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Home My WebLink AboutSINNETT BUILDERS - INSURANCE CERTIFICATE (5)04/15/2005 09:22 FLOOD ae PETERSDN 4 9PP2216707 NO.124 D02 ACURD- CERTIFICATE OF LIABILITY INSURANCE ai15io"�rcT� PRODUCER Flood 81 Peterson Insurance Inc 4821 Wheaton Drive P O Box 270370 Fort Collins, CO 80527 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 A INSURED Sinnott Builders, Inc- P.O. Box 1ego . Fort Collins, co 80522 INSURER A: St. Paul Travelers Insurance Company INSURERS: American International Companies INSURERC: Pinnacol Assurance INSURER D: INSURER E: 067j i.TT6 *9 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 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NS TYPE, OF INSURANCE POLICY NUMBER DATE I ! E POLICY TE EXPIRA LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY DTCO283NG2791ND04 061301A14 a 08/30/05 EACH OCCURRENCE $1 000 000 TO RENTED DAMAGE MISE S800DDD CLAIMS MADE 7X OCCUR MED EXP (Ally 2r - mm) $5 000 PERSONAL &ADV INUURY $1 000 000 $2.500 PD Ded. GENERALAGGREOATE 62 OOD 000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $2000000 PCIUCY X J6rT LOG A AUTOMOBILE LIABILITY ANY AUTO DT810283N6279111-04 06/30/04 06/30/05 COMBINED SINGLE LIMIT (Ea edcidmA) $1 000 +0 OD X BODILY INJURY (Pei pemw) $ ALL OWNED AUTOS SCHEOULEDAUTOS BODILY INJURY (per acadeAl) S X X HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Pe .=ideld) S GARAGE LIABILITY AUTO ONLY -EA ACCIDENT S OTHERTHAN EA AGO AUTO ONLY: AGG S ANYAUTO $ B EXCESSIUMSRELLALIABILITY BE2681534 00/30/04 06/30/05 EACH OCCURRENCE 02000.000 X OCCUR CLAIMS MADE AGGREGATE S5,000,000 S $ DEDUCTIBLE "1' : S -F X RETENTION $10000 WORKERS COMPENSATION AND 4045474 07/01/04 07101/05 X WC SMT11 OTHL, EMPLOYERS' UABIUTY ANY PROPRIETORIPARTNLIVEXECUTIVE OFFICERWEMSER FXCLUDED? E.L. EACH ACCIDENT $500 000 E-L. DISEASE � EA EMPLOYEE 000,000 ifs. de -cube under SPECIAL PROVISIONS below E.L. DISEASE • POLICY LIMIT $500 000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS City of Fart Collins and Poudre Fire Authorithy are named as additional insureds, but only as respects liability arising out of ongoing operations of the named insured (Excluding Workers' Compensation). City of Fort Collins Attn: John Stophen P. 0. Box 680 Fort Collins, CO 80522 > ANY Or THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION dEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ... n DAYS WRITTEN TO THE CERTIFICATE HOLDER NAMED TO T 9 LEFT, BUT FAILURE TO o0 80 SHALL NO OBLIGATION OR UABLLJTY OF ANY IUN4 UPON THE INSURER, ITS AGENTS OR ACORD 25 (2001108) 1 of 2 $S.1121RR1M2eR1110 PAIR 0 ACORD CORPORATION 1988 Client#: 20369 SINBU ACORD- CERTIFICATE OF LIABILITY INSURANCE 4DATE 115/05/15105VDD/YYYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4821 Wheaton Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P O Box 270370 Fort Collins, CO 80527 INSURERS AFFORDING COVERAGE NAIC # INSURED Sinnott Builders, Inc. P.O. Box 1969 Fort Collins, CO 80522 INSURERA: St. Paul Travelers Insurance Company INSURERS: American International Companies INSURERC: Pinnacol Assurance INSURER D: INSURER E: COVERAGES 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 LTR ADD' NSR TYPE OF INSURANCE POLICY NUMBER POLICYDAEMM/DD/Y1 EFFECTIVE POLICY DATE MMIDD/YY EXPIRATION LIMITS A GENERAL LIABILITY DTCO283N6279IND04 06/30IP4 c 06/30/05 EACH OCCURRENCE $1 00O 000 DAMAGE TO RENTEwcuD $300 BOO X COMMERCIAL GENERAL LIABILITY CLAIMS MADE F-R OCCUR MED EXP (Any one person) $5 000 PERSONAL & ADV INJURY $1 000 BOO $2,500 PD Ded. GENERAL AGGREGATE s2000,000 GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS-COMP/OP AGG s2000000 17 POLICY MX JEO- 0LOC A AUTOMOBILE LIABILITY ANY AUTO DT810283N6279TIL04 06/30/04 - 06/30/05 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO 0 $ ' AUTO ONLY: AGG B EXCESS/UMBRELLA LIABILITY BE2681534 06/30/04 06/30/05 EACH OCCURRENCE $5 000 000 X OCCUR CLAIMS MADE AGGREGATE s5.000.000 $ DEDUCTIBLE "'/ $ X RETENTION $ 10000 C WORKERS COMPENSATION AND 4045474 07l01104 07101/05 XWC SLIMIT OTH- TATUjj EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $500 000 E.L. DISEASE -EA EMPLOYEE $500,000 OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS City of Fort Collins and Poudre Fire Authorithy are named as additional insureds, but only as respects liability arising out of ongoing operations of the named insured (Excluding Workers' Compensation). City of Fort Collins Attn: John Stephen P. O. Box 580 Fort Collins, CO 80522 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _30_ DAYS WRITTEN :E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 $0 SHALL iE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AGUKU ZO (ZUU7/OH) 1 of 2 #S312186/M298319 FAB 0 ACORD CORPORATION 1988