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HomeMy WebLinkAbout357129 NARANJO CIVIL CONSTRUCTORS INC - INSURANCE CERTIFICATEACORD,m DATE 3 / 1OD/0 8 - CERTIFICATE OF LIABILITY INSURANCE 6/13/2008 PRODUCER (303)824-6600 FAX: (303)370-0118 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Moody Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3773 Cherry Creek North Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 800 INSURERS INSURED INSURERA:Bituminous Casualty Corp 02075 Naranjo Civil Constructors, Inc. INSURERS:Pinnacol Assurance 41190 H&L Concrete, Inc. INSURER C: 1863 2nd Avenue INSURER D: Greeley CO 80631 INSURER E: 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 W HAVE BEEN REDUQED BY PAID CLAIMS. INS& ADDINSR TYPE OF INSURANCE POLICY NUMBER DATPOLIE MMIDO YIYE PDAITE EXPIRATION WDD VTN LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrent $ 100, 000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR CLP3250678 2/18/2008 2/18/2009 MED EXP An oneperson) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 Additional Insured Form GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2,000,000 Gl 3084 01/06 Attahced 1-1 POLICY rX PECOT TOO AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS CAP3519779 2/18/2008 2/18/2009 X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC S ANY AUTO $ AUTO ONLY: AGO EXCESS/UMBRELLA LIABILITY X OCCUR CLAIMS MADE EACH OCCURRENCE $ 1,000,000 AGGREGATE S 11000,000 $ $ A DEDUCTIBLE CUP2581785 2/18/2008 2/,.8/2009 X RETENTION 10,000 B WORKERS COMPENSATION AND X WC STATU- OTH- TOR LIMITS ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEES 11000,000 OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 1452910 6/1/2008 6/1/2009 E.L. DISEASE -POLICY LIMIT _ $ 1,000,000 A OTHER scheduled Equip CLP3250678 2/18/2008 2/18/2009 Limit: $975,855 Leased & Rented Limit: $150,000 Installation Floaterl Deductible $1,000 Limit: $30,000 DESCRIPTION OF OPERATIONS/LOCATION$NEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: 6082 Horsetooth - Ziegler Roundabout and Ziegler Road Improvements - Proj. #6082 City of Ft. Collins, its Servants, agents, citizens and employees are listed as additional insured under the General Liability per the form referenced above and attached. This insurance is primary. Contractual liability is included. A waiver of subrogation applies in favor of the same in regards to the general liability when required by written contract. This certificate is subject to the terms, conditions, and exclusions of the policies. In the event of City of Fort Collins 215 North Mason Street 2nd Floor Fort Collins, CO 80524 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 ACORD 25 (2001/08) INS025 pioffpfla AUTHORIZED REPRESENTATIVE K Smith, CISR, CRIS/K / �4 © ACORD CORPORATION 1988 Page 1 of 2 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 25 (2001/08) INS025 (0108).08a Page 2 of 2