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HomeMy WebLinkAboutTHE NEENAN COMPANY - INSURANCE CERTIFICATE (12)ACORDou CERTIFICATE OF LIABILITY INSURANCE ,nizo,o 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 Suite700 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Denver 80237 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (303) 414-6000 INSURERS AFFORDING COVERAGE I NAIC # INSURED The Neenan Company LLLP 1060993 2620 E. Prospect Road, Suite 4100 Fort Collins, CO 80525 I INSURERB NATIONAL UNION FIRE I I I INSURER D: Steadfast Insurance Co. I I COVFPAnFA NEF.0001 TH THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWI7HSTANDIM 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 ADDT INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMMIDD/YYI POLICY EXPIRATION DATE (MMIDDIYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000 000 A X COMMERCIAL GENERAL LIABILITY GL0427719404 1/1/2009 1/1/2010 DAMAGE TO RENTED PRE ISE$ a eccurence _ $ 300,000 MED EXP (Any one person) _ $ 10,000 CLAIMS MADE a OCCUR PERSONAL & AOV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ 2,000,000 PRO- POLICV X JECT LOC A AUTOMOBILE X LIABILITY ANY AUTO BAP427719504 1/1/2009 1/1/2010 COMBINED SINGLE LIMIT (Ea accident) $ ],000,OOO BODILY INJURY (Per person) $ XXXXXXX ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ XXXXXXX HIREDAUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) S XXXXXXX GARAGE LIABILITY ANY AUTO NOTAPPLICABLB AUTO ONLY - EA ACCIDENT $ XXXXXXX OTHER THAN EAACC $ XXXXXXX AUTO ONLY. AGO $ XXXXXXX H EXCESS/UMBRELLA X LIABILITY OCCUR CLAIMS MADE B1c7275128 I/1/2009 1/1/2010 EACH OCCURRENCE $ 10,000,000 AGGREGATE S 10,000,000 $ XXXXXXX a UMBRELLA S XXXXXXX DEDUCTIBLE FORM $ XXXXXXX RETENTION $ WORKERS COMPENSATION AND 4025258 1/1/2009 1/1/2010 X WCSTATU- OTH- 11t EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 E.L.DISEASE - EA EMPLOYEE $ I,000,000 OFFCERIMEMBER EXCLUDED? ff,,,desanhemder SPECIAL PROVISIONS our., NO E. L. DISEASE -POLICY LIMIT S 11000000 OTHER D Professional F00534253304 1/1/2009 I/1/2010 Limie$5,000,000 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS RE: 111886 Police Services facility. Cil , of Fort Collins, Fort Collins Capital Leasing Cor>oralion, Fort Collins Police Services Facility, 2221 South Timberline Rd, Ft Collins, 80525, and lJS Bank National Association are included as AdZional Insured as respects General & Auto Liability, If i I 11�. r r r SHOULD ANY OF THE ABOVE DESCRIBED POLICIES ��.Bt�yE,,NCANCELLED BEFORE THE EXPIRATION City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL 6 pY%XC*)TA MAIL 30 DAYS WRITTEN Attn: Jim O'Neill, Purchasing Division NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,)(tXXAUft)tXP:(X$)6Dt IX PO Box 580 yMrDSXX k&3 GRpKh9XKXi3 [DYY[9EX4TGYt3Nr4A90NXHExN6ttiE hTXX NrisX9C Fort Collins, CO 80522 AUTHORIZED REPRES T E we 4 ACORD 25(2001/08) For questions regarding this certificate. contest the nutnoe,Mea in the'Producoe section ai endsP.riryae orient code•NEEeo%'. ACORD CORPORATION 1AAS No Text Additional Insured - Automatic - Owners, Lessees Or Contractors - Broad Form Policy Nn. Eff. Date of Pol Ex . Date of Pol. Eff. Date of End. Producer Add'L Prem Retum Prem. GL0427719404 01/01/2009 01/01/2010 01/01/2009 LOCRTON Included N/A THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ rr CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A WHO IS AN INSURED (Section H) 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 L Coverage A, BODILY INJURY AND PROPERTY DAMAGE LIABILITY and Coverage B, PERSONAL AND ADVERTISING INJURY LIABILITY, but only if: 1. The "bodily injur/ or "property damage" results from your negligence; and 2. The 'bodily injury', "property damage" or "personal and advertising injur/ results directly from: a. Your ongoing operations; or b. "Your work" completed as included in the "products -completed operations bazmd", 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 B. above: L 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; or U-GL-WS-A CW (9/03) Page t or 3 Includes copyrighted material of Insurance Services Office, Inc. with its permission. AGENT COPY 2. "Bodily injury', "property da...ge" or "personal and advertising injury" arisL_ 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, field 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 LLIBILM CONDMONS. Any provisions in this Coverage Part not changed by the terms and conditions of this endorsement continue to apply as written. U41,1175•A CW (9/03) Page 3 of I AGEW 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 modes 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. Insured: Date: Signature: SCHEDULE r om aner:ate:red: Additional Insured (Lessor): ALL LESSORS Address: Designation Or Description Of "Leased Autos": ALL LEASED AUTOS Covers es Limit Of lnsuranca Liabili $ 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" Actual Cash Value Or Cost Of Repair Whichever Is Less, Minus Collision $ SEE SCHEDULE Deductible For Each Covered "Leased Auto" Specified Actual Cash Value Or Cost Of Repair Whichever Is Less, Minus . "Leased Causes Of Loss S Deductible For Each Covered Auto" Information wired to com fete this Schedule I not shown above will be shown in the Declarations. A. Coverage "o"auto" you own and not a covered "autyou hire or borrow. 1. Any "leased auto" designated or described in 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 Insured 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" resulting from 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 D. 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 66 P1NNACOL ASSURANCE 7501 E Lowry Blvd Denver, CO 80230-7006 Phone: (303) 361-40001 (800) 873-7242 Fax: (303) 361-50001(888) 329.2251 NCCI #: WC000313B Policy #: 4025258 INSURED: AGENT: NEENAN EMPLOYEES HOLDING COMPANY INC LOCKTON COMPANIES OF COLORADO, INC. ATTN: RYAN DELLOS - ACCOUNTING 8110 E. UNION AVE., SUITE 700 2620 E PROSPECT RD. STE 100 DENVER, CO 80237-2984 FORT COLLINS CO 80525 (303) 414-6000 ENDORSEMENT: Blanket Waiver of Subrogation 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. SCHEDULE 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 Undervrtlier 121161200818:32:58 4025258 Updated 05/0912007 359 8 No Text