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HomeMy WebLinkAboutValmont Industries, Inc. - Insurance Certificate 2025Ho l d e r I d e n t i f i e r : 77 7 7 7 7 7 7 0 7 0 7 0 7 0 0 0 7 7 7 6 1 6 1 6 0 4 5 5 7 1 1 1 0 7 6 7 7 1 7 0 1 6 2 0 4 4 4 7 2 0 74 4 2 0 2 7 7 7 2 5 0 7 3 0 0 0 7 2 6 4 0 5 7 7 0 4 6 2 3 0 1 3 0 7 3 7 0 5 5 5 5 3 1 6 7 4 4 0 3 0 75 7 3 5 1 4 2 3 7 6 7 1 1 0 3 0 7 5 7 3 6 3 3 4 6 7 1 7 7 7 6 5 0 7 2 7 1 1 5 4 6 3 4 4 6 2 2 1 2 0 73 6 0 0 1 1 5 7 0 0 3 6 5 3 0 0 7 6 7 2 7 2 4 2 0 3 5 7 7 2 0 0 0 7 7 7 7 7 7 7 0 7 0 0 0 7 0 7 0 0 7 77 7 7 7 7 7 7 0 7 0 7 0 7 0 0 0 7 3 5 2 5 6 7 7 1 1 5 4 5 6 0 0 0 7 3 2 1 1 1 4 0 7 0 2 6 1 1 3 0 0 70 3 2 2 2 7 2 4 2 1 7 3 1 0 0 0 7 0 2 2 3 2 7 3 5 2 1 7 3 1 1 1 0 7 0 2 2 2 3 7 2 4 2 1 6 2 1 1 1 0 70 2 2 3 3 6 3 5 2 1 7 3 1 0 0 0 7 0 3 2 3 3 6 2 5 3 1 7 3 0 0 0 0 7 0 2 3 3 2 6 2 4 3 0 6 2 1 1 1 0 71 3 3 3 3 6 3 4 2 1 7 2 0 1 0 0 7 7 7 5 6 1 6 3 3 5 1 7 6 5 5 4 0 7 7 7 7 7 7 7 0 7 0 0 0 7 0 7 0 0 7 Ce r t i f i c a t e N o : 57 0 1 1 1 2 4 2 3 4 9 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 03/06/2025 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). 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. PRODUCER Aon Risk Services Central, Inc. Omaha NE Office 17807 Burke Street Suite 401 Omaha NE 68118 USA PHONE (A/C. No. Ext): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # (402) 697-1400 INSURED 22667ACE American Insurance CompanyINSURER A: 10690Allied World National Assurance CompanyINSURER B: 22276Berkshire Hathaway Specialty Ins CompanyINSURER C: 1092FILloyd's Syndicate No. 1609INSURER D: INSURER E: INSURER F: FAX (A/C. No.):(402) 697-1594 CONTACT NAME: Valmont Industries, Inc. 15000 Valmont Plaza Omaha NE 68154 USA COVERAGES CERTIFICATE NUMBER:570111242349 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.Limits shown are as requested POLICY EXP (MM/DD/YYYY) POLICY EFF (MM/DD/YYYY) SUBR WVD INSR LTR ADDL INSD POLICY NUMBER TYPE OF INSURANCE LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR POLICY LOC EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG X X X GEN'L AGGREGATE LIMIT APPLIES PER: $5,000,000 $1,000,000 $10,000 $5,000,000 $10,000,000 $10,000,000 A 03/01/2025 03/01/2026 SIR applies per policy terms & conditions HDOG48923616 PRO- JECT OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOS HIRED AUTOS ONLY NON-OWNED AUTOS ONLY BODILY INJURY ( Per person) PROPERTY DAMAGE (Per accident) X BODILY INJURY (Per accident) $2,000,000A03/01/2025 03/01/2026 SIR applies per policy terms & conditions COMBINED SINGLE LIMIT (Ea accident) ISA H10845853 EXCESS LIAB X OCCUR CLAIMS-MADE AGGREGATE EACH OCCURRENCE DED $5,000,000 $5,000,000 $10,000 03/01/2025UMBRELLA LIABB 03/01/202603117418 RETENTIONX X E.L. DISEASE-EA EMPLOYEE E.L. DISEASE-POLICY LIMIT E.L. EACH ACCIDENT $1,000,000 X OTH- ER PER STATUTEA03/01/2025 03/01/2026 SIR applies per policy terms & conditions $1,000,000 Y / N (Mandatory in NH) ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED?N / AN WORKERS COMPENSATION AND EMPLOYERS' LIABILITY If yes, describe under DESCRIPTION OF OPERATIONS below $1,000,000 WLRC73090118 Each ClaimPSDEF250116903/01/2025 03/01/2026 Claims-Made Coverage $10,000,000Aggregate Deductible $500,000 Architects & Engineers Professional D $10,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. The General Liability and Automobile Liability evidenced herein is Primary and Non-Contributory to other insurance available to an Additional Insured, but only in accordance with the policy's provisions. A Waiver of Subrogation is