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
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................................................
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
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