HomeMy WebLinkAboutR O CONSTRUCTION - INSURANCE CERTIFICATEFRED A MORETON 6 CO.
P. 0. Box 58139
Salt Lake City UT 84158-0139
(801) 531-1234
R 6 0 Construction Company
Attn: Ann Judd
933 Wall Avenue
Ogden, UT 84404
wiz;R'; ::: :>` ::'t:: .w ?Irw: !:: ; yr,.-:TcnFw:+�,raw„a:» ....:::::.. ...I.12/31 /03
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.
COMPANIES AFFORDING COVERAGE
COMPANY
A TRANSCONTINENTAL INSURANCE CO.
COMPANY
B AMERICAN CAS CO.OF READING PA
COMPANY
C VALLEY FORGE INSURANCE CO.
COMPANY
D CONTINENTAL CASUALTY INSURANCE CO.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED,NOT W ITHSTANDING ANY REQUIREMENT,TERMOR CONDITION OFANY CONTRACTOR OTHER DOCUMENT W ITHRESPECT TO W HICHTHIS
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.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
LTR DATE (MMIDDIYY) DATE (MIAIDDIYY) LIMITS
A I OENERALLIABLITY C2025201009 8/01103 8/01/04 GENERAL AGGREGATE $ 2,000,000
X
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [ X] OCCUR
OWNER'S 8 CONTRACTOR'S PROT
$10,000 PD Deduct
PRODUCTS-COMP/OP AGG
$ 2,000,000
PERSONAL S ADV INJURY
$ 1,000,000
EACH OCCURRENCE
$ 1,000,000
X
FIRE DAMAGE (Any one fire)
$ 300,000
per occurrence
MED EXP (Any one person)
$ 10,000
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
C2025201012
8101/03
8101/04
COMBINED SINGLE LIMIT
$
1,000,000
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
$
GARAGE
LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY:
7777-777777
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
EACH OCCURRENCE
$
AGGREGATE
$
$
C
D
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITYR
THE PROPRIETOR/ PARTNERS INCL
/EXECUTIVE
OFFICERS ARE: EXCL
WC2067116997
WC1098397899 (CALIFORNIA
LIMITS ARE $1,000,000)
1/01/04
1/01104
1/01/05
1/01/05
XWC STATU• OTH-
EL EACH ACCIDENT
$ 500,000
EL DISEASE -POLICY LIMIT
$ 500,000
EL DISEASE -EA EMPLOYEE
$ 500,0 00
OTHER
Verification of Insurance - License #C1-141
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
CITY OF FORT COLLINS EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAL
P 0 BOX 580 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
FORT COLLINS, CO 80522-0580 BUT FAILURE TO MAL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COIWANY, ITS AGENTS OR REPRESENTATIVES.
10 day notice for non -payments
CERTIFICATE: 001/001/ 00275