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HomeMy WebLinkAboutARMADILLO FENCING CORPORATION - INSURANCE CERTIFICATEACORDM CERTIFICATE OF LIABILITY FEN GATE (MMIDDIVYYY) INSURANCE PRODUCER HRH of Colorado 720 South Colorado Boulevard Suite 60ON 09/29/07 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 Denver CO 80246 INSURED INSURERS AFFORDING COVERAGE NAIC # Armadillo Fencing Corp INSURER A Travelers Indemnity Company of Amen 25666 5795 Ideal Drive INSURER B Travelers Property Casualty Company 36161 Erie CO 80516-9417 INSURERC PinnacolAssurance 41190 INSURER D COVERAGES INSURER E THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWTHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT IMTH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS LTR A NSR TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 51 OCCUR CG D2 46 O8 05ADV POLICY NUMBER C00748C220TIA POLICY EFFECTIVE DATE MMIDDIYY 10/01/07 POLICY EXPIRATION DATE MMIDDIYY 10/01/08 LIMITS RENCE $1000000 ENTED one peter reon n(Any.ne $10000 E$QQQOAI# Ltd Pollution INJURY $1000QQQX GEN L AGGREGATE LIMIT APPLIES PERPOLICY GREGATE $2O00000 COMP/OP AGG $2 000 Ann XPRO C LOC B AUTOMOBILE X LIABILITY ANY AUTO 8100748C220TIA 10/01/07 10/01/08 COMBINED SINGLE LIMIT (Ea accgent) $1 OOO QQQ ALL OWNED AUTOS BODILY INJURY (Per Person) $ SCHEDULED AUTOS HIRED AUTOS X X BODILY INJURY (Peracadent) $ NON OWNED AUTOS Ltd Pollution X PROPERTY DAMAGE (Per acatlen0 $ GARAGE LIABILITY ANY AUTO ENT S A ACC AGG W $ B EXCESSNMBRELLA LIABILITY X OCCUR 71 CLAIMS MADE CUP074BC220TIA 10/01/ 77 10/01/08 $ g2 QQQ QQQ $2 QQQ QQQ DEDUCTIBLE $ X RETENTION $ 1O 000 C WORKERS COMPENSATION AND EMPLOYERS LIABILITY 4058096 10/01/07 10/01/08 OH EIR $ ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? EL EACH ACCIDENT $500000 E L DISEASE EA EMPLOYEE $500 000 It yes desabe under SPECIAL PROVISIONS bebw E L DISEASE POLICY LIMIT $500 O00 OTHER DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Project Description Annual Fencing Contract AFC# 2697 The following are Additional Insureds as respects General Liability only (See Attached Descriptions) CERTIFICATE HOLDER City of Fort Collins Attention Purchasing PO Box 580 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 3n* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL MPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR AUUHU zB (ZO01/08) 1 of 3 #M553756 REPRESENTATIVE 0 rt _ 8MSTY 0 ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED the policy(ies) must be endorsed A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) If SUBROGATION IS WAIVED subject to the terms and conditions of the policy certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s) authorized representative or producer and the certificate holder nor does it affirmatively or negatively amend extend or alter the coverage afforded by the policies listed thereon ACORD 25S (2001108) 2 of 3 #M553755 I DESCRIPTIONS (Continued from Page 1) if required by written contract and coverage applies only as respects work performed by the Insured for the Additional Insureds All coverage terms conditions and exclusions of the policy apply Additional Insureds City of Fort Collins The Additional Insured endorsement which is referenced above under Type of Insurance -General Liability is attached This Certificate of Insurance represents coverage currently in effect and may or may not be in compliance with any written contract The following cancellation conditions always apply -10 days for non-payment of premium - If policy shown 10 days for Workers Compensation for fraud material misrepresentation non payment of premium other reasons approved by the Commissioner of Insurance AMS 25 3 (2001/08) 3 of 3 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART 1 WHO IS AN INSURED — (Section II) is amended to include any person or organization that you agree in a written contract requiring insurance to include as an additional insured on this Cover age Part but a) Only with respect to liability for bodily injury property damage or personal injury and b) If and only to the extent that the injury or damage is caused by acts or omissions of You or your subcontractor in the performance of your work to which the written contract requiring insurance applies The person or organization does not qualify as an additional insured with respect to the independent acts or omissions of such person or organization 2 The insurance provided to the additional insured by this endorsement is limited as follows a) In the event that the Limits of Insurance of this Coverage Part shown in the Declarations exceed the limits of liability required by the written contract