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Home My WebLink AboutGLH CONSTRUCTION - INSURANCE CERTIFICATEA_ORD.. CERTIFICATE OF LIABILITY INSURANCE OP ID D DATE6/06/ 08 . —C —_ GLHCO-1 06 06 08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rich & Cartmill Ins of CO ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE of Colorado LLC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P 0 Box 336416 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Greeley CO 80633 Phone: 970-356-8030 Fax: 970 356-8032 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Bituminous Insurance COS rINSURERB:GLH Construction, Inc. ERB:780 E. Garden Drive ER DWindsor CO 80550 rnvoonr_ee 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. INSR OD'- - - POLICY EFFECTIVE- POUC�XPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD/YY DATE MM/DD/YV LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A X X COMMERCIAL GENERAL LIABILITY CLP3251670 04/01/08 04/01/09 -DAMAGE TOiiENTEO'-- PREMISES ocbuarice) $lOO ,OOO MED EXP (Any one person) s5,000 CLAIMS MADE f R� OCCUR _ PERSONAL& ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 X A ANY AUTO CAP3520442 04/01/08 04/01/09 (Ea accident) BODILY INJURY $ ALL OWNED AUTOS SCHEOULEDAUTOS (Per person) BODILY INJURY $ HIRED AUTOS NON -OWNED AUTOS (Per accident) —.....-.._-_—___............._ PROPERTY DAMAGE $ _.... (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC $ ANY AUTO $ AUTO ONLYi AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 5,000,000 A X]OCCUR (__,CLAIMSMADE CUP2581799 04/01/08 04/01/09 AGGREGATE $5,000,000 DEDUCTIBLE $ $ X RETENTION $ 10 , 000 WORKERS COMPENSATION AND X TORY LIMITS ER B EMPLOYERS' LIABILITY 4028616 07/01/08 07/01/09 _—--. --------- E.L. EACH ACCIDENT ___-- _ $lOOOOOO ANY PROPRIETOR/PARTNER/EXECUTIVE DISEASE -EA EMPLOYEE EL. EMPLOYEE $ 1000000 OFFICERIMEMBEREXCLUDED9 U Yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 1000000 OTHER A Leased / Rented CLP3251670 04/01/08 04/01/09 Limit $250,000 Equipment DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS City of Ft. Collins is named as additional insured on the general liability policy but only with respect to liability arising out of the insureds operations on any and all operations by the insured for the certificate holder. 10 day cancellation provision still applies for non-payment. r:FRTIFIr.ATF i4ni nFR CANCELLATION 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 City of Fort Collins 300 Laporte Ave Fort Collins CO 80522 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Michael J Schmitt CIC ACORD 25 (2001/08) V AGUKU GUKVUKAI IUN 19UU 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. MOMS)