HomeMy WebLinkAboutFCI CONSTRUCTORS - INSURANCE CERTIFICATE (4)ACORn CERTIFICATE OF LIABILITY INSURANCE 09/2810s°°'�'
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Van Gilder Insurance Corp. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
700 Broadway, Suite 1000 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
y Denver, CO 80203 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
303 837-8500 INSURERS AFFORDING COVERAGE
INSURED INSURER A:Zurich North America(Assurex Cap)
FCI Constructors, Inc. IN - — _ _._
� INSURER e:National Union Fire ins. Co. (AIG)
PO Box 1767
INSURER C Hartford Insurance Group
Grand Junction, CO 81502
-- —- -
INSURER D:
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.
-- _-- - -- - --- i POLICYEFFECTIVE POLICY EXPIRATI
INSRO
TYPEOFINSURANCE POLICYNUMBER i MM/ M / LIMITS
A GENERAL LIABILITY GL0375709202 10/01/05 10/01/06
EACH OCCURRENCE $1,000,000
X .COMMERCIAL GENERALI. LIABILITY .
FIRE DAMAGE (Any one twee $10� 000
CLAIMS MADE X OCCUR
ME D EXP (Anyone person) $10,000
PERSONAL BADVINJURY, $ 0001000
GENERAL AGGREGATE $2 00O 000
__-..
�RODUCTS
GEN'L AGGREGATE APPLE i, i�
GATE LIMIT AP
I
M COPlOP AGG , $2,000000
_. -_ -
PRO_
POLICY LOC
X
A._ AUTOMOBILE LIABILITY, BAP375709102 10/01/05 10/01/06
COMBINED SINGLE LIMIT
X I ANYAUTO
(Eaaccldent) $1,000,000
III ALL OWNED AUTOS
BODILY INJURY
_
SCHEDULED AUTOS
(Per person) 1 $
-- ----
X 1 HIRED AUTOS
BODILY INJURY
$
X NON-OWNEDAUTOS
(Per accident)
PROPERTY DAMAGE
(Per accI dent) $
GARAGE LIABILITY
AUTO ONLY- EAACCIDENTI $
- ANYAUTO
OTHER THAN EAACC I $ _-
AUTOONLY: AGG y$
B EXCESS LIABILITY BE2911700 10/01/05 I10101/06
EACH OCCURRENCE _ �$20�000�000
X', OCCUR (CLAIMS MADE -_
GREGaTE $20 000
LA _. — s000
DEDUCTIBLE
X'1 RETENTION $10000
$
A WORKERS COMPENSATION AND IIWG375709002 110/01/05 10/01/06
WC STATU- iOTH-
)( YLIMITS1-
EMPLOYERS' LIABILITY
--.ER _ - -_.
_- _- -
E.L. EACH ACCIDENT i $1,000,000
!,
E L.DISEASE-EAEMPLOYEEL$1,000,000
1 E.L. DISEASE -POLICY LIMIT $1,000,000
C I OTHER Leased/ ,34UUMAK6935 10/01/06 110101105
1 $200,000 Max Value
Rented Equipment
$2,500 Deductible
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
City of Fort Collins
Purchasing Division
215 N. Mason Street
Fort Collins, CO 80524
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E*MRATION
DATE THEREOF,THE ISSUING INSURER WILL E N DEAVORTO MAI L30- DAYSWRRTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVE
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