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HomeMy WebLinkAboutTRAINOR CONSTRUCTION - INSURANCE CERTIFICATEACOR , CERTIFICATE OF LIABILITY INSURANCE 12/31/20o 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 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3773 Cherry Creek North Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 800 Denver, CO 80209-3804 INSURERS AFFORDING COVERAGE NAIC # INSURED Trainor Construction Company, Inc. INSURERA Travelers Indemnity Company 15000 West 44th Avenue #B INSURER& Travelers Ind Co of Illinois Golden, CO 80403 INSURERC: Pinnacol Insurance Company INSURER D: INSURER E: COVERA E THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN( 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%1D'N TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR X B I nkt Add I Insured DTC0784F7426 I ND04 01 /01 /2004 01 /01 /2005 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED $ 300,000 MED EXP (Any one parson) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 X I Limited Po I I ut i on GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X jEC LOC PRODUCTS -COMPIOP AGG $ 2,000,00 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Po 1 I ut i on DT810724F7426T I L03 01 /01 /2004 01 /01 /2005 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY -EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ B EXCESSfUMBRELLA LIABILITY X OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $ 10, DOC DTSMCUP784F7426T I L03 01 /01 /2004 01 /01 /2005 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 $ $ $ C WORKERS COMPENSATION AND EMPLOYERS' UABIUTY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 3397538 INCLUDED UNDER UMBRELLA LIABILITY 01 /01 /2004 01 /01 /2005 X +'+'C Sr �rU- rR MITS E.L. EACH ACCIDENT — Is 500,000 E.L. DISEASE -EA EMPLOYE $ 500,000 E.L. DISEASE - POLICY LIMIT I $ 500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS e: Pedestrian Bridge & Bike Trail Extension at Overland Trail Road and The Cache La Poudre River City of Fort Collins is named as additional insured under the general liability with respect to ork performed by the insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT C I ty of Fort Co I I i ns BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY P 0 BOX 580 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE — Fort COI I ins, CO 80522-0580 Sandra Thomas, CIC/SKT ACORD25(2001/08) FAX: (303)665-2153 ©ACORDCORPORATION 1988 ACORDM CERTIFICATE OF LIABILITY INSURANCE DATE 12/31/2003 PRODUCER (303) 824-6600 FAX (303) 370-0118 Moody Insurance Agency, Inc. 3773 Cherry Creek North Drive y 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 Trainor Construction Company, Inc. 15000 West 44th Avenue #B Golden, CO 80403 INSURERA Travelers Indemnity Company INSURERS: Travelers Ind Co of Illinois INSURERC: Pinnacol Insurance Company INSURER D: INSURER E: rnVFRA(:FR THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN( 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY DTC0784F7426 I ND04 01 /01 /2004 01 /01 /2005 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO REMED $ 300,000 CLAIMS MADE [XI OCCUR MED EXP (Any one person) $ 5,000 A X B I nkt Add[ Insured PERSONAL &ADV INJURY $ 1,000,000 X Limited Pollution GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PROJECT LOC AUTOMOBILE LIABILITY ANY AUTO DT810724F7426T I L03 01 /01 /2004 01 /01 /2005 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X BODILYIWURY (Per person)) $ B ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X BODILY INJURY (Par accident) $ X PO I I ut I on X PROPERTY DAMAGE (Par accident) $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY DTSMCUP784F7426T I L03 01 /01 /2004 01 /01 /2005 EACH OCCURRENCE $ 110,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 10,000,000 B $ $ DEDUCTIBLE 1XI RETENTION $ 10,00 $ WORKERS COMPENSATION AND 3397538 01 /01 /2004 01 /01 /2005 X WC STATU- OTH- Eff- C EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? INCLUDED UNDER UMBRELLA LIABILITY E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE -EA EMPLOYEE $ 500,000 IF yes, descdbe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE: Tat Hill Road Bridge over New Mercer Ditch - Project No. 5730 Certificate Holder & Owner are named as Additional Insureds under the General Liability s respects work performed by Named Insured. rFRTIFIrATF 41n1 TIER rAMrrl I ATInM 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 NAMEDTO THE LEFT. C I ty of Fort Co I I i ns BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY PO BOX 580 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE — Fort Collins, CO 80522-0580 Sandra Thomas, CIC/SKT ACORD 25 (2001/08) ©ACORD CORPORATION 1988