granted in favor of Certificate Holder in accordance with the policy provisions of the General Liability, Automobile Liability, and Workers' Compensation policies. Umbrella policy follows form of underlying policies listed above. CANCELLATIONCERTIFICATE HOLDER AUTHORIZED REPRESENTATIVECity of Fort Collins Financial Services; Purchasing Division 215 N. Mason Street 2nd Floor Po Box 580 Fort Collinsq CO 80522 USA ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AGENCY CUSTOMER ID: ADDITIONAL REMARKS SCHEDULE LOC #: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:ACORD 25 FORM TITLE:Certificate of Liability Insurance EFFECTIVE DATE: CARRIER NAIC CODE POLICY NUMBER NAMED INSUREDAGENCY See Certificate Number: See Certificate Number: 570111242349 570111242349 Aon Risk Services Central, Inc. 10576471 ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSURER INSURER INSURER INSURER INSURER(S) AFFORDING COVERAGE Page _ of _ NAIC # Valmont Industries, Inc. TYPE OF INSURANCE POLICY NUMBER LIMITS EXCESS LIABILITY C 47XSF33362002 03/01/2025 03/01/2026 Aggregate $5,000,000 Each Occurrence $5,000,000 $5M X $5M ADDL INSD INSR LTR SUBR WVD POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Professional Liability Carriers AGENCY CUSTOMER ID: ADDITIONAL REMARKS SCHEDULE LOC #: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:ACORD 25 FORM TITLE:Certificate of Liability Insurance EFFECTIVE DATE: CARRIER NAIC CODE POLICY NUMBER NAMED INSUREDAGENCY See Certificate Number: See Certificate Number: Aon Risk Services Central, Inc. 10576471 570111242349 570111242349 Page _ of _ Valmont Industries, Inc. Professional Liability policy no. PSDEF2501169 carriers: 34.17% Mosaic Syndicate Services Limited (MOS 1609) 33.33% Beazley Lloyd's Syndicate 6223/623 10.00% Argenta Lloyds Syndicate 2121 22.50% Includes the following carriers: QPS5555 (30.00%), LIB4472 (15.56%), AFB5623 (13.33%), RNR1458 (8.89%), ASL1955 (8.89%), AWH2232 (7.33%), KLN0510 (7.112%), CNP 4444 (7.11%), TMK1880 (1.778%) ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Schedule of Named Insureds AGENCY CUSTOMER ID: ADDITIONAL REMARKS SCHEDULE LOC #: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:ACORD 25 FORM TITLE:Certificate of Liability Insurance EFFECTIVE DATE: CARRIER NAIC CODE POLICY NUMBER NAMED INSUREDAGENCY See Certificate Number: See Certificate Number: Aon Risk Services Central, Inc. 10576471 570111242349 570111242349 Page _ of _ Valmont Industries, Inc. Valmont Industries, Inc. AgSense, LLC AgSense, LLC dba PrecisionKing AgSense, LLC dba PivoTrac Monitoring American Galvanizing Company, Inc. Kendar Industries, Inc. DBA Irrigation Components International Valmont Telecommunications, Inc. (pka PiRod, Inc.) Valmont Telecommunications, Inc. dba Larson Camouflage Valmont Telecommunications, Inc. dba Valmont Site Pro 1 Valmont Telecommunications, Inc. Valmont - Southeastern Galvanizing, Inc. Valmont Coatings, Inc. Valmont Composite Structures, Inc. Valmont International Corp. Valmont International LLC Valmont Newmark, Inc. Valmont Northwest, Inc. Valmont Pittsburgh Galvanizing, Inc. Valmont Service Centers, Inc. Valmont Structures, Inc. Valmont Substations LLC (pka KC Utility Structural Engineering, LLC and KC Utility Packaging LLC) Walpar Holdco LLC Walpar, LLC Valley Science and Engineering, Inc. (pka Cascade Earth Sciences Ltd.) Valmont Infrastructure Services, Inc. (pka Matco Services, Inc.) Valmont Solar, Inc. Prospera Technologies, Inc. Cordoba Technologies, Inc. ConcealFab, Inc. ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD