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HomeMy WebLinkAboutRKL CONSTRUCTION - INSURANCE CERTIFICATE (2)ACORDM CERTIFICATE OF LIABILITY INSURANCE 02/03/Z 0 ' P ODUCER (303) 756-9909 FAX (303) 756-8818 'Keller -Lowry Insurance Inc 1777 S Harrison St #700 Denver, CO 80210 Teresa Heupel 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 RKL Construction Corporation 6500 Stapleton Dr So. D-12 Denver, CO 80216 INSURERA: Bituminous Insurance INSURERS: Pinnacol Assurance INSURER C: INSURER D: INSURER E: rnVFRA[.FR 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 ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMMIDDIYY) POLICY EXPIRATION DATE fMM1DD1YYI LIMITS GENERAL LIABILITY CLP3171022 08/04/2004 08/04/200S EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED $ 100,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fil OCCUR MED EXP (Any one person) $ 5,000 A PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PROJECT LOC AUTOMOBILE LIABILITY ANY AUTO CAP3171023 08/04/2004 08/04/2005 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X A ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHERTHAN EAACC $ ANY AUTO $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY CUP2S7202S 08/04/2004 08/04/2005 EACH OCCURRENCE $ 5,000,00 X OCCUR ❑ CLAIMS MADE AGGREGATE $ 5 , 000 , OO A $ $ FDEDUCTIBLE X RETENTION $ 10, 00 $ WORKERS COMPENSATION AND 4004154 08/01/2004 08/01/200S X I WC sTATU- I X I OTH- TORY LIMITS ER_ B EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, deunder SPECIALscribe PROVISIONS below EACH ACCIDENT E.L.$ 1,000,000 E.L. DISEASE - EA EMPLOYE1 $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1 $ 1,000,00 A OTHER Leased & Rented Equipment CLP3171022 08/04/2004 08/04/2005 $2S,000 Max Limit Per Item $50,000 Aggregate Limit DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS The City of Fort Collins is additional insured as their interest may appear with regard to general liability. City of Fort Collins Att: Engineering Department P 0 Box 580 Fort Collins, CO 80522-OS60 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 /7 _ ACORD 25 (2001108) OACORD CORPORATION 1988 kkic avSUanniCE CONTINUATION CERTIFICATE ## Duplicate Copy ## TO: KELLER-LOWRY INSURANCE, INC. 1777 SOUTH HARRISON #700 DENVER, CO 80210 Denver 5300 DTC Parkway #490 Greenwood Village, CO 80111 (303) 224-0477 (888) 316-2242 (303) 224-0476 FAX RKL-CONSTRUCTION-CORPORATION as Principal, and Contractors Bonding and Insurance Company, a Washington corporation, as Surety, hereby notify: CITY OF FORT COLLINS as Obligee, that the above named Principal's bond number KA1086 in the amount of $20,000 shall be continued in force effective 02-MAR-06 and shall remain in full force and effect until the soonest of (1) 02-MAR-07 , (2) it is cancelled by the surety, or (3) it is otherwise terminated. The aggregate liability of the surety shall not exceed the amount of this certificate. The liability of the surety shall not cumulate by reason of this certificate, any future continuation certificate, any change rider, endorsement, modification, new bond, reinstatement, reissue, renewal, replacement, substitution or any other extension of suretyship. IF THIS BOND IS REQUIRED TO BE FILED WITH ANY AGENCY, THIS CERTIFICATE SHALL BE VOID IF THE PRINCIPAL DOES NOT FILE THIS CERTIFICATE WITH THE REQUIRED AGENCY *ITHIN THIRTY (30) DAYS OF THE EFFECTIVE DATE OF THIS CERTIFICATE --- IN WITNESS OF THIS CONTRACT, the Principal and the Surety have affixed their hands and seals this 6TH day of MARCH 2O06 Principal: RKL CONSTRUCTION CORPORATION By. _,__...,.,.,,, rS rj%DINCt�ti1 11 i G� .4QpPORglFSG�9si Surety: Contractors Bonding and Insurance Company Z. SEAL :n z� By: i,,� 1979,• �� c i' ti�h"t'NGS BndLIMM-WA082493 oAmis\create\bf000062 05.02.95