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HomeMy WebLinkAboutGERRARD - INSURANCE CERTIFICATEACORD. CERTIFICATE OF LIABILITY INSURANCE DATE l2/22/22/2003) oo3 PRODUCER (303)939-9921 FAX (303)939-9926 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Herbert -Leavitt Longmont ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 275 South Main Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 208 Longmont, CO 80501 INSURERS AFFORDING COVERAGE NAIC # INSURED Gerrard Excavating, Inc. INSURERA: Bituminous Casualty Corp 1739 S County Rd 13C INSURERS: Pinnacol Assurance Loveland, CO 80537 INSURERc: Hartford INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINI 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MIM1DOhM POLICY EXPIRATION DATE fMM/DDIM UNITS GENERAL LIABILITY CLP3179523 01/01/2004 01/01/2005 EACH OCCURRENCE $ 1 1 000 000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fil OCCUR X Per Project Gen Ag DAMAGE TO RENTED PRFMIRFS (FA $ 100 , MED EXP (Any one person) $ 10 1 Qo PERSONAL& ADV INJURY $ 11000100 GENERAL AGGREGATE $ 2,000,00( GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,00( A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS CAP3179521 01/01/2004 01/01/200S COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG $ $ A EXCESSAIMBRELLA LIABILITY X OCCUR CLAIMS MADE CUP2572861 01/01/2004 01/01/2005 EACH OCCURRENCE $ 5 , QQQ , 00 AGGREGATE $ 51000,00 $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 4028598 01/01/2004 01/01/2005 § SLTATIU X oTH- E.L. EACH ACCIDENT $ 1,000,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? describeff under SPECIAL SPR PROVISIONS OVISIONS below OFFICERS INCLUDED E.L. DISEASE - EA EMPLOYE $ 11000,000 E.L. DISEASE - POLICY LIMIT $ 1000 Qo A HER NLLAND MARINE CLP3179523 01/01/2004 01/01/2005 SCHED EQUIP 8,730,973 DEDUCTIBEL 1,000 LST/RNTD 150,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES ! EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS e: Lemay Avenue Widening Project Bid #5767 The City of Fort Collins and aragon Point PUD Community Estates Association, Inc., a Colorado Non -Profit Corporation re named as additional insureds but only as respects the liability arising out of the Work performed y the named insured. City of Fort Collins 215 N. Mason Street 2nd Floor Fort Collins, CO 90524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE AA.VKU L0 j2UU1/Utll V/ . 1L71 VJ007—J.70'i ©ACORD CORPORATION 1988