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HomeMy WebLinkAboutJR ENGINEERING GROUP - INSURANCE CERTIFICATEACORD. CERTIFICATE OF LIABILITY INSURANCE 09/28/zoo 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 Westr I an Group, Inc. INSURER A: Lex I ngton Insurance Company 19437 DBA: JR Engineering, LLC INSURERB: Nationwide Mutual Insurance Co 23787 6050 Greenwood Plaza Blvd. INSURERc: Amer Guarantee Liab Ins Co 26247 Greenwood Village, CO 80111 INSURERD: Pinnacol Assurance 41190 INSURER E: t YC 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 DD' MROGENERAL TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LIABILITY 2652452 10/01/2005 10/01/2006 EACH OCCURRENCE $ 1 , 000, QQ DAMAGE TO [Ince) $ 50 QO X COMMERC[4L GENERAL LIABILITY MED EXP (Any one pamn) $ 10, QQ CLAIMS MADE � OCCUR PERSONAL &ADV INJURY $ 1 , 000, OQ A GENERAL AGGREGATE $ 2, 000, QQ GEN'L AGGREG4TE LIMIT APPLIES PER: PRODUCTS- COMP/OP AGG $ 2, 000, OO POLICY X PROJECT M LOC AUTOMOBILE LIABILITY ANY AUTO ACPBA7501657648 10/01/2005 10/01/2006 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person)) $ B ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO 1 $ AUTO ONLY: AGG EXCESSIUMBRELLALIABILITY AUC5088801701 10/01/2005 10/01/2006 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 X OCCUR 171 CLAIMS MADE $ C $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND 4086235 10/01/2005 10/01/2006 X MSTATU- X IoTH- E.L. EACH ACCIDENT $ 1,000,000 D EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1,000,000 U yes, tlescnbe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 1,000, OQ g I0n7ER Marine ACPCIM7501658339 10/01/2005 10/01/2006 Sch.Equip. $1,048,849 Leased/Rented Equip. $10,000 Deductible $1,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS 0 day notice of cancellation applies to non-payment of premium. City of Fort Collins 215 North Mason St Fort Collins, CO 80522-0580 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 NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INS[ AUTHORIZED REPRESENTATIVE EEH ACORD 25 (2001l08) FAX: (970) 221 -6707 ©ACORD CORPORATION 11988