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HomeMy WebLinkAboutTHE NEENAN COMPANY - INSURANCE CERTIFICATE (11)AC-ORD., CERTIFICATE OF LIABILITY INSURANCE Inizol0 DAT12/17/2008 PRODUCER Lockton 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 80237 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 4 0 _INSURERS AFFORDING COVERAGE I NAIC # INSURED The Neenan Company LLLP 1035820 2620 E. Prospect Road, Suite #100 Fort Collins, CO 80525 I INSURER B NATIONAL UNION FIRE I I I INSURER D: Steadfast Insurance Co. I I 1 I INsuRER E FIRF AN'S FUND INSURANCE CO COVPRAGP£ NFF(ICII) I TT I THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITIITF A 1.NTR4CT RPTwFFN TUG Igelub," Vtt YKVU VtK H[GtN ICgIEH LD THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 7HE 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 LTR ADVL INSRO TYPE OF INSURANCC POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDNY) POLICY EXPIRATION DATE (MM/DDNY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000 000 A X COMMERCIAL GENERAL LIABILITY Ci L0427719404 1/1/2009 j/I/20I0 DAMAGE TO RENTED nce PREMI Eaoccrne $ 300000 MED EXP (Any one person) $ 1 000 CLAIMS MADE El OCCUR PERSONAL & ADV INJURY $ 1000 000 GENERAL AGGREGATE $ 2,000,000 GENT. AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 21000,000 RO- POLICY X JPECT LOC A AUTOMOBILE LIABILITY BAP427719504 1/1/2009 1/I/2010 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) S I,000,000 BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (Per person) $ XXXXXXX HIRED AUTOS X BODILY INJURY $ XXXXXXX X NON-OWNEDAUTOS (Per accident) PROPERTY DAMAGE $ XXXXXXX (Per acadent) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX NOT APPLICABLE THAN EA ACC $ XXXXXXX ANY AUTO AUTO ON AUTO ONLY. AGE $ XXXXXXX H EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 10000000 X OCCUR Br727512X 2009 2010 CLAIMS MADE AGGREGATE S 10 000 000 $ XXXXXXX UMBRELLA El $ XXXXXXX DEDUCTIBLE FORM $ XXXXXXX RETENTION $ C WORKERS COMPENSATION AND 4025258 1/1/2009 1/1/2010 X WCSTATU- OTH- EMPLOYERS' LIABILITY E.L EACI I ACCIDENT $ 1,000,000 ANY PROPRIETORIPARTNER/EXECUTIVE Oy MEMBER EXCLUDED?a E.L. DISEASE - EA EMPLOYEE $ 1,000,000 describe ender yes.es, dee No EL DISEASE -POLICY LIMIT $ 1,000,000 SPECIAL PROVISIONS below 1� F)Pnofiessional F00534253304 1/1/2009 1/1/2010 D)LimiI SI,000,000 L')Buildeis Risk MZ198475983 1/1/2009 l/t/2010 B) Linut$15,612,833 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS City of Fort Collins is listed as Additional Insured with respect to General Liability. ....... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 13EFORE THE EXPIRATION City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL 009[94X46)TM MAIL 30 DAYS WRITTEN Attn: Mr. James B. O'Neill NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 215 Nor lh Mason Avenue )NJ49SXxx)0,"X,pN)0RXI xWy�1x@yX�X xn6r�3Eix=x��gT�x Fort Colllins CO II0521 AUTHORIZED REPRES T E C ACORD 26(2001108) For questions regarding Nis ce,titicate, contact tire number listed in the 'Produceesection above and sPecifybe client code'NEECOH'. ACORD CORPORATION 9QRR 4. Any organization you newly acquire or form, other than a partnership or joint venture, and over which you maintain ownership or majority interest, will qualify as a Named Insured if there is no other similar insurance available to that organization. However: a. Coverage under this provision is afforded only until the 180th day after you acquire or form the organization or the end of the policy period, whichever is earlier; b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; and C.. Coverage B does not apply to "personal and advertising injury" resulting from an offense committed before you acquired or formed the organization, 5. Any person or organization to whom onto which you are obligated by virtue of a written contract, agreement or permit to provide such insurance as afforded by this policy is an insured, but only with respect to liability resulting from: a. "Your work" for that insured by you; b. Permits issued by state or political subdivisions for operations performed by you; or c. Premises you own, rent, occupy or use. This provision does not apply unless the written contract or agreement has been executed, or the permit has been issued, prior to the "bodily injury", "property damage", or "personal and advertising injury". This provision does not apply to any person or organization for "your products". The ADDITIONAL INSURED - VENDORS endorsement must be attached to the policy to provide coverage for "your products". 