Loading...
HomeMy WebLinkAboutGAMMA CONSTRUCTION - INSURANCE CERTIFICATEONLY AND CONFERS NO RIGHTS UPON HOLDER. THIS CERTIFICATE DOES NOT A DATE (MM/DD/YY) EXTEND OR FORT WORTH, Tx 76113 COMPANY A AMER GUARANTEE & LIAB INS CO (817) 336-8520 INSURED COMPANY NAIL UNION FIRE INS CO OF PA B GA6II4A CONSTRQCTION COMPANY 4490 E VIRGINIA AVE. COMPANY GLENDALE, CO 80246 C COMPANY D .. .. . .:: 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. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE (MM/DD/YY) DATE (MWDD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 A X COMMERCIAL GENERAL LIABIUTY CP03981716-01 12/31/03 12/31/04 PRODUCTS-COMP/OP AGG $ 2,000,000 CLAIMS MADE [j] OCCUR PERSONAL&ADV INJURY $ 1,000,000 OWNER'S & CONTRACTORS PROT EACH OCCURRENCE $ 11000,000 A X PER PROJECT AGGREGATE FIRE DAMAGE (Any one fire) $ 300,000 MED EXP (Any one person) $ 10,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ A X ANY AUTO TAP3981717-00 12/31/03 12/31/04 11000,0001 ALL OWNED AUTOS BODILY INJURY $ SCHEDULEDAUTOS (Per person) A X HIRED AUTOS BODILY INJURY A X NON-OWNEDAUTOS (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY EACH ACCIDENT $ E PESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM BE3206193 12/31/03 12/31/04 EACH OCCURRENCE $ 20, 000, 000 AGGREGATE $ 20,000,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ X INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL WC3981718-01 12/31/03 I 12/32/04 R I TORY UMITS ER EL EACH ACCIDENT $ 500,000 EL DISEASE -POLICY LIMIT $ 500,000 EL DISEASE - EA EMPLOYEE $ 500,000 OTHER OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CITY OF FORT COLLINS 281 N COLLEGE AVE. P 0 BOX 580 FORT COLLINS, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUC/ NOTICE SHALL IM E NO OBLIGATION OR LIABILITY OF ANY KIND UPON y1E COMPANY, 14 44)S 4 REPRESENTATIVES. AUTHORIZED REP ENT rRACY TUCKER. ACORDsm .. DATEIMM/DDYV) .'RwI R::e:'W ................................................ iir': 1 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION TUCKER AGENCY, INC. P.O. BOX 2285 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 AMER GUARANTEE i LIAB INS CO A FORT WORTH, TX 76113 (817) 336-8520 INSURED GAMMA CONSTRUCTION COMPANY COMPANY Ell MAIL UNION FIRE INS CO OF PA 4490 8 VIRGINIA AVE. COMPANY GLENDALE, CO 80246 C COMPANY D 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. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DO/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 X PRODUCTS-COMP/OP AGG $ 2,000,000 A COMMERCIAL GENERAL LIABIUTY CLAIMS MADE a OCCUR CP03981716-01 12/31/03 12/31/04 PERSONAL& ADV INJURY $ 11000,000 EACH OCCURRENCE $ 11000,000 OWNER'S & CONTRACTOR'S PROT X FIRE DAMAGE (Any one flre) $ 300,000 A PER PROJECT AGGREGATE MED EXP (Any one person) $ 20,000 AUTOMOBILE LIABILITY X A ANY AUTO TAP3981717-00 12/31/03 12/31/04 COMBINED SINGLE LIMIT $ 11000,000 ALL OWNED AUTOS SCHEDULED AUTOS BO (Perr person) ) $ X A HIRED AUTOS A NON -OWNED AUTOS BODILY INJURY (Per eccIdent) $ X PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY ANY AUTO EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ 20, 000, 000 B X UMBRELLA FORM B33206193 12/31/03 12/31/04 AGGREGATE $ 20,000,000 OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY X ORY IMITS ER EL EACH ACCIDENT $ 500,000 A THE PROPRIETOR/ R INCL PARTNERS/EXECUTIVE WC3981718-01 12/31/03 12/31/04 EL DISEASE -POLICY LIMIT $ 500, 000 OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS A t E:ICLYlER............:::::::::.:::....::.:.........................:::::.::::.:.............................. ENOX. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL CITY OF FORT COLLINS 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 281 N COLLEGE AVE. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY P. 0. BOX 580 OF ANY KIND UPON THE PANY, ITS AGENQ OIL REPRESENTATIVES. AUTHORIZED REPRESEN FORT COLLINS, CO 80522 RACY TUCKER b�iii':+::i:%;:;:;:33;::>:::%y::::::::::::2:::::%:::�i::is::i';:::i:::'::.::::..':.;:.;::