HomeMy WebLinkAboutBrinkman Constructors - Insurance CertificateClient#:17582 RGBRIN,I
ACORD," CERTIFICATE OF LIABILITY INSURANCE
COVERAGES CERTIFICATE NUMBER:REVISION NUIVIBER:
'l130t2025
TIIIS CERTIFICATE IS ISSUED AS A MATTER OF INFORITATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER- THIS
CERTIFICATE OOES NOT AFFIRMATIVELY OR NEGATIVELY AI/lEND, EXTEND OR ALTER THE COVERAGE AFFOROED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTIIORIZED
REPRESENTATIVE OR PRODUCER, ANO THE CERTIFICATE HOLDER.
IMPORTANT: lf the certificaie holder is an AODITIONAL INSURED, the policy(ies) must have ADDITIONAL INSUREO provisions or be endorsed
lf SUBROGATION lS WAIVED, subject to lhe terms and conditions of the policy, certain policies may require an endorsement. A statement on
lhis certificate does not confer any rights to the certificate holder in lieu ot such endorsement(s).
AssuredPartners of MO LLC
12645 Olive Blvd, Suite 300
St Louis, MO 63141
314 523-8800
fi!fl}cr Megan Wilkerson
fJ8,N'i E.,) 314 s23-8800 lia, N"r 314 4s3.7555
megan.wilkerson@assuredpartners,com
lt{su RER{s ) aF FoRotN G covERAGE
lx5uxsx 4 . Hartford Fire lnsurance Co 19682
INSURED
R.G. Brinkmann Company
Brinkmann Constructors
16650 Chesterfield Grove Road
Chesterfield, MO 63005
tNsuRER s. Hartford Casualty lnsurance Co 29424
s1srr66q 6 lTwin City Fire lnsurance Co 29459
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEO TOTHE INSURED NAMEDABOVE FORTHE POLICY PERIOD
INDICATEO, NOTWITHSTANDING ANY REOUIREMENT. TERM OA CONOITION OF ANY CONTRACTOR OTHER OOCUMENT WTH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFOROED BY THE POLICIES DESCRIBEO HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED AY PAIO CLAIMS,
SUBR LIMITS
A x COMM ERCIAL G ENERAL LIABILITY
CLAIMS MADE x
x Bt/PD $'100 000 slR
GEN'LAGGREGATE LIMIT APPLIES PER
JECTx
84ECSQU3951 02t15t2024 o5l't5t2025 $2,000,000
DAMAGE TO RENTED
PREMISES (Ea Ecurene)$300,000
MEO ExP (Any 6epsM)s5,000
PERSONAL & AOV INJURY s2,000,000
GEN ERAL AGG RE GATE $4,000,000
PROOUCTS. COMP/OP AGG $4,000,000
5
AUTOMOAILE LIAAILlTY
x
OWNEO
HIREO
SCI]EOULED
NON.OWNEO
84UENOU3952 02t15t2024 o5l't 512025 COMBINED SIN6LE LIMIT s2,000,000
BODILY INJURY (P€r ps/s)S
BO0ILY INJURY (P6r a@iden0 S
S
5
B x
EXCESS LIAB
x 84RHUQU3953 02t'15t2024 05t't 5t2025 EACH OCCIJRRENCE s10,000,000
s10,000,000
DED x RETENTloNs$10,000 5
c WORKERS COMPENSAIION
ANO EMP LOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUT VE
0ESCRIPTION OF OPERATIONS berow
B
I
2115t2025
211512025
05t15t2025
0511512025
x OTH.
E L EACH ACCIOENI s'1,000,000
E L OISEASE EA EMPLOYEE s1,000,000
E,L DISEASE. POLICY LIMIT s1,000,000
OESCRIPIION OF OPERAIIONS / LOCATIONS /VEHICLES (ACORO 101, Additional Remar*s Sch€dule, hay be anached lf mE 3pac.ls cqulr.d)
ERTIFICATE HOLDER N
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WLL BE DELIVERED IN
ACCOROANCE wlTH fHE POLICY PROVISIONS,
4MAUTHORIZEO REPRESENTATIVE
City of Fort Collins
Community Development & Neighborhood Servi
2801 North College Ave.
P.O. Box 580
Fort Collins, CO 80524-0000
ACORD 2s (2016/03) I of t
#s1023799/M 1019724
@ l98E-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
MWILK
TYPE OF INSl]RANCE
f.o"
lerweoussso
l84WNOU39s4
Itl