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HomeMy WebLinkAboutBRB CONTRACTORS - INSURANCE CERTIFICATE (3)ACORD,M CERTIFICATE OF LIABILITY INSURANCE PRODUCER Phone: 913-341-8998 Fax: 913-341-2923 Cretcher Heartland Incorporated 4551 West 107th Street, Third Floor Overland Park KS 66204 INSURED BRB Contractors, Inc. 3805 NW 25th Street Topeka KS 66618 IVVCRHVCJ ONLY AND CI HOLDER. THIS INSURERS AFFORDING COVERAGE DATE (MMIDDIYYYY) 3/24/2009 A MATTER OF INFORMATIOt "S UPON THE CERTIFICATE S NOT AMEND, EXTEND OF D BY THE POLICIES BELOW NAIC # 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, LTR ILTR OD'y POLICY NUMBER POLIE(MINDONY1 MI POLICYEM/DDNION E MM D V LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE LJOCCUR - DAMAC>ETORENTEDPREMISE8IEa occurencel- ------"--' $ MED EXP(Any one person) $ ADV INJURY _PERSONAL& GENERAL AGGREGATE _$ $ GENIAGGREGATE LIMITAPPLIES PER: _ _ PRODUCTS-COMP/OPAGG $ PRO- LOG POLICY - — AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Eaaccident) $ -----------�— ALLOWNEDAUTOS- SCHEOULEDAUTOS BODILY INJURY (Perparson) $ ----_-__- ----- HIRED AUTOS NON-OWNEDAUTOS BODILY INJURY (Peraccident) $ — PROPERTYDAMAGE (Per accident) $ ---"-'---- ---- GARAGE LIABILITY AUTOONLY-EAACCIDENT --__ $ --------�- OTHERTHAN EAACC $ -- ANY AUTO _ $ AUTOONLY: AGG A EXCESS/UMBRELLA_ LIABILITY OCCUR (-� CLAIMS MADE AUCS91934403 4/1/2009 4/1/2010 EACH OCCURRENCE ----— $ 1(),0 OO., AGGREGATE $ 10, 20 0QQQQ_ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERTLIABILITY - SQRYTfA IT$ OTHH-- -- — - - - ANYPROPRIETOR/PARTNEWEXECUTIVE E.L.EACH ACCIDENT $ OFFICEWMEMBER EXCLUDED? I(yes, describe under EA. DISEASE_ EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ SPECIAL PROVISIONS below B OTHER Builders Risk Boiler & Machinery QT6307644B709 4/l/2009 4/1/2010 Coverage & Limit See Below ed $10, 000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS SHOULD ANY OF' THE ABOVE DESCRIBED POLICIES BE CANCELLED James O'Neill, CPPO, FNIGP, City Of Fort BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER % WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE Collins, Director Purchasing & Risk Mgt CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO 215 North Mason St., 2nd Floor SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON Fort Collins CO 80524 THE INSURER, ITS AGENTS OR REPRESENTATIVES. ACORD 25 (2001/08) AUTHORIZED REPRESENTATIVE ©ACORD 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. AGUKU 25 (ZUU1/US)