HomeMy WebLinkAboutARMADILLO FENCING - INSURANCE CERTIFICATE (4)ACORD. CERTIFICATE OF LIABILITY INSURANCE 17/07'°D'Y"`"
PRODUCER
HRH of Colorado
720 S. Colorado Blvd Ste 600�1
P.O. Box 469025
Denver, CO 80246-9025
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
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 #
INSURED
Armadillo Fencing Corp.
5795 Ideal Drive
Erie, CO 80516-9417
INSURER A: Travelers Indemnity of America
26US
INSURERS Travelers Property Casualty Co. of A
36161
INSURERC: Pinnacol Assurance
107130
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 MATH 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
POUGES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TR
TYPE OF INSURANCE
POUCYNUMBER
DATEYIEm IVE
PDATCEYMMIDOEXPIPAI
LIMITS
A
GENERAL LIABILITY
074SC220TIAOS
10/01/06
10/01/07
EACH OCCURRENCE
$1 000 000
X COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED
PREMISE (E2,,.,,L�__,,,.
$100.000
CLAIMS MADE n OCCUR
4AI#
MED EXP (Any one parson)
SS 000
PERSONALS ADV INJURY
51,000,000
CG D2 46
(OWS)
GENERAL AGGREGATE
S 000 000
GEN'L AGGREGATE LIMIT APPLIES PER'
PRODUCTS-COMPIOP AGG
$2000000
PROPOLICY X JETX LOC
B
AUTOMOBILE
LIABILITY
ANY AUTO
074SC220TILOG
10/011006
10101107
COMBINEDSINGLE LIMIT
f1 000,OOD
X
BODILY INJURY
(Per Person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Per sccxlw%l
S
HIRED AUTOS
NOWOVMEDA1T03
X
PROPERTY DAMAGE
(Peracddent)
$
X
Ltd Pollution
GARAGE LIABILITY
AUTO ONLY - EA ACCIDRTT
S
OTHER THAN EA ACC
$
ANY AUTO
S
AUTO ONLY: AGG
B
EXCESS1UMBRaLALIABILITY
CUP0748C220TIAOS
10101M
10101/07
EACH OCCURRENCE
f2000000
T OCCUR FICLAIMS MADE
AGGREGATE
f2000D00
S
S
DEDUCTIBLE
S
X RETENTION S 10D00
C
WORNERSCOMPENSATION AND
4058M
10/01106
10/01107
X I VYCSTATU- OTH-
Ell
EMPLOYERS' LIABILITY
ANY PROPRIETORRARTNER/EXECUTIVE
E.L EACH ACCIDENT
S5N 000
E.L DISEASE -EA EMPLOY
. 000
OFFRaCERIMEMBER EXCLUDED?
SPECIAL lebw
E.L. DISEASE -POLICY LIMIT
1 $500000
OTHER
DESCRIPTION OF OPERATIONS/ LOCATIONS VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT) SPECIAL PROVISIONS
Project Description: Annual Fencing Contract
AFC# 2697
The following are Additional Insureds as respects General Liability only
(See Attached Descriptions)
City of Fort Collins
Attention: Purchasing
PO Box 580
Fort Collins, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL AW DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SD SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVE
0, B4',' 9
A4;UKU zB (ZUUIMVl 1 of 3 A8524805iM491190 SMSTY a ACORD CORPORATION 1989
APR.17.2007 12*14PM IDEAL FENCING CORP
COMI AERGIAL 0ONRRAI, l.IA &ITY
NO.601 P.6/6
nrtV K Wdor of'*or inourenao' whbh would
MW tt>F eddltlonel IWA* for a loss We
'ter tmoar this onddtiemeab Hawawr, b*
a MMOA dodo not aitaat vlhAer to W-
sn09 P=00 to thr ad4ltl"1 Inwild IV
thb andalaem"t Is pfmary to `o$tar Maf•
o lco* MOW to %a addWon* OmW
401ah coven that person or gMgnMtloa SO b
named ' w%O as daaixlbad to perWMM A,
a
6 MMnrtlon Is s+ided to SFCMDR v,
'W►i :vnnbact ►�gWhlnG l00m1oa' Means
tnli p a At pMy%T tAn dintr4d or aprrrn"'
WOW hu Rfa *"a to Indllde a
q sPOM cpr a.N=txairan 'w an edt!lttansl b*
to
`hWl
