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.