HomeMy WebLinkAboutARMADILLO FENCE - INSURANCE CERTIFICATE(Nian fi- �assn
ARMAFFN
ACORDnn CERTIFICATE OF LIABILITY INSURANCE
DATE (MMID
09128/06DNYYY)
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
HRH of Colorado
720 S. Colorado Blvd Ste 600-N
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P.O. Box 469025
Denver, CO 80246-9025
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
INSURERA: Travelers Indemnity of America
25666
Armadillo Fencing Corp.
INSURER B: Travelers Property Casualty Co. of A
36161
5795 Ideal Drive
Erie, CO 80516-9417
INSURER C: Pinnacol Assurance
10780
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.
INSR
LTR
ADD'
NSR
TYPE OF INSURANCE
POLICY NUMBER
DATEYMMIDDIYYE
PDATE (MMIDDIYYI N
LIMITS
A
GENERAL LIABILITY
0748C220TIA06
10/01/06
10/01/07
EACH OCCURRENCE
$1 000 000
X COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED
$100 OOO
CLAIMS MADE 51OCCUR
MED EXP (Any one Person)
$5 000
PERSONAL &ADV INJURY
$1 OOO 000
AI# CG D2 46
(08105)
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COMP/OP AGG
$2000000
17 POLICY X PRO-
F T X LOC
B
AUTOMOBILE
LIABILITY
ANY AUTO
0748C220TIL06
10/01/06
10/01/07
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULEDAUTOS
X
BODILY INJURY
(Per accident)
$
HIREDAUTOS
NON -OWNED AUTOS
X
X
PROPERTY DAMAGE
(Per accident)
$
Ltd Pollution
ri
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHERTHAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
B
EXCESSIUMBRELLA LIABILITY
0748C220TIA05
10/01/06
10/01/07
EACH OCCURRENCE
$2 0-00 0-0-0
X OCCUR CLAIMS MADE
AGGREGATE
s2,000,000
$
FDEDUCTIBLE
$
X RETENTION $ 10 000
C
WORKERS COMPENSATION AND
4058096
10/01/06
10/01/07
X WORY C LIMIT OTH-
S FR
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT
$500000
E.L. DISEASE - EA EMPLOYEE
$500000
OFFICER/MEMBER EXCLUDED?
li yes, 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: Written Contracts with the Certificate Holder.
The following are Additional Insureds as respects General Liability only
if required by written contract and coverage applies only as respects
(See Attached Descriptions)
City of Ft. Collins
PO Box 580
Fort Collins, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 'An* DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO $0 SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVE
0'
ACORD 25 (2001108) 1 of 3 #M305976 MAS 0 ACORD CORPORATION 1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
AUVKU AO-b tLUUIM) 2 of 3 #M305976
DESCRIPTIONS (Continued from Page 1)
work performed by the Insured for the Additional Insureds.
All coverage terms, conditions and exclusions of the policy apply.
Additional Insureds: City of Ft. Collins.
The Additional Insured endorsement which is referenced above under "Type
of Insurance -General Liability" is attached.
* The following cancellation conditions always apply:
- 10 days for non-payment of premium
- If policy shown, 10 days for Workers' Compensation for fraud;
material misrepresentation; non-payment of premium; other reasons
approved by the Commissioner of Insurance
Ama za.a tzuuuuts) J oT J TFMJ05976
COMMERCIAL GENERAL LIABILITY
THIS 5NDORSEMENT CHANGES THE POLICY, PLEASE READ iT CAREFULLY
BLANKET ADDITIONAL INSURED
(CONTRACTORS)
This endorsement modifiesinsurance provided under the following;
COMMERCIAL GENERAL LIABILITY COVERAGE PART
t. WHO IS AN INSURED —(Section 11) is amended
e) The Insurance provided to the additional In-
to include any person or organization that you
sured does not apply to "bodily injury" or
agree In a "written contract requiring insurance"
"property damage" caused by "your work"
to Include as an additional Insured on this Cover-
and Included In the "products -completed op -
age Part, but;
erations hazard" unless the "written contract
a) Only with respect to liability for "bodily injury",
requiring insurance" specifically requires you
"property damage" or "personal injury"; and
to provide such coverage for that additional
b) If, and only to the extent that, the Injury or
insured, and then the Insurance provided tothe additional Insured applies only to such
damage Is caused by acts or omissions of
"bodily Injury' or "property damage" that oc"
you or your subcontractor in the performance
"your
curs befora the end of the period of time for
of work" to which the "written contract
which the "written contract requiring insur-
requiring insurance" applies, The person or
organization does not qualify as an additional
ance" requires you to provide suoh coverage
insured with respect to the Independent acts
or the end of the policy period, whichever is
earlier,
or omissions of such person or organization.
2. The Insurance provided to the additional Insured
g. The insurance provided to the additional Insured
by this endorsement is excess over any valid and
by this endorsement Is limited as follows:
collectible "other Insurance", whether primary,
a) in the event that the Limits of I,nsuranoe of
excess, contingent or on any other basis, that is
this Coverage Part shown In the Declarations
available to the additional insured for a loss we
exceed :the limits of liability required by the
cover under this endorsement, However; If the
"written contract requiring Insurance", the in-
"written contract requiring insurance" specifically
surance provided to the additional insured
requires that this insurance apply on a primary
shall be limited to the limits of liability re-
basis or a primary and non-contributory basis,
quired by that "written contract requiring In-
this insurance Is primary to "other insurance"
surance", This endorsement shall not in.
available to the additional insured which covers
crease the limits of insurance described In
that person or organization as a named insured
Section III — Limits Of Insurance.
for such loss, and we will not share with that
b) The Insurance provided to the additional In-
"other insurance". But the insurance provided to
sured does not apply to "bodily Injury", "prop•
the additional insured by this endorsement still Is
rs
arty damage" or "personal injury" arising out
excess over any valid and collectible "other in -
In -
of the rendering of, failure render, any
surance", whether primary, excess, contingent or
professional architectural, engineering or sur-
on any other basis, that Is available to the addi-
veying services, including:
tional insured when that person or organization is
!. The preparing, approving, or failing to
an additional insured under such "other insur-
ance",
prepare or approve, maps, shop draw.
tugs, opinions, reports, surveys, geld or-
q As condition of coverage provided to the
ders or change orders, or the preparing,
additional insured by this endorsement:
approving, or failing to prepare or ap-
a) The additional Insured must give us written
prove, drawings and specifications; and
notice as soon as practicable of an "occur.
it, Supervisory, inspection, architectural or
rence" or an offense which may result In a
engineering activities,
claim. To the extent possible, such notice
should include;
02005 The St-oPaul,TTavelers Companies, Inc.