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, SECTION III - LIMITS OF INSURANCE 1. The Limits of Insurance shown in the Declarations and the rules below fix the most we will pay regardless of the 1 number of: a.. Insureds; b.- Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". d. Persons or organizations included by virtue of written contract, agreement or permit. Their Limits of Insurance shall be the limit required by that written contract, agreement or permit or the Limits of Insurance of this policy, whichever is less, and shall not be in -addition to the Limits of Insurance shown in the Declarations. 2. The General Aggregate Limit is the most we will pay for the sum of: a. Medical expenses under Coverage C; b. Damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the "products -completed operations hazard"; and c. Damages under Coverage B. 3. The Products -Completed Operations Aggregate Limit is the most we will pay under Coverage A for damages because of "bodily injury" and "property damage" included in the "prod ucts=complated operations hazard", 4. Subject to 2. above, the Personal and Advertising Injury Limit is the most we will pay under Coverage B for the sum of all damages because of all "personal and advertising injury" sustained by any one person or organization. 5. Subject to 2.'or 3. above, whichever applies, the Each Occurrence Limit is the most we will pay -for the sum of: a. Damages under Coverage. A; and b. Medical expenses under Coverage C because of all "bodily injury" and "property damage" resulting from any one "occurrence". 6. Subject to 5. above, the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of "property damage" to any one premises, while rented to you, or in the case of damage by fire, while rented to you or temporarily occupied by you with permission of the owner. UND 247 04 02 Page 10 of 16 7, All interest on the full amount of any judgment that accrues after entry of the judgment and before we have paid, offered to pay, or deposited in court the part of the -judgment that is within the applicable limit of insurance. These payments will not reduce the limits of insurance, SECTION II - WHO IS AN INSURED If you are designated in the Declarations as:; a. An individual, you and your spouse ard:insureds, ,but only with respect to the conduct of a business of which you are the sole owner. b. A partnership or joint venture, .you are'ah insured.• Your members, your partners, and their spouses are also insureds, but only with respect to the••conduct of your business. c. A limited liability company, you are an insured. Your members are also insureds, but only with respect to the conduct of your business, Your managers are insureds, but only with respect to their duties as your managers. d. An organization other than a partnership, joint venture or limited liability company, you are an insured. Your "executive officers" and directors are. insureds, but only with respect to their duties as your officers or directors. Your stockholders are. also insureds, but only with respect to their liability as stockholders. e: A trust, you are an insured, Your trustees• are also insureds, but only with respect to their duties as trustees. 1 2. Each of the following is also an insured: a. Your "volunteer workers" only while performing duties related to the conduct of your business, or your employees, other than either your "executive officers" (if you are an organization .other than a partnership, joint venture or limited liability company) or your managers (if you are a limited liability company), but only for acts within the scope of their employment by you, including rendering first aid in an emergency. However, none of these employees or "volunteer workers" are insureds for: (1) "Bodily, injury" or "personal and advertising injury": (a) To you, to your partners or members (if you are a• partnership or joint venture), to your members '(if you are a limited liability company), a co -employee -while in the course of his or her employment or performing duties related to the conduct of your -business, or to your other "volunteer workers" while performing duties related to the conduct of your business; (b) To the spouse, child, parent,, brother or sister of that co -employee as a consequence of Paragraph (1)(a) above; (c) For which there is any' obligation to share ,damages with or repay someone else who must pay damages because of the injury described in Paragraph (1)(a) or (b) above. (2) "Property damage" to property: (a) 'Owned, occupied or used by; . (b) Rented to, in the care, custody or control of, or over which physical control is being exercised for any purpose by you, any of your employees, "volunteer .workers", any partner or member (if you are a partnership or joint venture), or any. member (if you are a limited liability company). b. Any person (other than your,employee or. "volunteer worker"), or any organization while acting as your real estate manager. c. Any person or organization having proper temporary custody of your property if you die, but only: (1) With respect to liability resulting from the maintenance or use of that property; and (2) Until your legal representative has'been appointed, d. Your legal representative if you die, but only with respect to duties as such. That representative will have all your rights and duties under this Coverage Part. ' • 3. With respect to "mobile equipment" registered in your name under any motor vehicle registration law, any person is an insured while driving such equipment along a public highway with your permission. Any other person or organization responsible for the conduct of such person is also an insured, but only with respect to liability resulting from the operation of the equipment, and only if no other insurance of any kind is available to that person or organization for this liability. However, no person or organization is an insured with respect to: a. "Bodily injury" to a co -employee of the person driving the equipment; or b. "Property damage" to property owned by, rented to, in the charge of or occupied by you or the employer of any person who is an insured under this provision. UND 247 04 02 Page 9 of 16 No Text DESCRIPTIONS (Continued from Page 1) if required by written contract and coverage applies only as respects work performed by the Insured for the Additional Insureds. All coverage terms, conditions and exclusions of the policy apply. Additional Insureds: City of Fort Collins, Colorado The Additional Insured endorsement which is referenced above under "Type of Insurance -General Liability" is attached. This Certificate of Insurance represents coverage currently in effect and may or may not be in compliance with any written contract. * The following cancellation conditions always apply: - 10 days for non-payment of premium - If policy shown, 10 days for Workers' Compensation for fraud; material misrepresentation; non-payment of premium; other reasons approved by the Commissioner of Insurance AMS 25.3 (2001/08) 3 of 3 #M615852 No Text 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-S (2001/08) 2 of 3 #M615852 No Text No Text Additional Insured — Automatic - Owners, Lessees Or Contractors - Broad Form Policy No. Eff. Date of Poi Exe Date of POI. _I Eff. Date of End. Producer�AWL Prem Retum Prem. GLO427719d04 Ul/Ol/2009 Ol/Ol/2010 - O1/01/2009 r LOCR'I'ON Included N/A THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Par! A. WHO IS AN INSURED (Section m is amended to include as an insured any person or organization whom you are re- quired to add as an additional insured on this policy under a written contract or written agreement B. The insurance provided to additional insureds applies only to 'bodily injury", "property damage" or "personal and adver- tising injury" covered under Section I, Coverage A, BODILY INJURY AND PROPERTY DAMAGE LIABILITY and Coverage B, PERSONAL AND ADVERTISING INJURY LIABILITY, but only if: 1. The "bodily injury" or "property damage" results from your negligence; and 2. The "bodily injury", "property damage" or "personal and advertising injurf results directly from: a. Your ongoing operations; or b. "Your work" completed as included in the "products -completed operations Imm X, performed for the additional insured, which is the subject of the written contract or written agreement. C. However, regardless of the provisions of paragraphs A. and R above: 1. We will not extend any insurance coverage to any additional insured person or organization: a. That is not provided to you in this policy; or b. That is any broader coverage than you are required to provide to the additional insured person or organization in the written contract or written agreement; and 2. We will not provide Limits of Insurance to any additional insured person or organization that exceed the lower of: a. The Limits of Insurance provided to you in this policy; or b. The Limits of Insurance you are required to provide in the written contract or written agreement. D. The insurance provided to the additional insured person or organization does not apply to: 1. "Bodily injury', "property damage" or "personal and advertising injury" that results solely from negligence of the ad- ditional insured; a U.M.1175•A CW (9/03) rage 1 or 2 Includes copyrighted material of Insurance Services Office, Inc. with its permission. AGENT COW 2. "Bodily injur/', "property da...ge' or "personal and advertising injury" arisit_ jut of the rendering or failure to render any professional architectural, engineering or surveying services including: a. The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, Held orders, change orders or drawings and specifications; and b. Supervisory, inspection, architectural or engineering activities. E. The additional insured must see to it that: 1. We are notified as soon as practicable of an "occurrence" or offense that may result in a claim: 2. We receive written notice of a claim or "suit" as soon as practicable; and 3. A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured also has rights as an insured or additional insured. F. The insurance provided by this endorsement is primary insurance and we will not seek contribution from any other insurance available to any additional insured person or organization unless the other insurance is provided by a con- tractor other than you for the same operations and job location. Then we will share with that other insurance by the method described in paragraph 4.c. of SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS. Any provisions in this Coverage Part not changed by the terms and conditions of this endorsement continue to apply as written. v-GLrWS-A cw p/ea) rapzorz AGENT COPY POLICY NUMBER: BAP 4277195-04 COMMERCIAL AUTO CA 20 0103 06 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LESSOR - ADDITIONAL INSURED AND LOSS PAYEE This endorsement modifies insurance provided under the following: . BUSINESS AUTO COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM GARAGE COVERAGE FORM. MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fied by the endorsement This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Endorsement Effective Date: Countersignature Of Authorized Representative Name: Title: Signature: Date: SCHEDULE Insurance Company: Policy Number: Effective Date: Expiration Date: Named Insured: Address: Additional Insured (Lessor): ALL LESSORS Address: Designation Or Description Of "Leased Autos": ALL LEASED AUTOS coverages Limit Of Insurance Liability $ 1 000 000 Each "Accident" Actual Cash Value Or Cost Of Repair Whichever Is Less, Minus Comprehensive $ SEE SCHEDULE Deductible For Each Covered "Leased Auto" Collision Actual Cash Value Or Cost Of Repair Whichever Is Less, Minus $ SEE SCHEDULE Deductible For Each Covered "Leased Auto" Specified Actual Cash Value Or Cost Of Repair Whichever Is Less, Minus . Causes Of Loss $ Deductible For Each Covered "Leased Auto" F—Information rLquired to complete this Schedule. if not shown above wilf be shown in the Declarations. A. Coverage "auto' you own and not a covered "auto' you 1. Any 'leased auto' designated or described in hire or borrow. the Schedule will be considered a covered CA 20 01 03 06 Copyright, ISO Properties, Inc., 2005 Page 1 of 2 UNIFORM .2. For a "leased auto" designated or described in the Schedule, Who Is An fnsursd is changed to include as an insured" the lessor named in the Schedule. However, the lessor is an "in- sured" only for "bodily injury" or "property damage" resultingfrom the acts or omissions by: a. You; b. Any of your "employees" or agents; or c. Any person, except the lessor or any "employee" or agent. of the lessor, oper- ating a "leased auto" with the permission of any of the above. 3. The coverages provided under this endorse- ment apply to any "leased auto" described in the Schedule until the expiration date shown in the Schedule, or when the lessor or his or her agent takes possession of the "leased auto", whichever occurs first. B. Loss Payable Clause 1. We will pay, as interest may appear, you and the lessor named in this endorsement for "loss" to. a "leased auto". 2. The insurance covers the interest .of the les- sor unless the "loss" results from fraudulent acts or omissions on your part. 3. If we make any payment to the lessor, we will obtain his or her rights against any other party. C. Cancellation 1. If we cancel the policy, we will mail notice to the lessor in accordance with the Cancellation Common Policy Condition. 2.. If you cancel the policy, we will mail notice to the lessor. 3. Cancellation ends this agreement B. The lessor is not liable for payment of your premi- ums. E. Additional Definition . As used in this endorsement: "Leased auto" means an "auto" leased or rented to you, including any substitute, replacement or extra "auto" needed to meet seasonal or other needs, under a leasing or rental agreement that requires you to provide. direct primary insurance for the lessor. Page 2 of 2 Copyright, ISO Properties, Inc., 2005 CA 20 01 03 06 PI NifO AC®L ASSURANCE INSURED: NEENAN EMPLOYEES HOLDING COMPANY INC ATTN: RYAN DELLOS - ACCOUNTING 2620 E PROSPECT RD. STE 100 FORT COLLINS CO 80525 ENDORSEMENT: Blanket Waiver of Subrogation 7501 E Lowry Blvd Denver, CO 80230.7006 Phone: (303) 361-4000 / (800) 873-7242 Fax: (303) 361-5000 / (888) 329-2251 NCCI #: WC000313B Policy #: 4025258 AGENT: LOCKTON COMPANIES OF COLORADO, INC. 8110 E. UNION AVE., SUITE 700 DENVER, CO 80237-2984 (303) 414-6000 We have the right to recover our payments from anyone liable for any injury covered by this policy. We will not enforce our right against the person or organization named in the schedule. This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us. This agreement shall not operate directly or indirectly to benefit anyone not named in the schedule. f.Y410110(r1�A To any person or organization when agreed to under a written contract or agreement, as defined above and with the insured, which is in effect and executed prior to any loss. Effective Date: January 1, 2009 Expires on January 1, 2010 Pinnacol Assurance has issued this endorsement December 16, 2008, Sarah Bensman Underwriter Pinnacol Assurance' 7501 E Lowry Blvd' Denver, CO 80230 Page 1 of 1 BENSMANS - Undemiter 121161200818:32:58 4025258 Updated: 05/09/2007 359-B No Text 7. Subject to 5. above, the Medical ,,,,<pense Limit is the most we will pay unu,,, Coverage C for all medical expenses because of "bodily injury" sustained by any one person, The limits of this Coverage Part apply separately to each consecutive annual period and to any remaining period of less than 12 months, starting with the beginning of the policy period shown in the Declarations, unless the policy period is extended after issuance for an additional period of less than 12 months. In that case, the additional period will be deemed part of the.last preceding period for purposes of determining the Limits of Insurance. SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS 1. Bankruptcy Bankruptcy or insolvency of the insured or of the insureds estate will not relieve us of our obligations under this Coverage Part. 2. Duties In The Event. Of Occurrence, Claim or Suit a. You must see to it that we are notified as soon as practicable of an "occurrence" or an offense which may result in a claim. Knowledge of an "occurrence" or an offense by your employees shall not, in itself, constitute knowledge to you unless your partners, "executive officers", directors or insurance manager shall have actually received notice. To the extent possible, notice should 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. If a claim is made or "suit" is brought against any insured, you must: 11) Immediately record the specifics of the claim or "suit" and the date received; and (2) Notify us as soon as practicable. You must see to it that we receixie•written notice of the claim or "suit" as soon as practicable. c. You and any other involved insured must: (1) Immediately send us copies of any demands, notices, summonses or legal papers received in connection with the claim or "suit"; (2) Authorize us to obtain records and other information; (3) Cooperate with us in the investigation, settlement or defense of the claim or "suit"; and (4) Assist us, upon our request, in the enforcement of any right against any person or organization which may be liable to the insured because of injury or damage to which this insurance may also apply. d. No insured will, except at that insured's own cost, voluntarily make a payment, assume any obligation, or incur any expense, other than for first aid, without our consent. 3. Legal Action Against Us No person or organization has a right under this Coverage Part: R. To join us as a parry or otherwise bring us into a "suit" asking for damages from an insured; or b. To sue us on this Coverage Part unless all of its terms have been fully complied with. A person or organization may sue us to recover on an agreed settlement or on a final judgment against an insured but we will not be liable for damages that are not payable under the terms of this Coverage Part or that are in excess of the applicable limit of insurance, An agreed settlement means a settlement and release of liability signed by us, the insured and the claimant or the claimant's legal representative. 4. Otherinsurance If other valid and collectible insurance is available to the insured for a loss we cover under Coverage A or B of this Coverage Part, our obligations are limited as follows: a. Primary Insurance This insurance is primary except when In. below applies. If this insurance is primary, our obligations are not affected unless any of the other insurance is also primary. Then, we will share with all that other insurance by the method described in a below. b. Excess Insurance UND 247 04 02 Page 11 of 16