HomeMy WebLinkAboutBT CONSTRUCTION - INSURANCE CERTIFICATE (2)ACORD,at CERTIFICATE OF LIABILITY INSURANCE ]o/u2om DA2/20/2o 8
PRODUCER Locklon Companies, LLC Denver THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
8110 E Union Avenue ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Suite 700 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Denver CO80237 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
(303)414-6000
INSURERS AFFORDING COVERAGE NAIC #
INSURED BT Construction, Inc. INSURER A: 'Travelers Prop. Casualty
1047338 9885 Emporia Street INSURER B: Pinnacol ASsUPance
Henderson, CO 80640
INSURER C
INSURER E
crV%1PPA _cc RTC()NO1
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED�ORNAMED ABOVE FTIse YiiHEWPOLICY PERIOD INDICATED. NOTWITHSTANDING R
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
LTR
ADD'L
INSRD
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMIDU/YY)
POLICY EXPIRATION
DATE (MMIDDfYY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000.000
A
X COMMERCIAL GENERAL LIABILITY
1)'I'000605C7181ND07
10/3/2007
10/3/2008
FIRE DAMAGE (Any one fire)
$ 300,000
MED EXP (Any one person)
S 5,000
CLAIMS MADE � OCCUR
PERSONAL B ADV INJURY
$ 1000000
GENERAL AGGREGATE
$ 2 000 000
GENT AGGREGATE LIMIT APPLIES PER:
PRO -
POLICY X JECT X LOC
PRODUCTS - COMPIOP AGG
$ 2. 000,000
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
DT8100605C718TIL07
10/3/2007
10/3/2008
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
BODILY INJURY
(Per person)
$ XXXXXXX
ALL OWNED AUTOS
SCHEDULED AUTOS
X
HIRED AUTOS
NON-OWNEDAUTOS
BODILY INJURY
(Per accident)
$ XXXXXXX
X
PROPERTY DAMAGE
(Per accident)
$ XXXXXXX
GARAGE LIABILITY
ANY AUTO
NOT'APPLICABLE
AUTO ONLY - EA ACCIDENT
$ XXXXXXX
OTHER THAN EA ACC
$ XXXXXXX
AUTO ONLY: AGG
$ XXXXXXX
A
EXCESSIUMBRELLA
X
LIABILITY
OCCUR �CLAIMSMADE
DISMCUP0605C718T11,07
10/3/2007
IO/3/2005
EACH OCCURRENCE
$ 1.000.000
AGGREGATE
$ 1.000.000
$ XXXXXXX
OUMBRELLA
$ XXXXXXX
DEDUCTIRI.E FORM
$ XXXXXXX
RETENTION $
E
WORKERS COMPENSATION AND
4023016
10/1/2007
10/1/2008
CSIT OTH-
X TWO
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
E. L. EACH ACCIDENT
$ 100,000
E.L. DISEASE - EA EMPLOYEE
$ 100,000
OFFICER/MEMBER EXCLUDED?
If're, describeunaor NAi
SPECIAL PROVISIONS below No
E.L. DISEASE-POLICYLIMIT
$ 500,000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: Job, No. 63745 - Mason and Olive.
3572128 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
C.Ity of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
76 Wood Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Fort Collins, CO 80521 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESE9011VT E
heyele IV
ACORD 25(2001/08) For questions regarding this certificate, contact the number listed in the 'Producer section above andsaecitvbe client code'BTCONmt 4ACORD CORPORATION ICIRA