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Home My WebLink AboutTHOUTT BROS CONCRETE - INSURANCE CERTIFICATE (2)acoRv CERTIFICATE OF LIABILITY INSURANCE OP ID C DATE (MMIDDIYYYY) THOUT-1 03 31 06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CRS Insurance Brokerage HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 6600 E. Hampden Ave., 2nd Flr. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver CO 80224 Phone:303-996-7800 Fax:303-757-7719 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Zurich Insurance 16535 INSURER B: Fireman r s Fund Ins. Co. Thoutt Bros Concrete Contractors, Inc. rnINSURER C: Lmeriesa Iateatioaal Cos.. 5460 Tennyson Street Denver CO 80212 INSURER D: American Guarantee A Liability INSURER E: rn"coer_cc 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 INSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDDIYY DATE MMIDDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 PREMISES (Ea occurence) s300,000 A X X CO.WMERCIALGENERAL LIABILITY GL0375806302 04/01/06 04/01/07 CLAIMS MADE X� OCCUR MED EXP (Any one person) $ 10 , 00 0 PERSONAL &ADV INJURY $ 1, 000, 000 X Incl XCU GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG s2,000,000 POLICY X JECT PRO n LOC D AUTOMOBILE LIABILITY ANY AUTO BAP375809002 04/01/06 04/01/07 COMBINED SINGLE LIMIT (Es accident) $ 1, 000, 000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULEDAUTOS X BODILY INJURY (Per accident) $ D D HIREDAUTOS NON-OWNEDAUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $1,000,000 C X OCCUR F-1CLAIMSMADE BE2911606 04/01/06 04/01/07 AGGREGATE $1,000,000 a $ FDEDUCTIBLE $ X RETENTION $10,000 WORKERS COMPENSATION AND TORY LIMITS ER EMPLOVERS' LIADILiT'i ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEEI $ OFFICER/MEMBER EXCLUDED? Des, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER B Equipment Floater MZ198472373 04/01/06 04/01/07 Deduct $1,000 Rented Equipment BAE PER ITEN. $300,000 1 T I Valuation ACV DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS City of Fort Collins is named as Additional Insured on the General Liability policy with respect to operations of the named insured for the certificate holder, per the attached form CG2033(10/01). l,cR I Iril,A I c n VLUC M CTYFCOL 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 Attn : Purchasing IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 215 N. Mason Ft. Collins CO 80524 REPRESENTATIVES. Ar•nen IC 1enn41n01 CC) ACORD CORPORATION 1988 POLICY NUMBER: GL0375806303 COMMERCIAL GENERAL LIABILITY CG 20 33 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to b. "Bodily injury" or "property damage" oc- include as an insured any person or organization curring after: for whom you are performing operations when you (1) All work, including materials, parts or and such person or organization have agreed in equipment furnished in connection writing in a contract or agreement that such with such work, on the project (other person or organization be added as an additional than service, maintenance or repairs) insured on your policy. Such person or organiza- to be performed by or on behalf of the tion is an additional insured only with respect to ddditional insured(s) at the site of the liability arising out of your ongoing operations covered operations has been performed for that insured. A person's or organi- completed: or zation's status as an insured under this endorse- ment ends when your operations for that insured (2) That portion of "your work" out of are completed. which the injury or damage arises has been put to its intended use by any B. With respect to the insurance afforded to these person or organization other than additional insureds, the following additional ex- another contractor or clusions apply: engaged in performing operations for 2. Exclusions a principal as a part of the same This insurance does not apply to: project. a. "Bodily injury", "property damage" or "personal and advertising injury: arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, in- cluding: (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys field orders, change orders or draw- ings and specifications; and (2) Supervisory, inspection, architectural or engineering activities. CG 20 33 10 01 Copyright ISO Properties, Inc., 2000