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HomeMy WebLinkAboutMountain Constructors Inc. - Insurance Certificate 2023 ta■ P52GOU28W2 ACORD CERTIFICATE OF LIABILITY INSURANCE FDA,,Tl28/2023YY' 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 1-844-484-7750 NCONTACT AME: Velia Mancha o Holmes Murphy & Associates - CO PHONE > E-MAIL vmancha@holmesmu h __ W 7600 East Orchard Road, Suite 230 South ADDRESS_ =•P Y•c�__ INSURERS)AFFORDING COVERAGE NAIC# Greenwood Village, CO 80111 IN_SUR_ERA: TRAVELERS IND CO _ 25658 INSURED INSURER8: CHARTER OAR FIRE INS CO 25615 Mountain Constructors, Inc. INSURERC: TRAVELERS PROP CAS CO OF AMER 25674 622 Main Street INSURERD: PINNACOL ASSUR 41190 P. 0. BOX 405 INSURERE: Platteville, CO 80651 INSURERF: COVERAGES CERTIFICATE NUMBER:69148869 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 SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY) IMMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY DTC0326DO332IND23 07/01/23 07/01/24 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE -- I OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 X PD Deductible: $2,500 MED_EXP(Anyone person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENI AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 JECT POLICY PRO-PRO- _ LOC X PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY 8102NI169462326G 07/01/23 07/01/24 Ea aBII dEDiSINGLE LIMIT $ 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY AUTOS ONLY AUTOS (Per accident) $ X HIRED Ix NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per eccldent $ I C X UMBRELLA LIAO X OCCUR CUPSJ4158052326 07/01/23 07/01/24 EACH OCCURRENCE $ 8,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE _$—C 000,000 DED I X I RETENTIONS 10,000 $ D ANDEMPS EMPLOYERTIONS' 3027994 07/01/23 07/01/24 X STATUTE ERH.AND EMPLOYERS'LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE � NIA E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBEREXCLUDED7 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 Use,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 C Leased/Rented Equipment QT6309T260048TIL23 07/01/23 07/01/24 $250,000 Limit 1,000Ded C Installation Floater QT6309T260048TIL23 07/01/23 07/01/24 $250,000 Limit 1,000Ded I i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space Is required) Project: 452 Timberline Pedestrian Underpass & Mail Creek Ditch Improvements As required by written contract or written agreement, City of Fort Collins, its officers, agents and employees are included as Additional Insured under General Liability and Automobile Liability with respect to the above referenced. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P. 0. BOX 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522-0000 USA I /""� UU�/� %���J/� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD VMancha 69148869 P5260028002 R a M. DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE 06/28/2023 NAME OF INSURED: Mountain constructors, Inc. N w O N 0 (V 7 z w SUPP(10/00)