fomq
c re, Ithe4y'f," 7mPly uM le oeUilad byandwma�IMf0esu' rs ' itr ta^algand v6oWon or I*
'�n a e� tl •: ' `c �y►I,rracr*mwmant.by Yoi4�bl, Tali pallae' ::. , 'P[�W r of ths, aatt�sCt or
d) I't+a1,a1 Upatrod mUet tender 9lo'6a> ,.e4re]d'In eMeo4nnd,.,
• ._• fplt?a ?!'�.�!°v9?►t1' �.olw Balm or•'v�"•rn.. „,... fw' �'�etl�+tkte rqut otlba polay+'Paiod�
y, .�:: . �C: r i tI ....o-. ;v. u •f`I , . 1.. •7„ ,1 4.�• .. •W, f .:I�...Hpa r{.: - ,
` ',�.....�Y•'y:'%-.1..•W ti'P�S.iiiY l•+ :,r.lr:a-1A r;. •/,yr;'j. -I ...I '+.�d•..: ,.r. '. ]„(:•'. w..! ,..,: .�.. ..
M,•�ry�,IY.A�iw�b:Y},�L� L-. i� �i.l •!I'Pq!^•,• ,S•M y.G�'•`..}"All h9 _H �: r, ,•'.fy' .blV' �'''Y"•. .Uliltil Y./•. - .n
,...-+}.: �:,.. 3:-r.�.!-` �..f.. ..: .: �Y n,.w.�•w..,.nrl •I. �i+d'v,r.- ..s��..-•-r-rw...'v,r.•=+j.-.• `. .,.. ..,�.r.�,�; .A...........i" ... ... .».
I. Now, when and whore Qj "omafirreW
or a po lank plaoei
iL riH':rist7pA pnd,addn9.M eMN,lrljitl�d , " 1
pmwp a
m. p1 _ xl �ndard�blw1 m:!.agq o<lin ,+dr 1 Wjµ�� y...
Oumaus ON W oflbs loeolaTa 4ol or
if a �) the o" IrA>a 4 wd � ktaW$4 . .
moat �Iq(y potd the podPA
UIf od din dabs roc Wd`,' aa�
�. t6 ' N tki pa boon as pnW#abls•:
1gpElped rifuol sea t5 p th9E wa
ragrSvi' nagaa of the W. 'outM
c
I
i�d�di$.ii' i•+Il ilaFP+arhwh: • ,. �;aoQ6.;T•pe,a1,'µ°swL buvfa�s Cempardeo, Ina. 1'' ".
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 after the coverage afforded by the policies listed thereon.
ACORD 26S 120011021 9 . # 4 ffQX*AAAX1UAO44On
DESCRIPTIONS (Continued from Page 1)
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
3 of 3 SS52d8051Md9119n
COMMERCIAL GENERAL LIABILITY
THIS 8NDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY
BLANKET ADDITIONAL iNSURED
(CONTRACTORS)
This endorsement modifics.lnsurance provided under the following;
COMMERCIAL GENERAL LIABILITY COVERAGE PART
t, WHO IS AN INSURED — (Section 11) is amended
to Include any person or organization that you
agree In a °written contract requiring insurance"
to Include as an additional Insured an 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 contras
requiring insurance" applies, The person or
organization does not qualify as an additional
insured with respect to the independent ants
or omissions of such person ar organization.
Z. The Insurance provided to'the additional Insured
by this endorsement is limited as follows:
a). In the: event that the Limitsi of Insurance- of . .
this Coverage Part shown In the beclaratibns
exceed :the limits of lidblifty`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 III — Limits Of Insurance.
b) The Insurance provided to the additional in-
sured does not apply to "bodily injury•, "prop,
arty damage" or "personal injury" arising out
of the rendering of, or failure to render, any
professional architectural, engineering or sur-
veying servlces, inoluding;
The preparing, approving, or failing to
Prepare or approve, maps, shop draw•
tngs, opinions, reports, surveys, field or-
ders or change orders, or the preparing,
approving, or failing to prepare or ap-
prove, drawings and specifications; and
Supervisory, inspection, architectural or
engineering activities.
