HomeMy WebLinkAbout113752 BT CONSTRUCTION - INSURANCE CERTIFICATE (7)ACORDN CERTIFICATL OF LIABILITY INSURAIII
PRODUCER THIS CERTIFICATE IS IS!
Lockton Companies LLC Denver
8110 E Union Avenue
Suite 700
Denver CO 80237
(303)414-6000
ONLY
HOLD
INSURED
1047338 BT Construction Inc
9885 Emporia Street
Henderson CO 80640
NSURER.
IN URER I
RERI
COVERAGES BTCON0I VU THIS CERTIFICATE OF IN
weueeme.
10/01,
AS A
INSURERS AFFORDING COVERAGE
DATE (MM/DDIYY)
1 Mt 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
TYPE FINS RAN E
POLICY NUMBER
POLICYEFFECTIVE
POLICY EXPIRATION
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
1 000 000
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [Z OCCUR
DTC00605C718IND07
]0/03/2007
10/03/2008
FIRE DAMAGE An one fire
300000
MED EXP An one erson
5 000
PERSONAL B ADV INJURY
1000000
GEN L AGGREGATE
LIMIT APPLIES PER
GENERAL AGGREGATE
2 000 000
PRODUCTS COMP/OP G
2 000 000
P ICY X
PR
T X L QQ
AUTOMOBILE
LIABILITY
A
X
ANY AUTO
DT$10060$C71$T1L07
10/03/2007
10/03/2008
COMBINEDSINGLE LIMIT
(Ea accident)
$
1000000
ALL OWNED AUTOS
BODILY INJURY
( Per person)
$
}(XXXXXX
SCHEDULED AUTOS
HIRED AUTOS
X
X
BODILY INJURY
(Per accdent)
$
}{j(}{}{]{}{X
NON OWNED AUTOS
PROPERTY DAMAGE
(Per amidenp
$
XXXXXXX
GARAGE LIABILITY
ANY AUTO NOT APPLICABLE
AUTOONLV EAACCIDENT $
XXXXXXX
EXCESS LIABILITY
OTHER THAN
AUTO ONLY AG
XXXXXXX
xxxX
A X OCCUR CLAIMS MADE DTSMCUP0605C718TIL07 10/03/2007
UMBRELLA
DEDUCTIBLE X FORM
EACH OCCURRENCE $
10/03/2008 AGGREGATE
1 000,000
1 000 000
XXXXXXX
RETENTION
XXXXXXX
B WORKERS COMPENSATION AND 4023016 10/01/2007
EMPLOYERS LIABILITY
10/01/2008 X WC STATU CTH
XXX`X`Xxx
EL EACH ACCIDENT $
IQQ QQQ
E L DISEASE EA EMPL YE
100,000
OTHER
E L DISEASE POLICY LIMIT
5Q0QQQ
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE City of Fort Collins Contract No P951 City Of Fort Collins is Included as Additional Insured as respects General Liability
CFRTIFICATc MnI nve X
2146488
City of Fort Collins
Aftn Purchasing
215 North Mason St
Ft Collins CO 80524
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL —1f) 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
AUTHORIZED REPRESENTATIVE
ACORD 25S 7/97 For glfin r ( 1 rw IaI ami a.nin u. eam.al mP -a n tall tM Pad a e"0 "e a a NYm IMma 9Te1111 0ACORD CORPORATION 1988