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HomeMy WebLinkAboutARMADILLO FENCING - INSURANCE CERTIFICATE (10)Client#, S9844 on Inn a ron, i LIV ACORD.,. CERTIFICATE OF LIABILITY INSURANCE 09/29/07D/yrvY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HRH of Colorado ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 720 South Colorado Boulevard HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Suite 600N ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80246 INSURERS AFFORDING COVERAGE NAIL # INSURED Armadillo Fencing Corp. INSURER A: Travelers Indemnity Company of Ameri 25666 INSURER B: Travelers Property Casualty Company 36161 5795 Ideal Drive INSURERC: Pinnacol Assurance 41190 Erie, CO 80516-9417 INSURER D'. INSURER E'. EEI �.v 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 CONTRACTOR OTHER DOCUMENT WTH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 LTR OD' NSRI TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE DATE (MMIDDIYYI POLICTEXPIRATION DATE MMIDDIYV LIMITS A G ENERAL LIABILITY C00748C220TIA 10/01/07 10/01/08 EACH OCCURRENCE $1000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR DAMAGE TO RENTED PREMISES E occmre ce _ 5100 O0O MED EXP (Any one person) $5 000 AI# CG D2 46 08 05 PERSONAL & ADV INJURY _ $1 0OO 0O0 X Ltd Pollution GENERAL AGGREGATE 12,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X ,PIECOT LOG PRODUCTS-COMP/OP AGG s2000000 B AUTOMOBILE X LIABILITY ANY AUTO 810074BC220TIA 10/01/07 10/01/08 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIREDAUTOS NONOWNED AUTOS BODILY INJURY (Per accident) $ X X Ltd Pollution PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC b $ AUTO ONLY: AGG B EXCESSIUMBRELLA LIABILITY X OCCUR CLAIMS MADE CUP0748C220TIA 10/01/07 10/01/08 EACH OCCURRENCE s2000000 AGGREGATE $2 000 00O DEDUCTIBLE X RETENTION $ 1O 000 5 $ C EMPLOYERS' LIABILITY WORKERS COMPENSATION AND 4058096 10/01/07 10/01/OS X WC STATUS I I OTH- E.L. EACH ACCIDENT b50O OOO ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If d yes, escribe under SPECIAL PROVISIONS below E.L. DISEASE. EA EMPLOYEE $500,000 E.L. DISEASE- POLICY LIMIT 1500,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I 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) 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 30"_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVE --- • --r I ur 6 SIVI80610b 8MSTY © 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 zes (zuuvos) 2 of 3 #M553756 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 991 l900110M 4 nf't 11M55171;R 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 c) The insurance provided to the additional in- to include any person or organization that you sured does not apply to "bodily injury" or agree in a "written contract requiring insurance" "property damage" caused by "your work" to include as an additional insured on this Cover- and included in the "products -completed op - age Part, but: erations hazard" unless the "written contract a) Only with respect to liability for "bodily injury", requiring insurance" specifically requires you "property damage" or "personal injury"; and to provide such coverage for that additional insured, and then the insurance provided to b) If, and only to the extent that, the injury or the additional insured applies only to such damage is caused by acts or omissions of "bodily injury" or "property damage" that oc- you or your subcontractor in the performance curs before the end of the period of time for of "your work" to which the "written contract which the "written contract requiring insur- requiring insurance" applies. The person or ance" requires you to provide such coverage organization does not qualify as an additional or the end of the policy period, whichever is insured with respect to the independent acts earlier. or omissions of such person or organization. 3. The insurance provided to the additional insured 2. The insurance provided to the additional insured by this endorsement is excess over any valid and by this endorsement is limited as follows: collectible "other insurance", whether primary, a) In the event that the Limits of Insurance of excess, contingent or on any other basis, that is this Coverage Part shown in the Declarations available to the additional insured for a loss we —_ exceed the limits of liability required by the cover under this endorsement. However, if the "written contract requiring insurance", the in- "written contract requiring insurance" specifically =_ surance provided to the additional insured requires that this insurance apply on a primary —_ shall be limited to the limits of liability re- basis or a primary and non-contributory basis, quired by that "written contract requiring in- this insurance is primary to "other insurance" o= surance". This endorsement shall not in- available to the additional insured which covers crease the limits of insurance described in that person or organization as a named insured Section III — Limits Of Insurance. for such loss, and we will not share with that b) The insurance provided to the additional in - insurance". But the insurance provided to the additional insured by this endorsement still is the sured does not apply to "bodily injury", _ pp y y ry", "prop- excess over any valid and collectible "other in- erty damage" or "personal injury" arising out surance", whether primary, excess, contingent or of the rendering of, or failure to render, any �= on any other basis, that is available to the addi- professional architectural, engineering or sur- tional insured when that person or organization is veying services, including: an additional insured under such "other insur- i. The preparing, approving, or failing to ance". prepare or approve, maps, shop draw- 4. As a condition of coverage provided to the ngs, opinions, reports, surveys, field or - additional insured by this endorsement: ders or change orders, or the preparing, approving, or failing to prepare or ap- a) The additional insured must give us written prove, drawings and specifications, and notice as soon as practicable of an "occur- Supervisory, inspection, architectural or rence" or an offense which may result in a claim. To the extent possible, such notice engineering activities. should include: CG D2 46 08 05 © 2005 The St. Paul Travelers Companies, Inc. 015979 Page 1 of 2