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HomeMy WebLinkAbout106039 GERRARD EXCAVATING INC - INSURANCE CERTIFICATEA_C_O_R_DM CERTIFICATE OF LIABILITY INSURANCE I 1zizo/zooi PRODUCER (970)679-7333 FAX (970)679-7377 Ewing -Leavitt Insurance Aclency 4025 St. Cl ould Dr Suite 100 Loveland, CO 80538 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 Gerrard Excavating, Inc 1739 S County Rd 13C Loveland, CO 80537 INSURER Bituminous Insurance Co G9081 INSURER AIG Ins Co of the State of PA G9039 IN$URI-RC Pinnacol Assurance 41190 INSURER D INSURER L COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REOUIREMENI TERM OR CONDIT ION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 oDD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONITR LIMITS GENERAL LIABILITY CLP3236544 01/01/2008 01/01/2009 EACHOCCURRENCE $ 11000,000 COMMERCIAL GENERAL LIABILI fY MADE a OCCUR IXXBLKT DAMAGE TO RENTED $ 100,000CLAIMS MED E%P (Any one person) 8 10,000 A Addl Insureds P,PbONALaADVINJURY ' $ 1,000,000 -XI BLKT Waiver Subrog GENFRAL AGGREGAI E $ 2,000,000 GEN L AGGREGATE LIMI L APPLIES PE R PRODUCTS - COMPIOP AGG $ 2,000,000 POLICY X PR0I IOC AUTOMOBILE LIABILITY ANY AUTO CAP3509064 01/01/2008 01/01/2009 COMBINED SINGI E LIMIT (Ea accltlenl) $ 1,000,000 X BODILY INJURY (Per person) $ A ALI OWNED AUTOS SLHI DUI D AUIOS HIRED PUT Os NON OWNED AUTOS X BODII Y INJURY (Per accident) $ _ X PROPFRTY DAMAGE (Per JCCINenf) $ GARAGE LIABILITY AUTO ONI V - CA ACCIDENT $ ANYAUIO OTHER THAN FA ACCj $ $ AUTO ONLY AGG' EXCESSIUMBRF_LLA LIABILITY 7275234 01/01/2008 01/01/2009 EACH OCCURRLNCL S 5,000,000 JOCCUR El CLAIMS MADE AGGRFGAIE $ 5,000,000 $ B $ DEDUCT IBI F $ _ RETENTION $ G WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETORIPARTNERIEXECUTAT OFFICERIMFMBERCXCLUDFD1 4028598 BLANKET WAIVER OF SUBROGATION 01/01/2008 01/01/2009 _X WC STATU O R — DC STATUS — IJi_ LL LACH ACCIDENT $ 1,000,000 ----- I L DISFASL - LA FMPI OYEE $ 1,000,000 If yes Uewreed under SPECIAL PROVISIONS foolery, I L OISLASE- POLICY LIMIT $ 1,000,000 A �OTHER ommercial Inland arine CLP3236544 01/01/2008 01/01/2009 Leased/Rented Equipment $500,000 limit - $5,000 deduct DESCRIPTION OF OPERATIONS I LOCATIONS I VEHI( LES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS City of Fort Collins is named as additional insured on a primary and non-coniributory basis e 6029 Drake Ziegler Improvement Project - Phase 2 City of Fort Collins 300 Laporte Ave Fort Collins. CO 80521 SHOULD ANl OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE I EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICF TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY I OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE ACORD 26 (2001108) ©ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the pohcy(ies) must be endorsed A statement on [his certificate does not confer rights to the certificate holder in lieu of such endorsement(s) If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) DISCLAIMER The Certificate of In suiance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon ACORD 25 (2001/08)