Loading...
HomeMy WebLinkAbout162366 CARL WALKER INC - INSURANCE CERTIFICATE (2)AC-�, CERTIFICATE OF LIABILITY INSURANCE D 12/29/29/2008) ID008 PRODUCER 800-969-4041 FAX 800-969-4081 THIS CERTIFICATE IS ISSUED .AS A MATTER OF INFORMATION Professional Concepts Insurance Agency Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1127 S. Old US Highway 23 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Brighton, MI 48114 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC It wsuRED Carl Walker, Inc, WSURERA: Hartford Fire Insurance A+ Best Rtng. 5136 Lovers Lane INSURERS: Hartford Underwriters Ins, Co.A+ Best Rtng. Suite.200 INSURERc: Hartford Casualty Insurance A+ Best Rtng. Kalamazoo, MI 49002 INSURERD: XL Specialty A+ Best Rtng. *Covers All Offices* INSURERE: L:IJVILKA131=5 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRINSRE ADD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY 35SBWRU0693 12/31/2008 12/31/2009 EACHOCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGET -RENTED $ 300,000 CLAIMS MADE I I OCCUR MED EXP(Any one person) $ 10,000 A X X,C,U PERSONAL SADVINJURY $ 1,000,000 X Contract. Llab. GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS, COMP/OP AGG $ 2,000,00 POLICY X PRO- JECT LOC AUTOMOBILE LIABILITY 35UEGAF3505 12/31/2008 12/31/2009 ANY COMBINED SINGLE LIMIT $ X AUTO (Ea accident) 1,000,000 BODILY INJURY ALL OWNED AUTOS B SCHEDULED AUTOS (Per person) $ — BODILY INJURY $ HIRED AUTOS NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGO $ EXCESSIUMBRELLA LIABILITY 35SBWRU0693 12/31/2008 12/31/2009 EACH OCCURRENCE $ 5,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 5,000,00 A $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND 35WEGPN3645 12/31/2008 12/31/2009 X WCSTATU- OTH- C EMPLOYERS'LIABILITY ANY PROPRIETOPJPARTNEPJEXECUTIVE WAIVER OF SUBROGATION E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? yes, describePRO ndeISIO APPLIES E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT ... $ 1,000,000 S SPECIAL PROVISIONS below Professional DPR9615156 10/15/2008 10/15/2009 Limit: D Liability/Contractors $2,000,000 Each Claim ollution Liability$2,000,000 Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS roject #: R3-20077-037. ity of Fort Collins is named as Additional Insured as respects to General Liability only and would pply to the above named project so long s required within a written contract. City of Fort Collins Second Floor 215 North Mason Street PO Box 580 Fort Collins, CO 80522-0580 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 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE �,^/IG / n' p✓` Mike Cosgrove/KEL l)I 4 oa ACUKD ZD Izuu1fu8l ©ACORD CORPORATION 1988 A-C-0-RD CERTIFICATE OF LIABILITY INSURANCE iz/zizoos' PRODUCER 800-969-4041 FAX 800-969-4081 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Professional Concepts Insurance Agency Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1127 S. Old US Highway 23 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Brighton, MI 48114 INSURERS AFFORDING COVERAGE NAIC # INSURED Carl Walker, Inc. INSURERA: Hartford Fire Insurance A+ Best Rtng. 5136 Lovers Lane INSURERS: Hartford Underwriters Ins. Co.A+ Best Rtng. Suite 200 INSURERc: Hartford Casualty Insurance A+ Best Rtng. Kalamazoo, MI 49002 INSURERD: XL Specialty A+ Best Rtng. *Covers All Officesi0 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR ADD - TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE fmminDfyyi POLICY EXPIRATION DATE (MMIDDIWV 12/31/2009 LIMITS GENERAL LIABILITY 35SBWRU0693 12/31/2008 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED $ 300,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE r 7] OCCUR MED EXP (Any one person) $ 10,000 A X X X,C,U PERSONAL &ADV INJURY $ 1,000,000 X Contract. LTab. GENERALAGGREGATE $ 2,000,000 GENT, AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X PRO- LOC AUTOMOBILE LIABILITY ANY AUTO 35UEGAF3505 12/31/2008 12/31/2009 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ B ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY X OCCUR CLAIMS MADE 35SBWRU0693 12/31/2008 12/31/2009 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 A X $ $ DEDUCTIBLE $ RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 35WEGPN3645 WAIVER OF SUBROGATION APPLIES 12/31/2008 12/31/2009 X_J WC STATU- OTH- E.L. EACH ACCIDENT $ 1,000 000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1.000,000 Professional DPR9615156 10/15/2008 10/15/2009 Limit: D Liability/Contractors $2,000,000 Each Claim ollution Liability $2,000,000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS) VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS Project #: 113-2006-017. City of Fort Collins is named as Additional Insured as respects to General Liability only and would apply to the above named project so long as required within a written contract. City of Fort Collins Attn: Second Floor 215 North Mason Street P. 0. Box 580 Fort Collins, CO 80522-0580 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 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE I / MTke Cosgrove/KELa ACORD 25 (2001/08) ©ACORD CORPORATION 1988