HomeMy WebLinkAboutFCI CONSTRUCTORS - INSURANCE CERTIFICATE (7)ACORD- CERTIFICATE OF LIABILITY INSURANCE oaoz/04DrrM)
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Van Gilder Insurance Corp. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
700 Broadway, 1000 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
y ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Denver, CO 80203
303 837-8500 INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURER A: Zurich North America
FCI Constructors, Inc. INSURER B: State of PA (AIG)
4001 N. Valley Drive INSURER C: CNA
Longmont, CO 80504
INSURER D:
INSURER E:
COVFRACFR
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.
LTR
NSR
TYPE OFINSURANCE
POLICY NUMBER
DALTEYMMDD/YYE
POLICYXPIRATION
DATE MMDD/YYI
LIMITS
A
GENERAL LIABILITY
GL03757092
04/01/04
04/01/05
EACH OCCURRENCE
$1000000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE F-x1 OCCUR
DAMAGREMI E TO RENTED
$100 000
MED EXP (Any one Person)
$1 D 000
PERSONAL & ADV INJURY
$1,000,000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
s2,000,000
POLICY X jECOT El LOC
A
AUTOMOBILE
LIABILITY
ANY AUTO
BAP3757091
04/01104
04/01/05
COMBINED SINGLE LIMIT
(Ea accident)
$1,000r00D
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON-OWNEDAUTOS
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
B
EXCESSIUM13RELLALIABILITY
BE568-36-54
04101/04
04/01/05
EACH OCCURRENCE
$10000000
X OCCUR CLAIMS MADE
AGGREGATE
$1 O 00O 000
$
DEDUCTIBLE
$
RETENTION $ 10 000
A
WORKERS COMPENSATION AND
WC3757090
04/01/04
04/01/05
TH-
X I WC STATU- OFR
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNERIEXECUTIVE
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE -EA EMPLOYEj
$1,000,000
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
1 $1,000,000
C
OTHER Leased/
1098385686
04/01/04
04/01/05
$200,000 Limit
Rented/Borrowed
$2,500 Deductible
,Equipment
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
City of Fort Collins
Purchasing Division
215 N. Mason Street
Fort Collins, CO 80524
LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *I0_ DAYS WRITTEN
:E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
REPRESENTATIVE