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HomeMy WebLinkAboutARMADILLO FENCING - INSURANCE CERTIFICATE (6)ACORD- CERTIFICATE OF LIABILITY INSURANCE DATE (MMI DNYYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HRH of Colorado ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 720 S. Colorado Blvd Ste 600-N 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 INSURER A: Travelers Indemnity of America 25666 Armadillo Fencing Corp. INSURER B. Travelers Property Casualty Co. of A 36161 5795 Ideal Drive INSURER C: Pinnacol Assurance 10780 Erie, CO 80516-9417 INSURER D: INSURER E: 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. LTR N TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD POLICY EXPIRATIONSR DATE MMIDDIYY LIMITS A GENERAL LIABILITY 0748C220TIA06 10/01/06 10/01/07 EACH OCCURRENCE $1 QQQ QQQ kX COMMERCIAL GENERAL LIABILITY CLAIMS MADE O OCCUR DAMAGE TO RPREMIS (E.ENTED $1 OQ 000 MED EXP (Any one person) $5 QQQ AI# CG D2 46 PERSONAL 8 ADV INJURY $1 000 000 (08/05) GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2 QQQ 000 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 SCHEDULED AUTOS HIREDAUTOS NON-OWNEDAUTOS X BODILY INJURY (Per accident) $ X Ltd Pollution X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG B EXCESSIUMBRELLA LIABILITY X OCCUR CLAIMS MADE 0748C220TIA05 10/01/06 10/01/07 EACH OCCURRENCE $2 QQQ 000 AGGREGATE $2 000 QQQ RDEDUCTIBLE X RETENTION $ 10 000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 4058096 10101f06 10101/07 X WC STATU- I OTH- FIR E.L. EACH ACCIDENT $500000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If as, describe under y SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYE $500,000 E.L. DISEASE - POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENTI 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 w1v 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 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR An^MM REPRESENTATIVE 0- ___.,--/ I yr 4 *m0u;)yfa 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. • •-"^" '-"" -"" ^"�� c or s FFM.SUO`J/6 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 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies.insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1, WHO 15 AN INSURED — (Section II) is amended a) 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 they Insurance provided tothe additional Insured applies only to such damage Is caused by acts or omissions of you or your subcontractor in the performance "bodily Injury" or "property damage" that oa of "your work" to which the "written contract curs before the end of the period of time for which the "written contract requiring insur- requiring insurance" applies, The person or organization does not qualify as an additional ance" requires you to provide such 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 insurance 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 contras 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 erty damage" or "personal injury" arising out excess over any valid and collectible 'other In - of the rendering of, or failure to render, any surance", whether primary, excesa, 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 1. The preparing, approving, or failing to an additional insured under such "other insur- ance". prepare or approve, maps, shop draw. ings, opinions, reports, surveys, field or- 4. As a 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- 11, Supervisory, inspection, architectural or rence" or an offense which may result in a engineering activltles, claim. To the extent possible, such notice should include; CC,0 2005 The SI,�aui,TTavelers Companies, ins