10,000,000 __.___ __. ____ . ._- i g 1/112023 1l1/2024 X PER oTH� 1/112023 ��/zp2q � STATUTE __ ER _ --- --- - - -__---- � � E.L. EACH ACCIDENT $1,000,000 _____ i ------------- - __ _ _--- -- i I E.L. DISEASE � EA EMPLOYEE $ 1.000,000 f- — ' E.L. DISEASE • POLICY LIMIT $ 1,0OO.ODO 12131I2022 12131/2023 j .lobsite 15.000,000 12f31l2022 1213112023 I Frame 5,000,000 Limit 2000000/2000000 DESCRIPTION OF OPERATION3 � LOCATION3 i VEHICLES (ACORD 101, Additlonel Fiemarks Schedule, mey he atlached if more apace Is required) RE: 9860 CONSTRUCTION MANAGEMENT/GENERAL CONTRACTOR SERVICES - MUNICIPAL COURT RENOVATION City of Fort Collins, its officers, agents and employees are included as additional insured for ongoing operations on the General Liabiliry and inciuded as addiUonal insured on the Auto Liability with respect to operations of the named insured for the certificate holder as required by written contract. a. Does coverage meet minimum project requirements? Yes b. Does coverage include builder's risk? Yes c. Can this coverage be extended for work on this project? Yes See Attached... 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 POLICV PROVISIONS. City of Fort Gollins PO Box 580 Fort Collins CO 80522 AUTHORIZED REPRESENTATIVE 001988-2015 ACORD CORPORATION. All rights reserved. AGENCY CUSTOMER ID: MARKY-1 LOC #: ACORO� ��" AGENCY CRS Insurance Brokerage POLICY NUMBER CARflIER ADDITIONAL REMARKS SCHEDULE NAIC CODE NAMEDINSURED Mark Young Construction, LLC 7200 Miller Place Frederick CO 80504 EFFECTIVE DATE: Page � of � ITHIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Can coverage be increased? Yes Can the City be listed as an additional insured? Yes Are there any current claims that will affect coverage limits availabie for this project? No ACORD 101 (2008/01} OO 2008 ACORD CORPORATION. All rights reserved.