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HomeMy WebLinkAboutR C HEATH CONSTRUCTION - INSURANCE CERTIFICATE (3)r:ilanfi! 2,inf; RCHFA ACORD, CERTIFICATE OF LIABILITY INSURANCE 0°912$07OmvY) 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 THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW ALTER P O Box 270370 Fort Collins, CO 80527 INSURERS AFFORDING COVERAGE NAIC # INSURED R C Heath Construction Co , Inc P O Drawer H Fort Collins, CO 80522 INSURERA Travelers Insurance Company INSURER B National Union Fire Insurance INSURERC Pinnacol Assurance INSURER D Fireman's Fund Insurance, Co 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 ICY DATE IMM D IYYEOLICYJ PDATE IMMIDDIYVON LIMITS A GENERAL LIABILITY DTCO29BN6651TIA 09/30/07 09/30/08 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE O OCCUR PREM SEAMAGE TOE ENTEo nce $300,000 MED EXP (Any one person) $5 000 PERSONAL 8 ADV INJURY $1 00O 000 X PD Ded 10,000 GENERALAGGREGATE s2,000,000 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS COMP/OP AGO $2 OOO 000 POLICY X PRO LOC JECT A AUTOMOBILE LIABILITY ANY AUTO DT81029BN6651TIL07 09/30/07 09/30/08 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ ALL OW NED AUTOS SCHEDULED AUTOS X BODILY INJURY (Peraccident) $ HIREDAUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY AGO B EXCESS/UMBRELLA LIABILITY BE7274971 09/30/07 09/30/08 EACH OCCURRENCE $5 00O 000 X OCCUR F-ICTAIMS MADE AGGREGATE $5 OOO 000 $ DEDUCTIBLE $ X RETENTION $ 10000 C WORKERS COMPENSATION AND 4033691 10/01/07 �10101/08 X we sTAru- OTH- T V IMI EMPLOYERS' LIABILITY ANVCEFUMEETORIPARTNDED7 CUTIVE E L EACH ACCIDENT $500,000 EL DISEASE - EA EMPLOYEE $500,000 OFFICERIMEMBER EXCLUDED'+ If yes tlescribe untler SPECIAL PROVISIONS below EL DISEASE -POLICY LIMIT $500,000 D OTHER Builders MXI98471771 09/30/07 09/30108 5,000,000 not frame Risk 2,500,000 frame 250,000Temp Loc/Transit DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE Deicing Facility, Bid no 5909 City of Fort Collins, Engineer, Engineer's Consultants respective officers and employees are named as additional insured, but only as respects liability arising out of work performed by the named insured (Excluding (See Attached Descriptions) City of Fort Collins Admm Services Purchasing Division PO Box 580 Fort Collins, CO 80522-0580 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL gyp_ DAYS WRITTEN E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL iE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR AUTHORIZED REPRESEN/T$pTIVE Flaoo[ 'r r.t_joe eohl , Zr .Jr, ACORD 25 (2001108) 1 of 3 #M394804 MAE 0 ACORD CORPORATION 1988 AUUKU Z�b (ZUVIlUt%) 2 of 3 #M394804 AMS 25 3 (2001/08) 3 of 3 #M394804