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HomeMy WebLinkAboutARMADILLO FENCING - INSURANCE CERTIFICATE (8)Client#: 596" 8ARMAFEN ACOPD,. CERTIFICATE OF LIABILITY INSURANCE DATE 05/08/07Dmvr> 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 Armadillo Fencing Corp. 5795 Ideal Drive Erie, CO 80516-9417 INSURER A. Travelers Indemnity of America 25666 INSURER B Travelers Property Casualty Co. of A 36161 INSURER C. Pinnacol Assurance 10780 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. INSR LTR ADVIL INSRE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/Y POLICY EXPIRATION DATE fMM/DDfYYI LIMITS A GENERAL LIABILITY 074BC220TIA06 10/01/06 10/01/07 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY PREM SES EAMAGE TO a ocTIEiDence $1001 OOO MED EXP (Any one person) $5 000 CLAIMS MADE 51OCCUR PERSONAL & ADV INJURY $1 OOO 000 AI# CG D2 46 (08/05) GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 POLICY X PRO- JECT X LOC B AUTOMOBILE LIABILITY ANY AUTO 074BC220TIL06 10/01/06 10/01/07 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ X Ltd Pollution X PROPERTY DAMAGE (Per accident) $ GAR AGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO S AUTO ONLY: AGG B EXCESS/UMBRELLA LIABILITY X OCCUR CLAIMS MADE CUP0748C220TIA05 10/01/06 10/01/07 EACH OCCURRENCE s2,000,000 AGGREGATE s2,000,000 DEDUCTIBLE X RETENTION $ 1O 000 $ C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY 4058096 10/01/06 10/01/07 X WC STATU- T E.L. EACH ACCIDENT $500OOO ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYEE $500000 E.L. DISEASE- POLICY LIMIT $5OO OOO SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Project Description: Jefferson Street Parking Lot AFC# 2777 The following are Additional Insureds as respects General Liability only (See Attached Descriptions) City of Fort Collins PO Box 580 Fort Collins, CO 80522 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN :E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL iE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVE 0. —•-� -- t--- ••��/ I oT a ifJ0L64001IVI4`d11 VU 8MSTY 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. 4 vl o *. 0L84D0/IVI4V11Wu 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 A RAQ nC 9 MnA41now fI 0"L Ovl IYIY.91 I`JV COMMERCIAL GENERAL LIABILITY THIS 1✓PdDORSEV15 lT CHANGES THE POLICY, PLEASE a5AD IT CAREFULLY BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies.Insurance provided under the following, GOMMERGIAL GENERAL LIABILITY COVERAGE PART 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 ooritract 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 fiollaws: 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 insuranoe", 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 services, including; i. 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 faMng to prepare or ap- prove, drawings and specifications', and ii, 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 coverage 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 beforb 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, 3. The insurance provided to the additional insured by this endorsement is exc,erss aver any valid and collectible "other insurance", whether primary;' excess, contingent or on any other basis, -that is< :available to the additional insured fora loss weir cover under this endorsement, However;. if 'the:= "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 stilt 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 additional insured by this endorsement; a) The additional insured fnusl gfve us written notice as soon as prac:,ficable of an "occur- rence" or an offense which may result In a claim• To the e>_tQnt possible, such notice should include; CG D2 46:0B.05.,_. C> 2005 The St,.Paul.Travelers Companies, Inc. " Pege 11 of 2 COMMERCIAL GENERAL LIABILITY I. How, when and where the "occurrence" DI' offense took place; li. The namas and addresses of any injured persons and witnesses; and M. The nature and location of any Injury or darnage arising out of the "occurrence" or offense. b) if a claim is made or "suit" is brought against the addltlonal insured, the additional insured must; i. Immediately record the spaclflcs of the claim or "suit" and the date received; and it. Notify us as soon as practicable: The additional insured must see it) It that we receive written notioe of the olalm or "suit" as soon as practicable, a} The additional Insured must Irnmediatrely send us copies of all legal papers reoelved in connection with the claim or "suit", 000perate with us in the Investlgatlon or settlement of the claim or defense against the "suit", and otherwise oompiy with all policy conditions. d) The additional insured must tender the de- ferim and indemnity of any claim or "suit to any provider of "other Insurance" which would covor the additional Insured for n los we cover under this endorsemernL However, this condition does not affect whe:thor the Insur- ance provided to the additional insured by this endprsoment is primary to "other Incur ance" available to the additional insured which covers that person or organization as a named insured as described in paragraph 3, above, S. The following definitlon l5 addod to SECTION V, w DEFINITIONS: "Written contract requiring insurance" means that part of any written contract or agreement under which you are required to include a person or organization as an additional In- sured on this Cover7ge Part, provided thar the "bodily injury" and "property damage" oc curs and the "personal Injury" ids mused by 7n offense oammltted: a. After the signing and oxecutiori of the contract or agreement by you; b, While that pert of the contract or agreement Is In effect; and.. c, Refore the end of th£ poliCY perlod: >< ,,9 �;2D05.:The:S,i,'PauGomperllos,Inc.