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HomeMy WebLinkAbout110280 ECI SITE CONSTRUCTION - INSURANCE CERTIFICATE (2)ACORD,. CERTIFICATE OF LIABILITY INSURANCE 09/18/0,°'""""' PRODUCER Flood & Peterson Insurance Inc 4821 Wheaton Drive P O Box 2TO370 Fort Collins, CO 80527 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 ECI Site Construction Management, Inc PO Box 2135 Loveland, CO 80539 INSURER Travelers Insurance Company INSURER American International Companies INSURER C Pinnacol Assurance 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 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 NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MFFECTI POLICY EXPIRATION DATE EXPIRATION LIMITS A GENERAL LIABILITY OTC08099A7531ND 10/01/07 10/01/08 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LAST ITV 07 DAMAGE TO RENTED PREMISES a occolowneet $300 000 CLAIMS MADE OCCUR MED EXP(Any one person) $5000 aFRSONAL R ADV INJURY $1 00Q 000 X 2 500 PD Ded GENERAL AGGREGATE s2,000,000 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS COMPIOPAGG $2000000 POLICY X jECOT LOC A AUTOMOBILE LIABILITY DT8108099A753TIL 10/01/07 10/01/08 COMBINED SINGLE LIMIT X 07 (Ea accident) $1 000,000 ANY AUTO BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per person) BODILY INJURY $ X HIREDAUTOS X NON OWNED AUTOS (Peraceldsnt) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY EA ACCIDENT $ OTHERTHAN EA ACC $ ANY AUTO $ AUTOONLV AGO B EXCESSIUMBRELLA LIABILITY BE5346767 10/01/07 10/01/08 EACH OCCURRENCE $5000000 X OCCUR CLAIMS MADE AGGREGATE $5 OOO Q00 $ $ DEDUCTIBLE $ X RETENTION $ 10000 C WORKERS COMPENSATION AND 1221742 07/01/07 07/01/08 X WCSTATU OTH EMPLOYERS LIABILITY EL EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE EL DISEASE EA EMPLOYEE $1,000,000- OFFICER/iMEMBEREXCLUDED' If yes describe under SPECIAL PROVISIONS below EL DISEASE -POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Re Contractor's License City of Fort Collins PO Box 580 Ft Collins , CO 80522 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 'in DAYS WRITTEN E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO $O SHALL IE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVE ACORD 25 (2001108) 1 #M392705 MJP o ACORD CORPORATION 1988 ACORDTM CERTIFICATE OF LIABILITY INSURANCE 09118/o,°"YYY' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Insurance Inc 4821 Wheaton Drive ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW P O Box 270370 Fort Collins, CO 80527 INSURERS AFFORDING COVERAGE NAIC # INSURED ECI Site Construction Management, Inc PO Box 2135 Loveland, CO 80539 INSURERA Travelers Insurance Company INSURER B American International Companies INSURER C Pinnacol Assurance 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 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 NSR INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE MMIDDIYY LIMITS A GENERAL LIABILITY DTC08099A7531ND 10101107 /0101108 EACH OCCURRENCE $1 10001000 X COMMERCIAL GENERAL LIABIIITV CLAIMS MADE 7 OCCUR Q] PREMISES E(ERENTED n $300000 MED ENE (Any one person) $5 000 PERSONAL & ADV INJURY $1,000,000 X 2,500 PD Ded GENERAL AGGREGATE s2,000,000 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS COMP/CPAGG $2000000 POLICY X I OT FLDO A AUTOMOBILE LIABILITY ANY AUTO DT8108099A753TIL 07 10/01/07 10/01/08 COMBINED SINGLE LIMIT (Ea aomdent) $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIREDAUTOS NON OWNED AUTOS X PROPERTY DAMAGE (Per accldenl) $ GARAGE LIABILITY AUTO ONLY EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY AGG B EXCESSIUMBRELLA LIABILITY BE5346767 10/01/07 10/01/08 EACH OCCURRENCE s5,000,000 X OCCUR CLAIMS MADE AGGREGATE $5 009 QQQ $ DEDUCTIBLE $ X RETENTION $10000 C WORKERS COMPENSATION AND 1221742 07/01/07 07/01/08 X WCTOPSTATU OTH EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $1,000,000 E L DISEASE EA EMPLOYEE $1,000,000 0, FICER,MEMBER EXCLUDED' If yes describe under SPECIAL PROVISIONS below EL DISEASE POLICY LIMIT 1 $1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Re Contractor License Certificate holder is named as additional insured City of Fort Collins PO Box 580 Fort Collins, CO 80522-0580 I ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 1EREOP THE ISSUING INSURER WILL ENDEAVOR TO MAIL mod_ DAYS WRITTEN TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR ACORD 25 (2001108) 1 #M392705 MJP 0 ACORD CORPORATION 1988