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HomeMy WebLinkAboutSINNETT BUILDERS - INSURANCE CERTIFICATE (10)Cliwnf#- 203RA SINBU ACORD- CERTIFICATE OF LIABILITY INSURANCE osi25/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Insurance Inc 4821 Wheaton Drive ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P O Box 270370 Fort Collins, CO 80527 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: Travelers Insurance Sinnett Builders, Inc. P.O. Box 1969 Fort Collins, CO 80522 INSURERS: Pinnacol Assurance INSURERC: Fireman's Fund Insurance, Co. INSURER D: INSURER E: COVERAGES 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 NSR TYPE OF INSURANCE POLICY NUMBER DATEYMM/DDIYYE POLICY DATE MMIDDT10N LIMITS A GENERAL LIABILITY CO283N62791ND03 06/30/03 06/30/04 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPREMISES Ire occunencel S300OOO CLAIMS MADE 51OCCUR MED EXP (Anyone person) $5 000 PERSONAL & ADV INJURY $1 0O0 OOO GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2 O00 OOO POLICY X JEC LOC A AUTOMOBILE LIABILITY ANY AUTO 810283N6279TIL03 06/30/03 I f�O41 AWarT MBINED SINGLE LIMIT accident) $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS Drive Other Car -NI JUN CITY of M r(} 2" LU03 U� � n�nAAEN N/1�7F lvi X BODILY INJURY eraccident) $ X X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESSIUMBRELLA LIABILITY CUP283N6279TIL03 06/30/03 06/30/04 EACH OCCURRENCE $5000000 X1 OCCUR CLAIMS MADE AGGREGATE s5.000.000 S $ DEDUCTIBLE 1XI $ RETENTION $ 10000 B WORKERS COMPENSATION AND 4045474 07/01/03 O7/01/04 X WCSTAfT OTH- EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $500,000 OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $500,000 C OTHER MX198380752 06/30/03 06/30/04 $6,000,000 Limit Builders Risk $2,500,000 Frame Limit $ 1,000 Deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS Re: Homestead Park; Bid No. 5723 Certificate holder is named as additional insured, but only as respects liability arising out of work performed by the named insured (Excluding Workers' Compensation). Waiver of Subrogation applies to Workers' Compensation only. City of Fort Collins P.O. Box 580 Fort Collins, CO 80522 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL A0_ DAYS WRITTEN E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF AUTHORIZED KIND UPON THE INSURER, ITS AGENTS OR ACORD 25 (2001108) 1 of 2 #M251403 © ACORD