requiring insurance the in surance provided to the additional insured shall be limited to the limits of liability re quired by that written contract requiring in surance This endorsement shall not in crease the limits of insurance described in Section III — Limits Of Insurance b) The insurance provided to the additional in sured does not apply to bodily injury prop erty damage or personal injury arising out of the rendering of or failure to render any professional architectural engineering or sur veying services including i The preparing approving or fading to prepare or approve maps shop draw ings opinions reports surveys field or ders or change orders or the preparing approving or failing to prepare or ap prove drawings and specifications and n Supervisory inspection architectural or engineering activities c) The insurance provided to the additional in sured does not apply to bodily injury or property damage caused by your work and included in the products completed op erations hazard unless the written contract requiring insurance specifically requires you to provide such coverage for that additional insured and then the insurance provided to the additional insured applies only to such bodily injury or property damage that oc curs before the end of the period of time for which the 'written contract requiring insur ance requires you to provide such coverage or the end of the policy period whichever is earlier 3 The insurance provided to the additional insured by this endorsement is excess over any valid and collectible other insurance whether primary excess contingent or on any other basis that is available to the additional insured for a loss we cover under this endorsement However if the written contract requiring insurance specifically requires that this insurance apply on a primary basis or a primary and non contributory basis this insurance is primary to other insurance available to the additional insured which covers that person or organization as a named insured for such loss and we will not share with that other insurance But the insurance provided to the additional insured by this endorsement still is excess over any valid and collectible other in surance whether primary excess contingent or on any other basis that is available to the adds tional insured when that person or organization is an additional insured under such other insur ance 4 As a condition of coverage provided to the additional insured by this endorsement a) The additional insured must give us written notice as soon as practicable of an occur rence or an offense which may result in a claim To the extent possible such notice should include 0159]B CG D2 46 08 05 © 2005 The St Paul Travelers Companies Inc Page 1 of 2 COMMERCIAL GENERAL LIABILITY i How when and where the occurrence or offense took place u The names and addresses of any injured persons and witnesses and m The nature and location of any injury or damage arising out of the occurrence' or offense b) If a claim is made or'suit is brought against the additional insured the additional insured must c) d) I Immediately record the specifics of the claim or suit and the date received and u Notify us as soon as practicable The additional insured must see to it that we receive written notice of the claim or suit as soon as practicable The additional insured must immediately send us copies of all legal papers received in connection with the claim or 'suit cooperate with us in the investigation or settlement of the claim or defense against the suit and otherwise comply with all policy conditions The additional insured must tender the de- fense and indemnity of any claim or suit' to any provider of other insurance which would cover the additional insured for a loss we cover under this endorsement However this condition does not affect whether the insur ance provided to the additional insured by this endorsement is primary to other insur ance available to the additional insured which covers that person or organization as a named insured as described in paragraph 3 above 5 The following definition is added to SECTION V — DEFINITIONS Written contract requiring insurance means that part of any written contract or agreement under which you are required to include a person or organization as an additional in sured on this Coverage Part provided that the bodily injury and property damage oc curs and the personal injury' is caused by an offense committed a After the signing and execution of the contract or agreement by you b While that part of the contract or agreement is in effect and c Before the end of the policy period Page 2 of 2 0 2005 The St Paul Travelers Companies Inc CG D2 46 08 05