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