HomeMy WebLinkAboutR C HEATH CONSTRUTION - INSURANCE CERTIFICATEClient#: 25306
RCHEA
ACORD,� CERTIFICATE OF LIABILITY INSURANCE
C
9/27/MIDDIYYYY)
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PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Insurance Inc
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4821 Wheaton Drive
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P O Box 270370
Fort Collins, CO 80527
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
INSURERA: St. Paul Travelers Insurance Company
R.C. Heath Construction Co., Inc.
P. 0. Drawer H
Fort Collins, CO 80522
INSURER B: National Union Fire Insurance
INSURER C: Pinnacol Assurance
INSURER D:
INSURER E:
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
DATEPOLICYMMF DIYYE
POLICY EXPIRAT10N DATTE MM DD YY)
LIMITS
A
GENERAL LIABILITY
DTCO298N6651-
09/30/06
09130/07
EACH OCCURRENCE
$1 000 000
X COMMERCIAL GENERAL LIABILITY
TIA06
DAMAGE TO RENTED
MOAN
CLAIMS MADE O OCCUR
MED EXP (Any one person)
$5 000
PERSONAL & ADV INJURY
$1 QQQ QQQ
X PD Ded:10,000
GENERAL AGGREGATE
$2 QQQ QQQ
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$2 00O 000
POLICY X jE OT LOC
A
AUTOMOBILE
LIABILITY
ANYAUTO
DT810298N6651TIL06
09/30106
09130/07
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,QQO
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULEDAUTOS
X
BODILY INJURY
(Per accident)
$
HIREDAUTOS
NON -OWNED AUTOS
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
B
EXCESSIUMBRELLA LIABILITY
BE7227869
09130106
09130107
EACH OCCURRENCE
s5,000,000
X1 OCCUR 17 CLAIMS MADE
AGGREGATE
s5,000,000
$
DEDUCTIBLE
$
X RETENTION $ 10000
C
WORKERS COMPENSATION AND
4033691
10/01/06
10/01/07
X WC LIMIT GTR-
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
El. EACH ACCIDENT
$5OO QQQ
E.L. DISEASE - EA EMPLOYEE
$500,000
Des, describe under
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
$500,000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
RE: Deicing Facility, Bid no 5909
City of Fort Collins, Engineer, Engineer's Consultants respective officers
and employees are named as additional insured, but only as respects
liability arising out of work performed by the named insured (Excluding
(See Attached Descriptions)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL A_ DAYS WRITTEN
Admin Services Purchasing Division NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
PO Box 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Fort Collins, CO 80522-0580 REPRESENTATIVES,
AUTHORIZED RESE
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