HomeMy WebLinkAbout120140 VARSITY CONTRACTORS INC - INSURANCE CERTIFICATE (6)OP ID DATE (MMIDDff"
ACORD CERTIFICATE OF LIABILITY INSURANCE VARS. _1 08 2e O6
PRODUCER FALTER
ERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Premier Insurance - IF ER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P.O. Box 50340
Idaho Falls ID 83405
Phone:208-522-1260 Fax:208-522-1267
Varsity Contractors, Inc.
United Varsityett Contractors LLC
DonPO Box 1691
Pocatello ID 83204
INSURERS AFFORDING COVERAGE
NAIC 0
2044
INSURER A:
Continental Casualty COMPany
_
2045
INSURER B:
Transportation Insurance Co.
INSURERC:
_
American Casualty
204's
INSURER D:
INSURER E:
COVERAGES
OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
THE POLICIES
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
_...
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION UNITS
DATE MMIDD DATE MMIDD
LTR NSR TYPE OF INSURANCE
EACH OCCURRENCE
$ 1 , 000 , 000
GENERAL LIABILITY
B X X COMMERCIAL GENERAL LIABILITY GL2074970589
09/01/06 09/01/07 PREMIS aRccu cel
$500 000_-
lCLAIMS MADE X OCCUR
MED EXP (Any one person)
$ 5 000
PERSONAL 8INJURY .
$1 00O 0 00
GENERAL AGGREGATE
s2,000,000
—
PRODUCTS-COMP/OP AGG
$2 OOO OOO
GENL AGGREGATE LIMIT APPLIES PER:
Em en.
BLOC
1 000 000
PRO-
POLICY JECT
B
AUTOMOBILE
LIABILITY
ANY AUTO
BUA2074970513
09/01/06
09/01/07
COMBINED SINGLE LIMIT
(Ea accident)
$ 1 , 000 , 000
7{
ALL OWNED AUTOS
BODILY INJURY
(Per person)
$
SCHEDULED AUTOS
-- -
-----
HIRED AUTOS
BODILY INJURY
(Per accident)
$
—" _ _
NON -OWNED AUTOS
---- --
-
PROPERTY DAMAGE
$
-
(Per accident)
—.- -
AUTO ONLY - EA ACCIDENT
$
GARAGE LIABILITY
-- -
EA ACC
-
$ _
ANY AUTO
OTHER THAN
AUTO ONLY: AGG
$
EACH OCCURRENCE
S S�OOO , OOO
EXCESSIUMBRELLA LIABILITY
AGGREGATE
$ _
A
X 1 OCCUR 171 CLAIMS MADE
L2076434402
09/01/06
09/01/07
DEDUCTIBLE
X RETENTION $10 000
X- TORY LIMITS X.. ER
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
WC274970639 -
09/Ol/06
09/01/07
1000000 _
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
_$
$ 1000000 _
C
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED?
WC274970625 CALIFCIWu
09/01/tO"'
001/07
E.L. DISEASE - POLICY LIMIT
$ 1000000
If yes, describe under
SPECIAL PROVISIONS below
OTHER
A
Crime
268141543
09/ 119/01/07
Limit
$1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
All coverages are subject to policy forms,
conditions and exclusions. City
of Fort Collins is additional insured for General Liability but only with
regard to services provided by the insured.
�.r.R l lf•IV/11 L nv����� -
CITYOFF 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
Director of Purchasing IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
PO Box 580
Fort Collins CO 80521 REPRESENTATIVES.
AU?NMgZED REPRESENTATIVE.
—�
AUUKU A* (ZUU1IU8J