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