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HomeMy WebLinkAboutMOUNTAIN CONSTRUCTORS - INSURANCE CERTIFICATE (7)ACORDM CERTIFICATE OF LIABILITY INSURANCE 07/28/z 06 PRODUCER (303)824-6600 FAX (303)370-0118 Moody Insurance Agency, Inc. 3773 Cherry Creek North Drive Y Suite 800 Denver, CO 80209-3804 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPONTHE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Mountain Constructors, Inc. PO Box 405 Platteville, CO 80651 INSURER A: B i tum i nous Casua I ty Corp 02075 INSURER B: P i nnaco I Assurance 41190 INSURERC: United National Ins Co 13064 INSURER D: INSURER E: (1nVFRArFS 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' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (uminn8M POLICY EXPIRATION DATE (mminn8M LIMITS GENERAL LIABILITY CLP3231520 07/28/2006 07/28/2007 EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED $ 100,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE I OCCUR MED EXP (Any one parson) $ 5 DD A PERSONAL BADV INJURY $ 1,000,00C GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000,00 X POLICY PRO - JECT AUTOMOBILE AUTOMOBILE X LIABILITY ANY AUTO CAM6 '1190LII�II(Lgll'/,/1 07/28/2007 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULEDAUTOS BODILY INJURY (Per accident) $ HIREDAUTOS NON-OMJEDAUTOS j ) L ''! si00 PROPERTY DAMAGE (Per accident) $ CITY OF RISK FOM COLLINS MANAGEMENT GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC $ ANY AUTO $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY CUP2578979 07/28/2006 07/28/2007 EACH OCCURRENCE $ 2,000,00 X OCCUR CLAIMS MADE AGGREGATE $ 2, 000, OO A $ $ DEDUCTIBLE 10,00E $ WORKERS COMPENSATION AND 3027994 07/01/2006 07/01/2007 X I we STAIM u- I JOTH- ER B EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1,000.000 C OTHER Excess Umbrella BINDER 07/28/2006 07/28/2007 Limit $4,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED,BYENDORSEMENT I SPECIAL PROVISIONS roj ect: 5932 Mason Street/Harmony Road/Spring Creek Bike/Pedestrian Trail ity of Fort Collins is named additional insured with respect to general liability per attached orm GL4276 9/03. 10 day notice of cancellation applies to non-payment of premium --City of Fort Collins 300 Laporte Ave. Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER HALL 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 INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Charlene Navarra. ACSR/CHAN /�_/"^ � ACORD 25 (2001/08) OACORD CORPORATION 1988 ACORD� CERTIFICATE OF LIABILI`fY'INSURANCE 0�/28/2o 6 PRODUCER (303)824-6600 FAX (303)370-0118 Moody Insurance Agency, Inc. 3773 Cherry Creek North Drive Y Suite 800 Denver, CO 80209-3804 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Mountain Constructors, Inc. PO BOX 405 Platteville, CO 80651 INSURER A: Bituminous Casualty Corp 02075 INSURERS: Plnnacol Assurance 41190 wsURERC United National Ins Co 13064 INSURER D. INSURER E: 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 AOD'I TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (mminn= POLICY EXPIRATION DATE uuunnnAri LIMITS GENERALLIABIDTY CLP3231520 07/28/2006 07/28/2007 EACH OCCURRENCE $ 1,000,00 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 1XI OCCUR DAMAGE TO RENTED $ 100,000 MED EXP (Any one person) $ 5 , OO A PERSONAL BADV INJURY $ 1,000,00C GENERAL AGGREGATE $ 2 , 0O0 , OO GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JECT PRO LOC PRODUCTS-COMPIOPAGG $ 2,000,00 TM AUTOMOBILE X LIABILITY ANY AUTO CAPJ"YA48 DDOON1111149MVIDWALW7 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,0010 A ALL OWNED AUTOS SCHEDULED AUTOS 3 1 I` 7 I IJp 08 BODILY INJURY erson (Per P ) $ BODILY INJURY (Peracadent) $NON-OWNEDAUTOS HIRED AUTOS CITY RIS OF FUkI COLLINS MANAGE INS ENT PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLALIABILITY X OCCUR CLAIMS MADE CUP2578979 07/28/2006 07/28/2007 EACH OCCURRENCE $ 2,000,00 AGGREGATE $ 2,000,000 A $ DEDUCTIBLE X RETENTION $ 10, DO $ WORKERS COMPENSATION AND 3027994 07/01/2006 `07/01/2007 X I va BTATu- I OTH- ER B EMPLOYERS' LW3ILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below I E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1.000.000 TER Xcess Umbrella BINDER 07/28/2006 07/28/2007 Limit $4,000,000 C DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS roject: 5931 Mason Street/Harmony Road/Fossil Creek Bike/Pedestrian Trail ity of Fort Collins is named additional insured with respect to general liability per attached orm GL4276 9/03. 10 day notice of cancellation applies to non-payment of premium --City of Fort Collins 300 Laporte Ave. Fort Collins, CO 80522 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 INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Charlene Navarra. ACSR/CHAN /�&Jtr \y(A � ACORD 25 (2001/08) ©ACORD CORPORATION 1988