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HomeMy WebLinkAbout101027 HENSEL PHELPS CONSTRUCTION CO - INSURANCE CERTIFICATEClient#: 13981 HPCPD ACORD,. CERTIFICATE OF LIABILITY INSURANCE O4 /DD/YVVY) 4/19/29/2011 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). PRODUCER CONTACT NAME: Cindy Race Flood & Peterson lns.,Inc. PHONE 970 506-3207 970 506-3209 A/C No Ext : A/C, No P 0 BOX 576 ADDRESS: Clndy.raCe@fpin SOranCe.COm 4687 West 18th Street Greeley, CO 60632 CUSTOMER ID #: INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Zurich American Insurance Co. Hensel Phelps Construction Co. INSURER B : Steadfast Ins. CO. Plains District P0Box 0 INSURER C : Greeley, CO 80632 INSURER D: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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 LTIL TYPE OF INSURANCE DL UD POLICYNUMBER M�.VDU/YYYY Y EXP MWDDNYYV LIMITS A GENERAL LIABILITY X COMMERCIAL GENERALLIABIUTV CLAIMS -MADE O OCCUR GL0369726407 6/01/2011 06/01/2012 EACH OCCURRENCE s2000000 PREMISES Ea occurrence s3000OO MED EXP (Any one person) $ PERSONAL B ADV INJURY $2,000,000 GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POUCY X PRa LOC PRODUCTS - COMP/OP AGG 54,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS BAP369726107 6/01/2011 06/01/2012 COMBINED SINGLE LIMB (Ea accident) $2,000,000 X BODILY INJURY (Per person) S BODILY INJURY (Per accident) $ 1 PROPERTY DAMAGE (Per accitlenI) $ S A X UMBRELLA LIAR EXCESS LIAR X OCCUR 'LA "_MADE AUC928038410 6/01/2011 06/01/201 EACH OCCURRENCE $10000000 AGGREGATE $1 O 000 000 DEDUCTIBLE RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITYMil ANY PROPRIETOR/PARTNER/EXECUTIVEY/N OFFICER/MEMBER EXCLUDED] � (Mandatory In NH) If yes, descnbe under DESCRIPTION OF OPERATIONS below NIA WC369726507 6/01/2011 06/01/201 X WCSTATU- orH- S E, L. EACH ACCIDENT S1000000 E.L. DISEASE-EAEMPLOYEE 51,000,000 E.L. DISEASE -POLICY LIMIT $1,000000 B Professional Liab EOC937461708 6/01/11 06/01/12 $5,000,000 Ea Claim $5 000,000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is r"tilred) RE: Discovery Museum Facility 7033 Owner and Owner's Consultants and any other persons or entities indicated in the Supplementary Conditions (See Attached Descriptions) City of Ft Collins Purchasing Division 215 North Mason St, 2nd Floor Fort Collins, CO 80524 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 X-16oA v- , zvc. ACORD 25 (2009/09) 1 of 2 #S605635/M604352 01988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CIR Client#: 13981 HPCPD ACORD,. CERTIFICATE OF LIABILITY INSURANCE O4 /DD/YVVY) 4/19/29/2011 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). PRODUCER CONTACT NAME: Cindy Race Flood & Peterson lns.,Inc. PHONE 970 506-3207 970 506-3209 A/C No Ext : A/C, No P 0 BOX 576 ADDRESS: Clndy.raCe@fpin SOranCe.COm 4687 West 18th Street Greeley, CO 60632 CUSTOMER ID #: INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Zurich American Insurance Co. Hensel Phelps Construction Co. INSURER B : Steadfast Ins. CO. Plains District P0Box 0 INSURER C : Greeley, CO 80632 INSURER D: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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 LTIL TYPE OF INSURANCE DL UD POLICYNUMBER M�.VDU/YYYY Y EXP MWDDNYYV LIMITS A GENERAL LIABILITY X COMMERCIAL GENERALLIABIUTV CLAIMS -MADE O OCCUR GL0369726407 6/01/2011 06/01/2012 EACH OCCURRENCE s2000000 PREMISES Ea occurrence s3000OO MED EXP (Any one person) $ PERSONAL B ADV INJURY $2,000,000 GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POUCY X PRa LOC PRODUCTS - COMP/OP AGG 54,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS BAP369726107 6/01/2011 06/01/2012 COMBINED SINGLE LIMB (Ea accident) $2,000,000 X BODILY INJURY (Per person) S BODILY INJURY (Per accident) $ 1 PROPERTY DAMAGE (Per accitlenI) $ S A X UMBRELLA LIAR EXCESS LIAR X OCCUR 'LA "_MADE AUC928038410 6/01/2011 06/01/201 EACH OCCURRENCE $10000000 AGGREGATE $1 O 000 000 DEDUCTIBLE RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITYMil ANY PROPRIETOR/PARTNER/EXECUTIVEY/N OFFICER/MEMBER EXCLUDED] � (Mandatory In NH) If yes, descnbe under DESCRIPTION OF OPERATIONS below NIA WC369726507 6/01/2011 06/01/201 X WCSTATU- orH- S E, L. EACH ACCIDENT S1000000 E.L. DISEASE-EAEMPLOYEE 51,000,000 E.L. DISEASE -POLICY LIMIT $1,000000 B Professional Liab EOC937461708 6/01/11 06/01/12 $5,000,000 Ea Claim $5 000,000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is r"tilred) RE: Discovery Museum Facility 7033 Owner and Owner's Consultants and any other persons or entities indicated in the Supplementary Conditions (See Attached Descriptions) City of Ft Collins Purchasing Division 215 North Mason St, 2nd Floor Fort Collins, CO 80524 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 X-16oA v- , zvc. ACORD 25 (2009/09) 1 of 2 #S605635/M604352 01988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CIR DESCRIPTIONS (Continued from Page 1) I including the respective officers, directors, partners and employees, agents and other consultants and subcontractors are named as Additonal Insureds and the insurance afforded to these Additional Insureds is primary. AM zo.a (zuusius) 2 Ot 2 #S605635/M604352 DESCRIPTIONS (Continued from Page 1) I including the respective officers, directors, partners and employees, agents and other consultants and subcontractors are named as Additonal Insureds and the insurance afforded to these Additional Insureds is primary. AM zo.a (zuusius) 2 Ot 2 #S605635/M604352