S,
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 "wrlttan contract
requiring Insurance" specifically requires you
to provide such coverage for that additional
Insured, and then the Insurance provided to
the additional InsUrad appoes only to such
"bodily injury" or "property damage" that oo-
Curs beforb the end -of the period of time for
which the "written contract requiring insur-
anon' requires you to provide such coverage
or the end of the policy period, whichever is
earlier,
The insurance provided to the additional Insured
by this endorsement is excese river anyvalld and
ooliectlble "other insurance•, whether'pnmsry; ``
excess, contingent or on any other•basls, thafls7`
available to the additional insured .for -a loss we: -
cover-under•this endorsement. However;•)fahe' a
"written contract requiring insurance" specifically
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, .txM!:,a, 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
additional insured by this endorsement:
a) The additional insured must give us wrilten
notice as soon as practicable of an "occur•
rence" or an offense which may result in a
claim. To the extent possible, such notice
should include;
CCU 02 g6,p6:0 .- C, 2005 The SL-:Paul,Trav
elers r .,ompanies, Inc. ---
:_;pabe 1 or 2
COMMERCIAL GENERAL LIABILITY
1, How. when and where the °occurrence"
or offense took plans;
11. The names and addresses of any)njured
persons and witnesses; and
HL The nature and location of any Injury or
damage arising out of the'000urrenoe' or
offense,
1y) If a olaim is made or 'suit" Is brought against
the additional Insured, the additional Insured
musty
l.. Immediately record the speclflos or the
claim or 'suit' and the date received; and
11, Notify uses soon as praadcabla.
The additional Insured must see to It that we
recslvo written notice of fhe olalm a, "ault" as
soon as practicable,
c) The additional Insured must Immediately
send Us copies of all legal papers remlyed•in
connection with the claim or""suit', coopearsts
with us in the Investfgatlon or seMement of
the claim or defense against the 'sult', and
othefwias comply with all pofloy conditions..
d) The additional Irtst,irad must tender the de-
fena6 and ingamnity of any claim or'auir-to
any provider of Whar Insurance" which would
cover the additional Insured for a k,sa we
cover under this endorsement, However, this
condition doas not affect whehher the Insur-
ance provided to the additional insured IV
thia andorsement is primary to "other lnsur-
anoe" available to the additional Insured
which covers that person or organization as a
named insured as described In paragraph 3,
above,
6, The following .definition Is added to SECTION V,
DEFINITIONS!
"WeRIbn contract requiring Insurance" means
that part of any written contract or mgreement
under which you are required to Include a
person or organization as an additional In -
cured on this Coverage part, provided thai
the'bcdiiy'Injury, and "property damage" oc-
cum and the "personal injury' IS caused by an
offense oomrnftted:
a After the signing and execution of the
contract or agreement. by you;
b, While that pert of the contract or
agreernent19 In effect; and.,.
c Before the end of the poiley.pertod, "
Raq�L+a#2� s etirs+ii..;a« Jr,o=r: ., (�:POW5. fhe:9t: E au6rauelers Companies. ine. ewxr. �u°tS2F oa o5
APR.17.2007 12:13PM IMAL FENCING CORP
.011mm am
NO.601 P.2/6
�4COM CERTIFICATE OF LIABILITY
INSURANCE
MM7W°"""
HRH of Colorado
72O 0. ColonBIYd ft 00"
P.O. Boa( Isom
(mnwr, Co 80204WS
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10101/07
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PfOjwt D*Mdpftn: Annual Fencing Co,.b
AF(V 218367
The iWkrMng amAddWonal Insnrode as respeete Gampwil I,10111ty only
(am Att ew Oesarip"ma)
City of Fort Copies
Aft"on. purchnIzing
PO pox 580
Fan 0010ns, CO eo=
ACORD26 (2P01106)1 of3
ANY On TNRAMOMP3I7R1M POWIM ag Oi1NCYJ. P0[PO66THOM MT"
IINIFOR"=VINO ROMORVALA OMVOIN1p MAK .•..3M DAYXWMr%
ro TM6 RRTIFICATE Not.oa]e NAAEO To 1}IE LBR, eui FAwlor ro as W ew.�,
NO Oal.wAngr oR �-fA�L{i�' PP AM' pNp N'W TNrr1�19IR66IRwae+Ts at
SMSTY 0
AM.17.2007 12:13PM IDEAL FENCING CORP NO.601 P.3/6
IMPORTANT
If the m#Ra4te holler ka en AMMOM INWPM, the PORay(ies) must be endorsed, A ets6ement
on this oslt►tfeats doer; not oonter dphtetoles aer0000 holderin 111e4 of such endure rrs"t(ej.
