HomeMy WebLinkAbout357129 NARANJO CIVIL CONSTRUCTORS INC - INSURANCE CERTIFICATE (5)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID D DATE(MM/DO/YYYY)
H&LCO-1 04/25/05
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
4
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
LBN Insurance Agency, LLC GR HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3459 W 20th Street Suite 224 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Greeley CO 80634
Phone:970-356-1133 Fax:970-356-4088 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: ENC Insurance Companies
Naranjo Civil Constructor$ Inc INSURERS: Pinnacol Assurance
H&L Concrete, Inc & Naranjo Investments, LLC INSURERC:
1863 2nd Avenue INSURER D:
Greeley, CO 80631
INSURER E:
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
rNSR
TYPE OF INSURANCE
POLICY NUMBER
_I50r1zVrFFECTW
DATE MM/DD/YY
PI A
DATE MMIDD/YY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$1,000,000
A
X COMMERCIAL GENERAL LIABILITY
2D4436205
02/18/05
02/18/06
PREMISES (Ea occurence)
$100,000
CLAIMS MADE l X OCCUR
MED EXP (Any one person)
$ 5, 000
BLANKET ADDITIONAL
PERSONAL &ADV INJURY
$ 1, 000, 000
GENERAL AGGREGATE
$ 2,000,000
INSD Zm M7482 (12-00)
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$2,000,000
POLICY X PRO LOC
JECT
AUTOMOBILE
LIABILITY
A
ANY AUTO
2E4436205
02/18/05
02/18/06
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
ALL OWNED AUTOS
( INCLUDES HIRED &
BODILY INJURY
$
SCHEDULED AUTOS
NON -OWNED AUTOS)
(Per person)
HIRED AUTOS
BODILY INJURY
$
NON -OWNED AUTOS
(Per accident)
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
N/A
OTHER THAN EA ACC
$
$
AUTO ONLY: AGG
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
X I OCCUR 0CLAIMSMADE
2J4436205
02/18/05
02/18/06
AGGREGATE
$1,000,000
DEDUCTIBLE
X RETENTION $10,000
$
WORKERS COMPENSATION AND
X TORY LIMITS
EMPLOYERS'LIABILITY
B
ER
ANY PROPRIETOR/ PARTNER/EXECUTIVE 1452910 06/01/04 06/01/05
E.L. EACH ACCIDENT
$100,000
Oyes, and EXCLUDED'?
If yes, descdbe under
describe
E.L. DISEASE - EAEMPLOVEE
$ 100000
�
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
$ 500, 000
OTHER
Installation
$150,000
Special
A Floater 2C4436205 02/18/05 02/18/06
Perils,
$250. Ded
DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
CITY OF FORT COLLINS, ENGINEER, ENGINEERS CONSULTANTS AND OTHERS AS
REQUIRED
BY CONTRACT ARE ADDITIONAL INSUREDS UNDER THE GENERAL LIABILITY - PRIMARY
AND COVERAGE CARRIED BY THE ADDITIONAL INSURED SHALL BE EXCESS, BUT
ONLY
WITH RESPECTS TO LIABILITY ARISING OUT OF THE INSUREDS OPERATIONS ON THE
PLEASANT VALLEY LAKE AND CANAL TRAIL PROJECT, BID #5908
FT COLL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL SIMIZU111=11111IMMAIL 30 DAYS WRITTEN
City of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFTWOMENAttn: Purchasing Division
281 North College Avenue
Fort Collins, CO 80522 THORIZED REPRE ENTATIVE
ACORD 25 (2001/08) ®ACO CORPORA 1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25 (zoolros)