HomeMy WebLinkAboutBT CONSTRUCTION - INSURANCE CERTIFICATEDATE(MMIDDM)
ACORD. CERTIFICATE OF LIABILITY INSURANCE 10/01/2008 11 09/18/2007
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Lockton Companies, LLC Denver ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
8110 E Union Avenue HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Suite 700 ALTER THE COVERAGEAFFQRDED BY TH
(303) 4148000 I PQLICIE$-BELOW,_
Denver CO80237 El
INSURERS AFFORDING COVERAGE
INSURED
1047338 BT Construction, Inc
9885 Empona Street
Henderson, CO 80640
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING
ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS 1
INSR
T.TYPE
OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE IMMIDDIYY
POLICY EXPIRATION
DATE IMM DD YYI
I
-__ LIr11T$
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE FXI OCCUR
DTC00605C71SIND07
10/03/2007
10/03/2008
EACH OCCURRENCE $ 1000 000
FIREDAMAGE(An L... e $ 300000
MED EXP (Any one person $ 5,000
PERSONAL S ADV INJURY
$_ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN L AGGREIGA�T�E LIMIT APPLIES
POLICY X jECOT X
PER
LOC
PRODUCTS- COMPIOP AG $ 2000000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
DT8100605C718TIL07
10/03/2007
10/03/2008
COMBINED SINGLE LIMIT $ I,000,000
(Ea accident)
X
BODILY INJURY
(Per person) $ XXXXXXX
X
BODILY INJURY
(Per accident) $ XXXXXXX
X
PROPERTY DAMAGE $ XXXXXXX
(Per accident)
GAR AGE LIABILITY
ANY AUTO
NOT APPLICABLE
AUTO ONLY - EA ACCIDENT $ XXXXXXX
OTHER THAN _EAACC11 s XXXXXXX
AUTO ONLY AGG S XXXXXXX
A
EXCESS LIABILITYj�
X OCCUR II CLAIMS MADE
❑ UMBRELLA
DEDUCTIBLE X FORM
RETENTION $
DTSMCUP0605C718TIL07
10/03/2007
10/03/2008
EACH OCCURRENCE $ 1000 000
AGGREGATE s 100000(1
$ XXXXXXX
XXXXXXX
XXXXXXX
B
WORKEPSCOMPENSATION AND
EMPLOYERS LIABILITY
4023016
10/01/2007
10/01/2008
j[ WCSTATU TH
7IlRYLIMLTS ER —
E L EACH ACCIDENT $ 100,000
EL DISEASE - EA EMPLOYE $ 100,000
E L DISEASE -POLICY LIMIT 11 $ 500.000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
RE City of Fort Collins Contract No P951 City of Fort Collins is racludid as Additional Insured as respects General Liability
2146488
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Fort Collins
DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1_ DAYS WRITTEN
Attn Purchasing
215 North Mason St
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL
Ft Collins, CO 80524
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
REPRESENTATIVES
AUTHORIZED REPRESENTATIVE
C
r C
ACORD 25-S(7197) For Vu..ho..
... mmothis c.dmcate contact the numear listed in the Producer section above and specify the Client coda BTCON01 0 ACORD CORPORATION 1988