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HomeMy WebLinkAboutABCO CONTRACTING - INSURANCE CERTIFICATE (5)F-on:INIRANCE OFF 0E 1111212004 09:42 #261 P.0011001 I ACORU CERTIFICATE OF LIABILITY INSURANCE ,00rP:.D,z4 DA yEI tiDnlY^YY) Henderson Insurance Agency Inc 1395 E Orchard Rd -Ste A100 Greenwood village CO 80111 Phone:303-706-1000 rax:303-799-1228 ARCO Cont�4rthtBlBcanc. 2180 E. Denver CO 80229 COVERAGES 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 R IN$URERA: Mid -Century Insurance A INSURER B: D: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO W HICH THIS CERTIFICATE MAYBE ISSUEDOR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBffiCT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REUUCEU BY PAID CLAIMS. LTR iNSR TYPE OF INSURANCE POLICY NUMBER DA MMIDOIYY) A�1 �MPI�-T LIMITS GENERAL LIABILITY I LEACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY ! AAM1 E$(e R'WTE'erI �PREMGE OCCur@n� $ $ MED EXP (AnY one perwn) $ CLAIMS MACE = OCCUR PERSONAL 3 ADV INJURY 5 �I _ GENERAL AGGREGATE 5 PRODUCTS-COMP/OP AGO S GEML AGGREGATELIgMp1�T APPLIES OER:� I POLICY JECT pLOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMB I $ ANY AUTO (Ea acbldBM) BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTDS (Por person) UCbILY INJURY S H:RED AU709 I_ NON -OWNED AU705 (PM atC UIRU PROPERT'DAMAGE $ (Per accidenU UABI LITY AUTO ONLY -EA ACCIDENT S �CARAGE PANY AUTO ~I OTHER THAN EA AOC $ $ AUTO ONLY: AGG EXCESSAIMBRELLA LWEILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ S DEDUCTIBLE $ RETENTION 5 WORKER$ COMPENSATION AND X TORY LIMITS - A EMPLOYERS'WIBILITT ANY PROPRIETORJPARTNtR'E71ECUTIVE C0408-04-34 07/01/04 07/01/DS E.L. EACH ACCIDENT s100 000 OFFICERIMELBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 100 OOO If YYeaec describe Under E.L. DISEASE -POLICY LIMIT 350E 000 SPECIAL PROVISIONS below I OTHER I DESCRIPTION OP OPERATIONS 1 LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Re: Foudre Trail Rehabilitation Bid #5881 CITSOF6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX►IRATID 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 215 North City r FOrtth MasononCollins IM►03E NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE WOUPER, ITS AGENT3 OR S St. 2nd floor Fort Collins CO 80522 REPREUKTATIVES. AUTHORLEW REPRESENTATIVE ACORD,M CERTIFICATE OF LIABILITY INSURANCE 11/11/2004l PRODUCER (303)824-6600 FAX (303) 370-0118 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Moody Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 3773 Cherry Creek North Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Y ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.__ Suite 800 Denver, CO 80209-3804 INSURERS AFFORDING COVERAGE NAIC # INSURED ABCO Contracting, Inc. IINSURERA: Travelers Indem Co of I 1 1 25674__- 2180 E. 74th Place INSURERB Trav Property Casualty Ins Co 36161 Denver, CO 80229 INSURER — INSURER INSURER E. rnvcoer_ce 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 TR ADD' IN TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMM/DDNYIT 02/08/2004 POLICY EXPIRATION / NY LIMITS i GENERAL LIABILITY DTC00434B444T I LO4 02/08/2005 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ hCLAIMS MADE C. OCCUR BLANKET WAIVER OF MED EXP(Any one person) _3.00,000 $ 5,000 PERSONAL & ADV INJURY A X_ B I nk Add I I nsured SUBROGATION $ 1 , 000 , 000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ 2,000,000 PR - POLICY JECT LOC AUTOMOBILE LIABILITY DT81004346444T I L04 02/08/2004 02/08/2005 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $ 1,000,000 BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per person) B� BODILY INJURY $ ' HIRED AUTOS NON-OWNEDAUTOS (Per accident) PROPERTY DAMAGE _ $ GARAGE LIABILITY (Per accident) $ AUTO ONLY- EA ACCIDENT OTHER THAN EA ACC ANY AUTO $ AUTO ONLY. AGO $ EXCESS/UMBRELLA LIABILITY DTSMCUP0434B444TIL04 02/66/2004 02/O8/2005 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 X OCCUR CLAIMS MADE S — - B DEDUCTIBLE $ X RETENTION $ 10,000 $ WORKERS COMPENSATION AND WC STATU- OTH- R T EMPLOYERS' LIABILITY E. L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYE _ $ OFFICERWEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT S OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS E: Poudre Trail Rehabilitation, Bid No. 5881 y state law, 10 day notice of cancellation applies to non-payment of premium. rcor¢Ir wTr unl Inco reuncl I ArI^kl SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 13E 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, City of Fort Co I I i ns BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 215 No. Mason Street OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Fort Co I 1 i ns, CO 80522 Renee Hofmann, CISR/RENEEH/z✓ ACORD 25 (2001108) ©ACORD CORPORATION 1988