No preview available
HomeMy WebLinkAboutLeopardo Construction, Inc. - Insurance Certificate ,�►coRo® CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) 9/27/2024 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 CONTACT NAME: Certificate Department_ Arthur J. Gallagher Risk Management Services, LLC PHONE g25-299 FAX -- 2121 N. California Blvd. A/c No E t� 1112 —�L'C,No):925-925-0328 Suite 350 E-MAIL ADDRESS: GSC Construction_Certrequests AJG.com Walnut Creek CA 94596 INSURER(S)AFFORDING COVERAGE NAIC# License#:OD69293 INSURER A:Continental Casualty Company 20443 INSURED INSURER B:Transportation Insurance Company _ 20494 Leop5200 Prairie Construction, Inc. INSURER Continental Insurance Company 5200 Prairie Stone Parkway _ �—Y 35289 Hoffman Estates, IL 60192 INSURER D:American Casualty Company of_Reading,PA 2_0.427 INSURER E: INSURER F: -------- -------_ - COVERAGES CERTIFICATE NUMBER:677379094 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. POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MWDD/YYYY) (MWDDNYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 7015384667 9/30/2024 9/30/2025 EACH OCCURRENCE $1,000,000 CLAIMS-MADE �OCCUR DAMA E RENTED -- PREMISES Ea occurrence $300.000 MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY $1,000,000 _ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY PRO-- LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY Y Y BUA7015276047 9/30/2024 9/30/2025 COMBINED SINGLE LIMIT $2,000,000 Ea accident _ _ X ANY AUTO _ BODILY INJURY(Per person) $ OWNED SCHEDULED — - AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ I Ded.Comp/Coll sion $5,000/$5,000 C X UMBRELLA LIAR X OCCUR 7015605250 9/30/2024 9/10/2021 EACH OCCURRENCE $15,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $15,000,000 DIED X RETENTIONS D WORKERS COMPENSATION Y WC7015276078 PER OTH. $ B AND EMPLOYERS'LIABILITY 9/30/2024 9/30/2025 X STATUTE ER Y/N WC7018209590 9/30/2024 9/30/2025 — OFFICEANYPR OFFICER/MEMBER REXC EXCLUDED? E.L.EACH ACCIDENT $1,000,000 OFFICEFt/MEMBEgEXCLUDED? N/A MandatoryinNH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $1,000,000 _ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) RE:Contractor Licensing Application Certificate issued as evidence of insurance. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. Development Review Center 281 N.College Avenue Fort Collins CO 80524 AUTHORIZED REPRESENTATIVE USA Z ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD