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HomeMy WebLinkAboutMOUNTAIN CONSTRUCTORS - INSURANCE CERTIFICATE (2)ACORD„ CERTIFICATE OF LIABILITY INSURANCE %zs/2008 PRODUCER (303)824-6600 FAX: (303)370-0118 Mood Insurance Agency, Inc. Y Yr 3773 Cherry Creek North Drive Suite 800 Denver CO 80209-3804 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Mountain Constructors, Inc. 622 Main Street PO BOX 405 Platteville CO 80651 INSURER A: Bituminous Casualty Corp 02075 INSURERS Pinnacol Assurance 41190 INSURER C: INSURER D: INSURER ErOVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING AN 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. LIMITS SHOWN MAYH I CLAIMS. INSR OD'L TYPEOFINSURANCE POUCYNUMBER DATE(MW�UINYYYI VE ?DATE MMIDD/ EXPIRATIONOLICY LIMITS A X GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY I CLAIMS MADE ❑X OCCUR CLP3255548 Add'l Insured per Form GL-3088 (01-06) Attached 7/28/2008 7/28/2009 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea o rren $ lOO,000 MED EXP (Am one ersoa $ 5,000 PERSONAL SAW INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE POUCV LIMIT APPLIES PER: X JECT LOC PRODUCTS - COMPIOP AGO $ 2,000,000 A AUTOMOBILE LIABILITY ANYAUTO ALLOWNEDAUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CAP3523564 7/28/2008 7/28/2009 COMBINED SINGLE LIMIT (Ea accident) $ 1, UUU,UUU X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANYAUTO AUTO ONLY - EA ACCIDENT $ OTHERTHAN EA ACC AUTO ONLY: AGO $ $ A EXCESSIUMBRELLA LIABILITY X OCCUR CI -AIMS AIMS MADE DEDUCTIBLE X RETENTION S 10,000 CUP2583670 7/28/2008 7/28/2009 EACH OCCURRENCE $2,000,000 AGGREGATE $ 2,000,00 D $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTNE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS PsIrey 3027994 7/1/2008 7/1/2009 X C STATIT OTH- S ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 OTHER ERATIONWLOCATIONSMEHICLEWEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 287/South College Avenue Bike Lanes Collins is named as Additional Insured as respects General Liability. 10 Day Notice of Cancellation n-Payment of Premium This certificate is subject to the terms, conditions, and exclusions of the F City of Fort Collins 215 North Mason Street 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) Charlene Navarra, ��LaL,i-c�F•--e_ ® 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 25 (2001/08) INS025Ioioel.oea Pave a az THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LAND IMPROVEMENT CONTRACTORS EXTENDED LIABILITY COVERAGE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM It is agreed that the provisions listed below apply only upon the entry QX in the box next to the caption of of such provision. A. Q Partnership and Joint Venture Extension B. OX Contractors Automatic Additional Insured Coverage C. 0 Automatic Waiver of Subrogation D. XQ Extended Notice of Cancellation, Nonrenewal E. XQ Unintentional Failure to Disclose Hazards F. QX Broadened Mobile Equipment G. QX Personal Injury - Contractual Coverage H. XQ Nonemployment Discrimination I. Q Liquor Liability J. QX Broadened Conditions K. QX Automatic Additional Insureds— Equipment Leases L. QX Insured Contract Extension - Railroad Property and Construction Contracts M. EE Construction Project General Aggregate Limits N. XQ Fellow Employee Coverage O. ❑X Property Damage to the Named Insured's Work P. XD Care, Custody or Control A. PARTNERSHIP AND JOINT VENTURE EXTENSION The following provision is added to SECTION II - WHO IS AN INSURED: The last full paragraph which reads as follows: No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations. is deleted and replaced with the following: With respect to the conduct of any past or present joint venture or partnership not shown as a Named Insured In the Declarations and of which you are or were a partner or member, you, and others identified in items 1.e., 1.b., and 1.c., subject to the conditions and limitations contained therein, are insureds, but only with respect to liability arising out of 'your work' on behalf of any partnership or joint venture not shown as a Named Insured in the Declarations, provided no other similar liability insurance is available to you for 'your work" in connection with your Interest in such partnership or joint venture. A partnership or joint venture, not shown as a Named Insured in the Declarations, of which you have 33% or more ownership interest at the time of 'bodily injury' or 'property damage' caused by an 'occurrence' or "personal and advertising Injury" caused by an offense, is an insured, provided that no other similar liability insurance is available to that partnership or joint venture. GL-30B8 (01/06) -11- B. CONTRACTORS AUTOMATIC ADDITIONAL INSURED COVERAGE SECTION 11- WHO IS AN INSURED is amended to include; Any "owner", "contractor", "construction manager', 'engineer" or 'architect" if it is required in your written contract or written agreement executed by you and all other parties to the contract or agreement prior to any loss that such person(s) or organization(s) be added as an additional insured on your policy but only for the project designated in your written contract or written agreement and only with respect to "bodily injury," "property damage" or "personal and advertising injury" caused, at least in part, by your negligence and with respect to liability resulting from: A.. Your ongoing operations for the additional insured(s), or S. Acts or omissions of the additional insured(s) in connection with their general supervision of such operations. With respect to the insurance afforded such additional insureds pursuant to this endorsement and the above referenced General Liability Form, the following additional provisions apply to limit that coverage: 1. We will have no duty to defend the additional insured against any 'suit' seeking damages for *bodily Injury," 'property damage' or 'personal and advertising injury,' until we receive written notice from the additional Insured requesting that we defend it in the "suit.' 2. The Limits of Insurance applicable to the additional insureds under this endorsement are the minimum limits specified In the written contract or agreement requiring this coverage, or as stated in SECTION III - LIMITS OF INSURANCE of the COMMERCIAL GENERAL LIABILITY COVERAGE FORM, whichever is less. These Limits of Insurance are inclusive of and not in addition to the Limits of Insurance described in SECTION III of that form. S. As additional conditions of coverage under this form, an additional insured under this endorsement will as soon as practicable: a. Give written notice to us of an 'occurrence' or an offense which may result in a claim. This shall include: (1) How, when and where the "occurrence" or offense took place; (2) The names and addresses of any injured persons and witnesses; and (3) The nature and location of any injury or damage arising out of the'occurrence" or offense. b. Give written notice to us of a claim or "suit" brought against the additional Insured including specifics of the claim or 'suit' and the date it was received. c. Give written notice of such claim or "suit; Including a demand for defense and indemnity, to any other insurer who had coverage for the claim or "suit' under Its policy(les), either at the time of, or at any time subsequent to the occurrence of the "bodily injury; 'property damage" and/or the offense causing the "personal and advertising Injury,' which is the basis for such claims or 'suit". (1) Such notification must demand the full coverage available under that policy; and (2) The additional insured shall not take any action to waive or limit such other coverage available to it. GL-3088 (01/06) -2- 4. This insurance does not apply to: a. "Bodily injury" 'property damage' or 'personal and advertising injury" occurring after: l (1) All work on the project (other than service, maintenance, or repairs) to be performed by you or on your behalf for the additional insured(s) has been completed; or (2) That portion of 'your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. b. "Bodily injury" 'property damage" or "personal and advertising injury' resulting from any act or omission of the additional insured(s) or any of their employees, other than the general supervision of work performed for the additional insured(s) by you. c. "Bodily injury" 'property damage" or 'personal and advertising injury' resulting from work performed on a project where other valid and collectible insurance is available to the additional insured under an Owner Controlled Insurance Program or Consolidated (wrap-up) Insurance Program. d. "Bodily injury," "property damage" or "personal and advertising Injury': (1) Arising out of the rendering or failure to render any professional services by any insured, or on their behalf, but only with respect to either or both of the following operations; (a) Providing engineering, architectural or surveying services to others in the insured's Ccapacity as an engineer, architect or surveyor, and (b) Providing, or hiring independent professionals to provide, engineering, architectural or surveying services in connection with work the insured performs. (2) Subject to paragraph (S) below, professional services include: (a) The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders, or drawings and specifications; and (b) Supervisory or inspection activities performed as part of any related architectural or engineering activities but does not include the general supervision of your operations on such project. (3) Professional services do not include services within construction means, methods, techniques, sequences and procedures employed by you in connection with your operations as a construction contractor. For the purpose of this endorsement, the following definitions are added: "Owner" means a person or organization who has ownership in the project premises, designated in your written contract or written agreement, at which you are performing operations. 'Contractor' means a person or organization with whom you have agreed in a written contract or written agreement to perform operations for at the project designated in the written contract or written ( agreement. 'Construction Manager" means a person or organization designated as *construction manager' In your written contract or written agreement, and has management or supervisory responsibilities over your operations for the project designated In your written contract or written agreement. GL-3088 (O1/06) -3- "Engineer" means a person or organization who has been engaged by the 'owner", "contractor' or 'construction manager" to perform engineering services for the project designated in your written contract or written agreement and has a contractual responsibility for supervising, directing or controlling your operations on such project. 'Architect' means a person or organization who has been engaged by the "owner", 'contractor" or "construction manager" to perform architectural services for the project designated in your written contract or written agreement and has a contractual responsibility for supervising, directing or controlling your operations on such project. Any coverage provided herein will be excess over any other valid and collectable Insurance available to the additionalinsured(s) whether primary, excess, contingent or on any other basis unless you have agreed in a written contract or written agreement executed prior to any loss that this insurance will be primary. However, any other insurance specifically purchased for a designated project(s), including but not limited to additional insured coverage, owners contractors protective coverage, etc., will be primary with the insurance provided by this endorsement being excess. If this insurance is determined to be primary, we agree not to seek contribution from such other insurance only if you have so agreed in the written contract or written agreement. C. AUTOMATIC WAIVER OF SUBROGATION Item S. of SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, is deleted and replaced with the following: 8. Transfer of Rights of Recovery Against Others to Us and Automatic Waiver of Subrogation. a. If the insured has rights to recover all or part of any payment we have made under this Coverage Form, those rights are transferred to us. The insured must do nothing after loss to impair those rights. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them. r b. If required by a written contract executed prior to loss, we waive any right of recovery we may have against any person or organization because of payments we make for injury or damage arising out of "your work" for that person or organization. D. EXTENDED NOTICE OF CANCELLATION, NONRENEWAL Item A.2.b. of the COMMON POLICY CONDITIONS, is deleted and replaced with the following: A.2.b. 60 days before the effective date of the cancellation if we cancel for any other reason. Item 9. of SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, is deleted and replaced with the following: 9. WHEN WE DO NOT RENEW a. If we choose to nonrenew this policy, we will mail or deliver to the first Named Insured shown in the Declarations written notice of the nonrenewal not less than 60 days before the expiration date. b. If we do not give notice of our intent to nonrenew as prescribed in a. above, it is agreed that you may extend the period of this policy for a maximum additional sixty(60) days from its scheduled expiration date. Where not otherwise prohibited by law, the existing terms, conditions and rates will remain in effect during that extension period. It is further agreed that so long as it is not otherwise prohibited by law, this one time sixty day extension is the sole remedy and liquidated damages available to the insured as a result of our failure to give the notice as prescribed in 9. a. above. GL-3088 (01/06) -4-