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Home My WebLink AboutVARSITY CONSTRACTORS - INSURANCE CERTIFICATEacoRD CERTIFICATE OF LIABILITY INSURANCFmRDP ID 3I-1 DATE (MMIDD/ 09/19/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Premier Insurance - IF ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Formerly McDonald InsurSery HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 50340 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Idaho Falls ID 83405 Phone: 208-522-1260 Fax:208-522-1267 INSURERS AFFORDING COVERAGE INSURED INSURER A: American Casualty Co of Readin INSURER B: Lexington Insurance Company Varsity Contractors, Inc. Nuvek, LLC PO Box 1692 Pocatello ID 83204 -- - -- INSURER C: 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMID POLICY EXPIRATION DATE (MMIDDIM LIMITS GENERAL LIABILITY i EACH OCCURRENCE $ 1 r 000 000___ A X COMMERCIAL GENERAL LIABILITY 249215563 09/01/03 09/01/04 FIRE DAMAGE (Any wefire) _ $ 100 000 CLAIMS MADE X OCCUR MED EXP (Any one person) $ 10 000 PERSONAL& ADV INJURY $ 1 000 000 X INCL C0114BACRDluL LIAR. _ GENERAL AGGREGATE $ 2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2 000 000 POLICY X JJEECT LOC A AUTOMOBILE LIABILITY ANY AUTO 249215580 09/01/03 09/01/04 COMBINED SINGLE LIMIT (Ea accide �$11000r000 X ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per Person) t, $ X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ X -- PROPERTY DAMAGE (Per accident) $ ---- GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO _ $ B EXCESS LIABILITY', X OCCUR aCLAIMS MADE 2905714 09/01/03 09/10/04 EACH OCCURRENCE $ 5 000 000 _ AGGREGATE $5T 000, 000 DEDUCTIBLE RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 249215515 09/01/03 09/01/04 X TORY LIMITS ER E.L. EACH ACCIDENT $ 1000,000 E.L. DISEASE - EA EMPLOYE $ 1 000, 000 E.L. DISEASE -POLICY LIMIT $ 1 00O 000 OTHER A Employee Dishonest L167092042 09/01/03 09/01/04 Limit $1,000,000 2500 DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS All coverages are subject to policy forms, conditions and exclusions City of Fort Collins is additional insured for General Liability but only with regard to services provide by the insured. j41 IRWWI I NMML IM.IYMLV; IN. KMR LCI ICR: VMI�MCLLArrVry CITYOFF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL '40 DAYS WRITTEN City of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Director of Purchasing IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR P.O. Box 580 Fort Collins CO 80521 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE r1 _ i (7197) 1988 i ACORD CERTIFICATE OF LIABILITY INSURANC�P!D DATE I 1 09 19/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Premier Insurance - IF ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Formerly McDonald InsurSery HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 50340 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Idaho Falls ID 83405 Phone: 208-522-1260 Fax:208-522-1267 INSURERS AFFORDING COVERAGE INSURER A: _ American Casualty Cc of Readin Varsity Contractors, Inc. INSURER B: Lexington Insurance Company NuvekLLC INSURER C: _ , PO Box 1692 INSURER D: Pocatello ID 83204 INSURER E: Leiel'J a:#_lC] =11!-'1 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. ILTR TYPE OF INSURANCE POLICY NUMBER DATE MMlDD TIVE AiVDI D �N DATE EXPIRATION LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE �X OCCUR X 249215563 INCL CONTRACTURAL LIAR. 09/01/03 09/01/04 EACH OCCURRENCE $ 1 00O 000 FIRE DAMAGE (Any one fire) $ 10O 000 MED EXP (Any one person) $ 10 , 000 PERSONAL B ADV INJURY $ 1 00O 000 GENERAL AGGREGATE $ 2 OQQ OOO GENL AGGREGATE LIMIT APPLIES PER: POLICY X JEC0j LOC PRODUCTS-COMP/OP AGG $2 OOO 000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 249215580 09/Ol/03 09/Ol/04 COMBINED SINGLE LIMIT (Ea accident) $ 1 000 000 , r X BODILY INJURY (Par person) $ X BODILY INJURY (Per accident) $ X - PROPERTY DAMAGE (Per accident) $ ---- - GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ EA ACC OTHER THAN AUTO ONLY: AGG $ $ $ EXCESS LIABILITY X OCCUR El CLAIMSMADE DEDUCTIBLE I RETENTION $ 2905714 09/01/03 09/10/04 EACH OCCURRENCE $ 5 000 000 AGGREGATE _ $5 000,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 249215515 09/01/03 09/01/04 X TORY LIMITS ER _ E.L. EACH ACCIDENT _ $ 1,0001000_ E.L. DISEASE - EA EMPLOYE $11000, 000 E.L. DISEASE -POLICY LIMIT $ 1 00O 000 A OTHER Employee Dishonest L167092042 09/01/03 09/01/04 Limit $1,000,000 2500 DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS All coverages are subject to policy forms, conditions and exclusions CITYFOR City of Ft. Collins Attn: Jim Hume 215 N Mason St. 2nd Floor - Purchasing Div Ft. Collins CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10— DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORRED REPRESENTATIVE ACORD 25-S (7/97)