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HomeMy WebLinkAboutABCO CONTRACTING - INSURANCE CERTIFICATE (4)AC -RP, CERTIFICATE OF LIABILITY INSURANCE 11/11/2004 PRODUCER (303) 824-6600 FAX (303) 370-0118 Moody Insurance Agency, Inc. 3773 Cherry Creek North Drive Suite 800 Denver, CO 80209-3804 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. INSURERS AFFORDING COVERAGE NAIC # INSURED ABCO Contract I ng , I nC . 2180 E. 74th Place Denver, CO 80229 INSURER A'. Trave I ers I ndem Co of I 1 1 25674 INSURERB: Trav Property Casualty Ins Co 36161 INSURER C. INSURER D. INSURER E: [Maly, 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR T ADD' rypE OF INSURANCE POLICY NUMBER _ _ POLICY EFFECTIVE Y POLICY EXPIRATION LIMITS GENERAL LIABILITY DTCOO434B444T I LO4 02/08/2004 02/08/2005 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurpncP) $ 300,000 CLAIMS MADE �' OCCUR BLANKET WAIVER OF . MED EXP (Any one persun) $ 5,000 A X B I nk Add I I nsured SUBROGATION PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 _ GEN'L AGGREGATE LIMIT APPLIES PER —1 PRODUCTS PRODUCTS -COMP/OP AGG $ 2,000,000 POLICY PRO - X JECT AUTOMOBILE LIABILITY DT810043413444T I E64 O2/08/2004 02/08/2005 X COMBINED SINGLE LIMIT $ ANY AUTO (Ea acoden) 1,000,000 ALL OWNED AUTOS BODILY INJURY $ B SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) - ---- PROPERTY DAMAGE $ )Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY. AGG $ EXCESSNMBRELLA LIABILITY D TSMCUPO434B444T I L04 O2/08/2004 O2/08/2005 EACH OCCURRENCE $ 1,000,000 X OCCUR -- CLAIMS MADE AGGREGATE - $ 1 , OOO, OOO B-- -- $ DEDUCTIBLE X RETENTION $ 10,000 $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS' LIABILITY T V IT R E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L DISEASE - EA EMPLOYE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below _ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS) VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS E: Poudre Trail Rehabilitation, Bid No. 5881 ertificate Holder is named as Additional Insured under the General Liability as respects the above roj ect . By state law, 10 day notice of cancellation applies to non-payment of premium. ***REVISED 11/12/0*** City of Fort Collins 215 No. Mason Street Fort Collins, CO 80522 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 Renee Hofmann, CISR/RENEEH AGVKLJ ZO (ZUUI/US) ©ACORD CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID T DATE (MMIDDIYABCOC-1 it 1204 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Henderson Insurance Agency Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 7395 E Orchard Rd -Ste A100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Greenwood Village CO 80111 Phone:303-706-1000 Fax:303-799-1228 INSURED ABCO Contracting Inc. 2180 E. 74th Place Denver CO 80229 L,UVCKAUCS INSURERS AFFORDING COVERAGE INSURER A: INSURER B: INSURER C: INSURER D: INSURER E: NAIC # A 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INbK LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE (MMIDDIYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence $ CLAIMS MADE1-1 OCCUR MED EXP (Any one person) $ PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO- LOC JECT AUTOMOBILE LIABILITY COMBINED INGLE LIMIT $ ANY AUTO Ea accc denti ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND A - H- A EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE C0408-04-34 07/01/04 07/01/05 A TORY LIMITS ER E.L. EACH ACCIDENT [$7-100 r 000 OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EAEMPLOYEE $lOOr000 If yes, describe under E.L. DISEASE -POLICY LIMIT I $500 000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Re: Poudre Trail Rehabilitation Bid #5881 CITYOF6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Fort Collins 215 North Mason St. Ind floor IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fort Collins CO 80522 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Curt Henderson 07-17-321 ACORD 25 (2001/08) n nrnan cnlxcnlznnnM IoRR