HomeMy WebLinkAboutPC CONSTRUCTION COMPANY - INSURANCE CERTIFICATE�1
A� ORO
PCCONST-01
CERTIFICATE OF LIABILITY INSURANCE
�ATE �MM/DDlYYYY)
12l2912Q23
THIS CERTIFICATE IS ISSUED AS A MATTER OF iNFORMATIQN ONLY AND CONFERS NO RIGliTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE pOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICkES
BELOW. THIS CERTIFICATE OF 1NSURANCE 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 provlsions or be endorsed.
If SUBROGATION 1S WANED, subJect to the tertns and condltlons of the policy, certaln policies may require an endorsement. A statement on
this ce�tificate does not tonfer rights to the certiflcate holder in Ileu of such endorsementtsl.
PRODUCER
NFP Property 8 Casualty Services, lnc.
PO Box 2127
620 Hinesburg Road
South BuNington, V7 05407
iHsuReo
PC Constructlon Company
993 Tilley Drive
So Bu�lington, VT 05403
524-4652
Berkshire
INSURER F :
Insurance
COVERAGES CERTlFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT ThiE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PO�ICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITlON OF ANY CONTRACT OR OTHER DOCUMENT WIFH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORbED BV THE POLICIES DESCRIBEb HEREfM IS SUBJEC7 TO AL� THE TERMS
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR 7ypE OF IHSURANCE AODL SUflR pOLICY NUMBER POLICY EFF POLICY EXP V�rc3
A X COMMERCIAL 6ENERAL LU181UTY EACH OCCURRENCE : 2,000,000
CLAIMS-MltiDE I X OCCUR X iOOOOYBOJHZ4i iIiIZOZ4 uuzazs P'�MGE TO RENTED i3OOO,OOO
MED E?CP M one erson 5'���
PERSONAL d A�V INJURY 2'Q��}'0�4
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 4�OOQ�OO{}
POLICY�I JEC a ��C PRODl1CT5-COMPIOPAGG 4�00O�OOU
OTHER:
A AUTOMOBILE LIABILRY COMBINEO SINGLE LIMIT Z,OOU,OOO
X ANYAUTO 1000673039241 1l1l2024 iiilZaZrJ BODILV INJURY Per rson S
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY Per eccident
HIRED NOk-OWNEO PROPERN AMAGE
AUTOS ONIV AUTOS ONLY Per acadenl
S
A UMBRELIALIA6 X OCCUR EACH OCCURRENCE s S�OOO�OOO
X�ccess�ws CLAiMS-MADE 1000588789241 111l2024 1l112025 AGGREGATE 5,000,000
DED RETENTiON S
A WORKERS COMPENSATION �( PjR T OTH
AIID EMPLOYER$' (.IABILITY Y! H
ANY PROPRIETgOW?ARTNERlEXECUTIVE 1000005683 i�i�2�Z4 1J112�25 E.L EACH ACCIDENT 1'�QO'�a�
�F;�d ory�i� NH} EXCLUDEO? � N n ra 1,060,OQ0
E.L DISEASE - EA EMPLOVE S
�r y-cn, doecribe undor 1�000�080
DESCRIPTION OF OPERATIONS bebw E.L. DISEASE - POLICY LIMIT
B Excess Liability 47-XSF-100541-06 7/1/2024 1l1J2025 Each Occurence 10,060,000
B Excess Liability 47-XSF-100541-06 1/1/2024 1!1l2025 Aggregate 10,000,000
DESCRIPTION OF OPERATIONS 1 LOCATIOHS 1 VEHtCLES (ACORp 101, AddHlonsl Remerks Schedule, msy 4e stbehed if mors space Is requlrod�
Lieense renewal
City of Fort Collins
281 N Colfege Avenue
Fo�t Collins, CO 80521-0000
SHOULD ANY OF THE ABOVE OESCRIBED POLICIES BE CANCELLED BEFORE
TFIE EXPIRATION DATE THEREOF, NOTICE WILL BE pELNERED IN
ACCORDANCE YYITH THE POLICY PROVISIONS.
AUlHORIZEO REPRESENTATIYE
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ACORD 25 (2016l03)
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