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HomeMy WebLinkAbout113752 BT CONSTRUCTION - INSURANCE CERTIFICATE (6)ACORD. CERTIFICATE OF LIABILITY INSURANCE 10/0112007 05//21/zoo PRODUCER Lockton Companies, LLC-0 Denver THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 8110 E Union Avenue HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Suite 700 ALTERTHECOVERAGEAF E BY P I BELOW, Denver CO 80237 (303) 414-6000 INSURERS AFFORDING COVERAGE 4- INSURED INSURER A: Travelers Prop. Casualty 1047338 liT Construction, Inc. 9885 Emporia Street INSURER B : Pinnacol Assurance Henderson, CO 80640 INSURER �l TA A Tr, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING 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. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMtOD1YY POLICY EXPIRATION DATE MM1DDfYYl LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [j] OCCUR DTC00605C718IND06 10/03/2006 10/03/2007 EACH OCCURRENCE 1,000,000 FIRE DAMAGE Any one fire $ 300 000 MED EXP (Any oneperson) $ 5,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE 2,000,000 GEN'L AGGREGATE LIMIT APPLIES 1-1 POLICY X JECOT X I PER: LOC PRODUCTS - COMP/OP AGG 2,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS DT8100605C718TIL06 10/03/2006 10/03/2007 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ XXXXXXX X BODILY INJURY (Per accident) $ XXXXXXX X PROPERTY DAMAGE (Per accident) $ XXXXXXX GARAGE LIABILITY ANY AUTO NOT APPLICABLE AUTO ONLY - EA ACCIDENT $ XXXXXXX OTHER THAN E A AUTO ONLY: AGG XXXXXXX XXXXXXX A EXCESS LIABILITY. X OCCUR � CLAIMS MADE UMBRELLA x DEDUCTIBLE FORM RETENTION DTSMCUP0605C718TIL06 10/03/2006 10/03/2007 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 XXXXXX X I xxxxXJ{X XX?(XXxx B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 4023016 10/01 /2006 10/01 /2007 WC STATU- ' OTH- EACH ACCIDENT rEL. 100.000 DISEASE - EA EMPLOYE 100,000 E.L. DISEASE - POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESMXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: Job #674 - Locust Street Outfall. CFRTIFICATF Mrm nFR I I AnnlTlnuel Win loco- Mot10c0 l=T Co. 11AMI'M I ATInu 2866149 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins, Utilities DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 700 Wood Street Fort Collins, CO 80521 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 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE C ACORD 25-S (7/97) For questions regarding this certificate, contact the number listed inthe 'ProduuYsaclionabowand spscitythe client code BTCON01" ©ACORDCORPORATION1988