If St1BR4QAT0N IS WAIVED, subject to the 0"end oondRlonsoftrepagoy, certain pdfoiss my
mWWo on on4cmamm4 A aWl emeM on ft certHloste does not am* rglrte to @re ae "wrte
holder In Ibu of mA ehclam dtte),
The CettMO of bWXinae an the WAfee +ids of ft Torm does rat oonMja to 0 w1treat hsTtiveeO
the 18eui1tQ Ine4aer(e), eked mpnearwo w producer, and the certtAaola hWdet, lwt does K
ettlm ote+aly or napofty arr*K OUM cw edim the coverage at'fatded by the pugalas Isted thereon.
2
APR.17.2OO7 12:14PIl IDEAL FENCING CORP NO.6O1 P.4i6
If required by wrtum as and oowraW &" a only as re11
wogt peHbrmed ¢y the Insured Tor t1n Add;tloAal Ins4reds,
Art aoveragetaTms, oonditiorls and sxoWefor►e ol`tlte pofioy apply.
Insureds: City of Fort Colflns,
The Add O=1 Insurwi sndorsWnw* Whkb Is Mbranaed abme under "type
of Inarranab4l aneral Llsbllffy, Is skboipd,
" Tip folwmn9 eanosRaWn aondfdom always aPPIY-
- TO days fbr Ron-pgmnt of prmniurn
-If Polley Sho m, 90 d*V *r Workers' cc"*W aatlar Tor fraud',
mmt@#Wl n0nipraanddlen; non-psyowd of pra nture; curer reasons
approved by Me Commissioner of Insurance
. � � .. �'1, :�; r� ..`."�.+Cyl�''14. �g9."� ..'`'� :Kii'.9iA!M'!�!i..ei(iL.i'?l'k. d?ins' i"•-0.i:.^L.'SaSi': LwC'�^Yd�f'.g1••err,.':'iP�d"YCrn...'):�;.Ntiaa�:.�'�J _ .. ... _..r tf..•. i,.
90
APR.17.2007 12'14PM IDEAL FENCING CCW
NO.601 P.5/6
QQMMpFat'iM. caM: MRAL LAARNTY
THIS ONPOR,SI~MIgNT CHAN49S THS P040Y, pl.1=A&E FWAD iT CARMPULi.Y
BLANKET ADDITIONAL INSURED
(CONTRACTORS)
TW endtttsemero mod'dIWnsumnce provided under tha following:
ooMMf.RCIAL 00PAI. L14SIQ Y COVERAGe PART
i. WHO Is AN INSLIFIM - (3RObn11) Ir pryanded o) The InsurAnce 'Provided b the addKioM ht•
to indWe why MIM PI' Pitientzstlen shot YPu a4I'ed does het vo to In)Ilty" at
agree In e'wfen wntry A requirGta IneursrW 'Property darn:pa a I by 1YadtwarM''
to i Ews QF sn addltlotral ln%A'ed to tl+ts ccvor• and hind In the "produeb r-p pWid t�
age parli hub arat)om haaard" unlen to "q)Imrt eonlr a
a). onh+with tauabtllkyibrwed11Yoi1urY, P si au�cs**m'oc"o' cWlyW au i.
