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HomeMy WebLinkAbout250056 WYATT CONSTRUCTION CO - INSURANCE CERTIFICATE'�`R " CERTIFICATE OF LIABILITY INSURANCE 4/21/2011 ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCECONTACT R -' Taggart Associates, Inc.1 1600_iCanyon_ Boulevard -_ P. )O.i Box 147 1 Boulder, CO 80306 NAME, Courtney Ouellette CISR, CLCS PHONE ,t. (303)442-1484. --v-gI�'`"o')..(303) 442=ae22f' A-MAJL s:courtneyo@taggarfllneurance.com PRO-CUSDUCERMER ID#.00008936 � . I INSURERS AFFORDING COVERAGE NAICN INSURED Wyatt Construction CO. Inc. 3223 Arapahoe Ave. Suite 100 Boulder CO 80301 INSURERA:Cincinnati Insurance Companies 10677 INSURER B INSURER C: INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:CL1142108667 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSR UBR POLICY NUMBER MM OICY EFF Y/YY POLICYEXP IYYYY LIMITS A GENERAL LIABILITY X. COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7X OCCUR PP1073963 1 r .. 5/1/2011 _"--`GENERAL .. 5/1/2012 _ .. �. -"`-' J 1 •. EACH OCCURRENCE $ 1.000,000 AGE TO RON—TED PREMISES SES Ea occurrence $ 500,000 MED EXP(My me person) $ 10,000 PERSONAL B ACV INJURY $ 1,000,000 AGGREGATE; T $ 2,000,000 GEN'LAGGREGATE 'LIMIT APPLIES PERK'-` X POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG-S� ':2 •.000, 000 .- - (; j._y $ ' A AUTOMOBILE LIABILITY'` ANY AUTO ALL OWNED AUTOS ' _ SCHEDULED AUTOS HIRED AUTOS NON-OAMED AUTOS - PP1073963 r .. - 5/1/2011. - 5/1/2012 COMBINED SINGLE LIMIT Ire accident) $ 11000,000 X BODILY INJURY (Per person) $ - $ BODILY INJURY (Per accitlent) $ PROPERTY DAMAGE (Per acodern) $ X X Medical payments $ 5,000 Uninsured motorist combined $ 11000,000 A X UMBRELLA DAB EXCESS LIAB OCCUR CLAIMS -MADE PP1073963 5/1/2011 5/1/2012 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 DEDUCTIBLE RETENTION $ 10,000 $ X I $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNE/EXECUTIVE❑ OFFICER/MEMBER EXCLUDED9 (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below NIA I WC STATU- I IOTH- ITS E.L. EACH ACCIDENT $ E. L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ - DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, 0 mom space la required) City of Fort Collins PO Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Ouellette CISR, CLC CQDk b _J. b"Akft4,-M ACORD 25 (2009109) ©1988-2009 ACORD CORPORATION. All rights reserved. INS025 (200909) The ACORD name and logo are registered marks of ACORD '�`R " CERTIFICATE OF LIABILITY INSURANCE 4/21/2011 ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCECONTACT R -' Taggart Associates, Inc.1 1600_iCanyon_ Boulevard -_ P. )O.i Box 147 1 Boulder, CO 80306 NAME, Courtney Ouellette CISR, CLCS PHONE ,t. (303)442-1484. --v-gI�'`"o')..(303) 442=ae22f' A-MAJL s:courtneyo@taggarfllneurance.com PRO-CUSDUCERMER ID#.00008936 � . I INSURERS AFFORDING COVERAGE NAICN INSURED Wyatt Construction CO. Inc. 3223 Arapahoe Ave. Suite 100 Boulder CO 80301 INSURERA:Cincinnati Insurance Companies 10677 INSURER B INSURER C: INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:CL1142108667 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSR UBR POLICY NUMBER MM OICY EFF Y/YY POLICYEXP IYYYY LIMITS A GENERAL LIABILITY X. COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7X OCCUR PP1073963 1 r .. 5/1/2011 _"--`GENERAL .. 5/1/2012 _ .. �. -"`-' J 1 •. EACH OCCURRENCE $ 1.000,000 AGE TO RON—TED PREMISES SES Ea occurrence $ 500,000 MED EXP(My me person) $ 10,000 PERSONAL B ACV INJURY $ 1,000,000 AGGREGATE; T $ 2,000,000 GEN'LAGGREGATE 'LIMIT APPLIES PERK'-` X POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG-S 000. 000 .- - (; j._y $ ' A AUTOMOBILE LIABILITY'` ANY AUTO ALL OWNED AUTOS ' _ SCHEDULED AUTOS HIRED AUTOS NON-OAMED AUTOS - PP1073963 r .. - 5/1/2011. - 5/1/2012 COMBINED SINGLE LIMIT Ire accident) $ 11000,000 X BODILY INJURY (Per person) $ - $ BODILY INJURY (Per accitlent) $ PROPERTY DAMAGE (Per acodern) $ X X Medical payments $ 5,000 Uninsured motorist combined $ 11000,000 A X UMBRELLA DAB EXCESS LIAB OCCUR CLAIMS -MADE PP1073963 5/1/2011 5/1/2012 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 DEDUCTIBLE RETENTION $ 10,000 $ X I $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNE/EXECUTIVE❑ OFFICER/MEMBER EXCLUDED9 (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below NIA I WC STATU- I IOTH- ITS E.L. EACH ACCIDENT $ E. L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ - DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, 0 mom space la required) City of Fort Collins PO Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Ouellette CISR, CLC CQDk b _J. b"Akft4,-M ACORD 25 (2009109) ©1988-2009 ACORD CORPORATION. All rights reserved. INS025 (200909) The ACORD name and logo are registered marks of ACORD