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HomeMy WebLinkAboutVARSITY CONTRACTORS - INSURANCE CERTIFICATE (2)ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MMIDWYYYY) VARSI-1 08 16 05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Premier Insurance - IF 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 NAIC # INSURED INSURER A. Transportation Insnranca Co. 00343 Varsity Contractors, Inc. INSURERS: American Casualty Co United Varsity Contractors LLC - - — Don Aslett Inc. etal INSURER C: PO Box 1691 - - - - — INSURER D: I Pocatello ID 83204 - -- -- - -- t-- - 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATX-IE EFFECTIVE POLICY MMIDD TON LIMITS GENERAL LIABILITY 100 0000 A X COMMERCIAL GENERAL LIABILITY GL2074970074 09/01/05 09/01/06S _$ tPREMIOSEC(Ea occurence)" $ 100, 000CLAIMS MADE [XJ OCCUR (Any rma person) $ 5_, 000 PERSONAL A ADV INJURY $ 1 , 000 , 000 X GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000 , OOO - dECOT C POLICY X...I LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 X A ANY AUTO BUA2074970043 09/01/05 09/01/06 (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) A X HIRED AUTOS BODILY INJURY $ AX HON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY - AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ i AUTO ONLY: AGG $ EXCESSAIMSRELLA LIABILITY EACH OCCURRENCE $ 5, 000 , 000 A X: OCCUR J CLAIMS MADE 2076434402 09/01/05 09/01/06 AGGREGATE $5,000,000 DEDUCTIBLE $ X RETENTION $ l0 000 $ WORKERS COMPENSATION AND X TO RY LIMITS ER A EMPLOYERS'LIABILITY WC274970169 09/01105 09/01/06 _X - EACH ACCIDENT ---- — -- $1000000 B ANY PROPRIETOR/PARTNER/EXECUTIVE - -- rE.L. - "— OFFICER/MEMBEREXCLUDED? WC274970155 - CALIFORKIA 09/01/05 09/01/06 DISEASE -EA EMPLOYE $ 1000000 H yyeess describe underSPECIAL PROVISIONS below DISEASE -POLICY LIMIT $ 1000000 OTHER B Crime TCP2076339810 09/01/05 09/01/06 Limit $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I 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 provided by the insured. CERTIFICATE HOLDER CANCELLATION CITYOFF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN City of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Director of Purchasing PO Box 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fort Collins CO 80521 REPRESENTATIVES. AU = - ACORD 25 (2001108) % © ACORD CORPORATION 1988