'property dtmtaea ar ptarPanal IttJttry"; and Irani, 'v'1d' then the limntnae provided In
b) ff, and Mly io the ant that, the lrr{uty or the ROCHlonal Insgred app* o* to &*
44r:gge Is, Paused by a* or oMlsolorls of WY INEW or 'props* domaoir fast 0
Ym or your for 1n the wtemianoe curs 1)8104 the end'ef ttw Period of gtna JIx
P wWarit'zo*appI the ao n or wilbh tl1B "WAttOtt dan#W re'Quf M frrn7`'
1}eBB Pin robe requkse you to pravlds cA OPvempe
o16attl�gan Maas Ina gpwiw ae art ruidlllPral or the and b} that ,pall y period, whiattsuN It
Inavocl wish Via Independsrit lob 42114r,
Ol QtitM1el01M of tss>h peratan 4r Pj ICn 8. 'i'h0 insu,tsrxta pmwd44 to ft pddAlegN
2. F14b IInsut8nas tf a psi sd �rtst¢ed ; bylttds endoraerts nt is snaotaee ''
i 81tr', drxa!rnoJlEIp1linRpdas Rwe:ot4etlbly other Ir"MW , W~ Owl
In tht-emptihb bo Lttritls bf''lnetararSiD''o} s$t>Ra4i omit ni, or cn Rny tom' i�11i r :"
this alage'Part iiiostp jn she Ceolar4dPite+:F. ' . '-wglisitle to %haa a0cotrol* Inaure(d�lrir a'loaaµy��+'
�1.4••+rwt'�. .... •r�afi �•Illgl�•MI,IPI+'HI:� 1'gYwn �r'Y7 Mla'e •4sC•.�I�'..�'O�lar(��'t41i •'�n�M w+It�'I�1+��Qt�j�'�'P�r Mi..•
- f
'Written codflprel,raptptb Immune, $ta h - 'lvrl4q copid9t mq ubtnp Inounrnav" RPM
a.. M ......Area Iw 4. ea.aa,....a 6...,.rr , Arm M%mv IMM in.,1r arwhu-a -M =
,
shaA be GmW fa the Amite of Ilability re-
qw* * 1hAr'WMtWt oontrsFt't ril?9 In,
stww' n14 endontement shall not In.
we= the 40ts of Ingtaarive IP IX4 In
ssa9on iII - urnits of (riwmnos.
b) Tha Nerilwws PWO04 to #ro eddit- rpd in-
W* *" oat apply {o "bodily In w, "Prop`
erV dsmager or"p9rsp* in[WW Rrlolry ?tit
Of thv rw dwft aR, w taltstB to Fartder, Vy
protbsela11s1 0rchtt41;Ivr sI, en8hleerinq or Sur.
veyingsefvtaaa,tr Ails
I. The Pmpadns, approving, or failing to
prepare or approvs, mgpa, shop draw%
loge, 4pinlats, raports, sutvsya, ljold or.
Jere or t:han9s vur's, or q1e propettrl8,
pV
preNald ewrlss and s tpw o Io a �"
fl, SvP0rv*rY. Inw�ppoo4pn, srchlteeWral or
wvineerhlg sttMtlas.
Paso or a prlmsty sno narr•oamirpmY owe,
the i mom is p6msq io 'otfwr' Inautgnoe'
available to the additional Insured which cowM
Shah person or crtawIzatfart as a nsmad insured
for such Ittse, and we wM npt ahme. with 11A
Vier insgrenae•. put 019 lnv• altos prwl*.to,
the eE47ilcnel Irtetred by this sngorswrnmt sSl Is
exam over any volid nn4 aolledNe'nprat irF
stlrartee', whether primarY, tom, wnfiriml or
on arV'Qihw We, 1118t w RATIOS to tho addb
tlonal neared v4lpn Moat p trvpn or orgwOflon is
an additionstl insyred under such bthO Insur-
once',
A, As 4 condlflon of raovarage provldod to the
addWonal Insured by this er4xnmant:
n) The additional Insured must plus us written
nom ae soon 43 peataneable at en 40mur-
rance► or an of snas Which msy result in 4
claim, To the oxtont possible, such nodes
should include,
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