HomeMy WebLinkAboutCOPE CONSTRUCTION - INSURANCE CERTIFICATEACORN CERTIFICATE OF LIABILITY INSURANCE OF ID DATE(MMMDNYYY)
COPEC-1 01/08/08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Brown 6 Brown Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
125 S Howes, 5th Floor HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P 0 Box 2226 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Fort CollLns CO 80522-2226
Phone. 970-482-7747 Fax 970-484-4165 INSURERS AFFORDING COVERAGE NAIC #
NSUREo�-- III INSURER Mountain States Mutual 11
I INSURER B f
Cope Construction
Kent Cope dba
PO Box 389
LaPorte CO 80535
INSURER 0
INSURER E
THE POLICIES Of- INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING
ANY REOUIREME NT 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
INSR ADD'G -- — —,-POLICY EFFEC FIVE POLICY EXPIRATION
LTR INSRO TYPE OF INSURANCE POLICY NUMBER GATE MM/DD/YY DATE MMIDODYY LIMITS
GENERAL I IABILITY
EACH OCCURRENCE
$ 1000000
A
X X I COMMERCIAL GENERAL LIABILITY
CLAIMS MADE `XJ OCCUR
CPP008040505
02/04/08
02/04/09,
DAMAGETO RENTED —
PREMISES (Ea occurence)_
MED FXP(Any onepereon)
$ 100000
I $ 10000
PERSONAL$ADVINJURY
I $ 1000000
_
GENERAL AGGREGATE
S 2000000
__
GEN L AGGREGATE LIMIT APPLIES PER
(PRODUCTS - COMPIOP AGG
E2000000
POLICY I—JECOT F-I LOC
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)ALL
$
P
OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON-0W NED AUTOS
PRPERTYD(Paraccident) AMAGE
I $
(GARAGE LIABILITY
AUTOONLY - EA ACCIDENT
$
�_jAUTOANY AUTO
EA ACC
THAN AUTO ON
AUTO ONLY qGG
E
E
EXCESWUMBRELLA LIABILITY
I
EACH OCCURRENCE
$
;�
OCCUR L_1 CLAIMS MADE
I
AGGREGATE
I $
_
E
R DEDUCTIBLE
$
—
Is
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTNE
OFFICERJMEMBER EXCLUDED?
WUSIAITS I ER
IITORY
E L EACH ACCIDENT
II
1---S
EL DISEASE - FA EMPLOYEE $
H yee describe under
SPECIAL PROVISIONS be.
"
EL DISEASE -POLICY LIMIT I $
OTHER
DESCRIPTION OF OFERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Excavation Contractor. The City of Fort Collins is included as Additional
Insured on the General Liability as respects the operations of the named
insured
City of Fort Collins
Purchasing Division
Attn: James B. O'Neill II
P O. Box 580
Fort Collins CO 80522-0580
CITYFOR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THERLOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES
ACORD 2512n01/n81
Cc1 ACORD