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HomeMy WebLinkAboutARMADILLO FENCING - INSURANCE CERTIFICATEACORD- CERTIFICATE OF LIABILITY INSURANCE 11/06Jofi°"Y"" RODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HRH of Colorado ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 720 S. Colorado Blvd Ste 600-N 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 INSURERC: Pinnacol Assurance 10780 Erie, CO 80516-9417 1 INSURER D: INSURER E: rnVFRAGFS 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. HEIR LTR kDD' NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE MMIDDIYY LIMITS A GENERAL LIABILITY 0748C220TIA06 10/01/06 10/01/07 EACH OCCURRENCE $1 000 000 PRE I SESE TO RENTED $100 000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $5 000 CLAIMS MADE 5 OCCUR PERSONAL & ADV INJURY $1 000 000 AI# CG D2 46 (08J05) GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 POLICY X PECOT X LOC B AUTOMOBILE LIABILITY ANY AUTO 0748C220TIL06 10/01/06 10/01/07 COMBINED SINGLE LIMIT (Ea accident) $1r000r000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X X PROPERTY DAMAGE (Per accident) $ Ltd Pollution GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG B EXCESS/UMBRELLA LIABILITY CUP0748C220TIA05 10/01/06 10/01/07 EACH OCCURRENCE $2000000 AGGREGATE $2 000 000 X OCCUR 7 CLAIMS MADE $ DEDUCTIBLE $ X RETENTION $ 10 000 C WORKERS COMPENSATION AND 4058096 10101J06 10J01J07 X WRY LIM T- OTH- ImPR E.L. EACH ACCIDENT $500 000 EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $500 000 E.L. DISEASE - POLICY LIMIT $500 000 If yes, describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Project Description: Gateway Park Project Number: 6606975 AFC: 2286 (See Attached Descriptions) City of Fort Collins Purchasing Dept. 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 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVE ACORD 25 (2001108) 1 of 3 #S502352JM491190 8MJON O ACORD CORPORATION 199d 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. ACORD 25-S (2001108) 2 of 3 #S502352/M491190 DESCRIPTIONS (Continued from Page 1) The following are Additional Insureds as respects General Liability only if required by written contract and coverage applies only as respects work performed by the Insured for the Additional Insureds. All coverage terms, conditions and exclusions of the policy apply. Additional Insureds: City of Fort 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 AMS 25.3 (2001/08) 3 of 3 #S502352/M491190 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURE® (CONTRACTORS) This endorsement modifies.insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1, WHO IS AN INSURED — (Section II) is amended to include any person or organization that you agree In a "written contract requiring insurance" to Include as an additional Insured on this Cover- age Part, but; a) Only with respect to liability for "bodily injury", "property damage" or "personal injury"; and b) if, and only to the extent that, the injury or damage Is caused by acts or omissions of you or your subcontractor In the performance of "your work" to which the "written contract requiring insurance" applies, The person or organization does not qualify as an additional insured with respect to the Independent acts or omissions of such person or organization. 2. The insurance provided to the additional Insured by this endorsement is limited as follows: a) In the event that the Limits of Insurance of this Coverage Part shown In the Declarations exceed .the limits of liability required by the "written contract requiring insurance", the in- surance provided to the additional insured shall be limited to the limits of liability re- quired by that "written contract requiring In- surance", This endorsement shall not in- crease the limits of insurance described In Section !it — Limits Of Insurance. b) The Insurance provided to the additional in- sured does not apply to "bodily injury", "prop- erty damage" or "personal injury" arising out of the rendering of, or failure to render, any professional architeotural, engineering or sur- veying services, including: L The preparing, approving, or failing to prepare or approve, maps, shop draw- ings, opinions, reports, surveys, field or- ders or change orders, or the preparing, approving, or failing to prepare or ap- prove, drawings and specifications: and il, Supervisory, inspection, architectural or engineering activities. c) The Insurance provided to the additional in- sured does not apply to "bodily injury" or "property damage" caused by "your work" and Included in the "products -completed op- erations hazard" unless the "written contract requiring insurance" specifically requires you to provide such ooverage for that additional Insured, and then the Insurance provided to the additional insured applies only to such "bodily injury" or "property damage" that oc- curs beforo the end of the period of time for which the "written contract requiring insur- ance" requires you to provide such coverage or the end of the policy period, whichever is earlier, S. The insurance provided to the additional insured by this endorsement is excess over any valid and collectible "other insurance", whether primary, excess, contingent or on any other basis, that is available to the additional Insured for a loss we cover under this Qndorsement. However, If the "written contract requiring insurance" _ speclfioally requires that this insurance apply on a primary basis or a primary and non-contributory basis, this insurance Is primary to "other insurance" available to the additional insured which covers that person or organization as a named insured for such loss, and we will not share with that "other insurance". But the insurance provided to the additional insured by this endorsement still is excess over any valid and collectible "other In- surance", whether primary, excess, contingent or on any other basis, that is available to the addi- tional insured when that person or organization is an additional insured under such "other insur- ance". 4, As a condition of coverage provided to the additionai insured by this endorsement; a) The additional insured must give us written notice as soon as prac.(icable of an "occur- rence" or an offense which may result In a claim, To the extent possible, such notice should include: CCr D2 46 OB 05 0 2005 The SI,-Paul. Travelers:.Companies, Inc. Page 1 of 2