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Home My WebLink AboutRC HEATH CONSTRUCTION - INSURANCE CERTIFICATEFlood & Peterson Ins 11/21/2006 9:30 PAGE 002/004 Fax Server ACORD- CERTIFICATE OF LIABILITY INSURANCE DATE 111121M 6°""r" PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Insurance Inc 4821 Wheaton Drive P O Box 270370 Fort Collins, CO 80527 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC III INSURED R.C. Heath Construction Co., Inc. P. O. Drawer H Fort Collins, CO 80522 INSURER A: St. Paul Travelers Insurance Company INSURER B: National Union Fire Insurance INSURER C: Pinnacol Assurance INSURER D: Fireman's Fund Insurance, Co. 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 CONTRACTOR 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. TYPE OF INSURANCE POLICY NUMBER O CY EFFECTIVE POACY E PIRATIONLTR LIMITS A GENERAL LIABILITY DTCO298N6651- D9130106 09130107 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE E_x1 OOCUR TIAOB AGE 70 ReENTIED f300OOO MED ew (Aryl one person) $5 000 PERSONAL &ADV INJURY $1 0OO 000 X PC Ded:10,000 GENERAL AGGREGATE s2.000.000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $2000000 POLICY 51SEPCOT LOC A AUTOMOBILE LIABILITY ANY AUTO DT810298N6651TIL06 09/30/06 09/30/07 COMBINEDSINGLELIMR (Es e"Idert) $1 ,000 ,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (PeimddeM) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per saddertl $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO $ B EXCESSIUMBRELLA LIABILITY SE7227869 09/30/06 09/30107 EACH OCCURRENCE $$ 000 000 X OCCUR CLAMSMADE AGGREGATE $5 000 000 $ $ DEDUCTIBLE $ X RETENTION $ 10000 C WORKERS COMPENSATION AND 4033691 10101/06 10101107 X WCSTATU orw EMPLOYERS' LABILITY ANY PROPRIETORIPARTNERIEXECUTYVE OFHCERMEMBER EXCLUDED? E.L. EACH ACCIDENT $500-OOO E.L. DISEASE - EAEMPLOYE $500000 If yyes, desrrlbe under SPECIAL PROVISIONS balm E.L. DISEASE -POLICY LIMIT $500000 D OTHER Builders M)(198471771 09130/06 09/30/07 $5M All Other Projects Risk $2.5M Frame Projects $1,000 Ded $250,000Transit/Offsite DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLE 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) City of Fort Collins Admin Services Purchasing Division PO Box 580 Fort Collins, CO 80522-0580 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 LEPT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, FM AGENTS OR ACORD 25 (20011081 4 nf n 4caRAA4AtMa9G9nn AUTHORIZED REPRESENT TIVE FYOtadC o' t+Le1LOn f-�i�t✓i n-- " a rNC. _Ira-1 ® ACORD CORPORATION Flood & Peterson Ins 11/21/2006 9:30 PAGE 003/004 Fax Server 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 2" (2001108) 2 of 3 NS364654IM359200 Flood & Peterson Ins 11/21/2006 9:30 PAGE 004/004 Fax Server I DESCRIPTIONS (Continued from Page 1) 1 Workers' Compensation). Insurance policies do not provide professional liability for architects and engineers. Faxing to John Steven @ City of PC 221-8707 & e-mailing to Ron Erickson a RC Heath Construction. 3 of 3