Loading...
HomeMy WebLinkAbout268168 IDEAL FENCING CORP - INSURANCE CERTIFICATEClient#: 51945 BIDEAFEN ACORD., CERTIFICATE OF LIABILITY INSURANCE DATE ) 04129109D PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HRH of Colorado ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 720 South Colorado Boulevard HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 60ON Denver, CO 80246 INSURERS AFFORDING COVERAGE NAIC.# INSURED Ideal Fencing Corporation 5795 Ideal Drive Erie, CO 80516 INSURER A: Charter Oak Fire Insurance Company 25615 INSURER B: Travelers Property Casualty Company 36161 INSURER C: Pinnacol Assurance 41190 INSURER D: INSURER E: COVERAGES 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 LTR ADD' INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD POLICY EXPIRATION DATE MM/DD LIMITS A GENERAL LIABILITY C0074BC220TIA08 10/01/08 10/01/09 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TOPREMISES RENTED 000 CLAIMS MADE F xJ OCCUR nce)$300 MED EXP (Any one person) $5 000 PERSONAL & ADV INJURY $1 000 000 X Ltd Pollution AI# CG D2 45 08/05 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 RO- POLICY X PRO LOC B AUTOMOBILE LIABILITY X ANY AUTO 8100748C220TIL08 10/01/08 10/01/09 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Per accident) $ X Ltd Pollution PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG B EXCESS/UMBRELLA LIABILITY _X1 OCCUR CLAIMS MADE CUP074BC220TIL08 10/01/08 10/01/09 EACH OCCURRENCE s2,000,000 AGGREGATE s2,000,000 $ $ DEDUCTIBLE $ X RETENTION $ 10 000 C WORKERS COMPENSATION AND 4058096 10/01/08 10/01/09 - X WC STATU-LIMITT OTHLEL EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $500000 E.L. DISEASE - EA EMPLOYEE $SOO OOO OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 1 $500000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Project Description: Fort Collins Police Station PO# 9952544 IFC# 1399 (See Attached Descriptions) a.crc i irww i c nvLur-rt GANGtLLA I ION City of Fort Collins Accounting Department PO Box 580 Fort Collins, CO 80522-0580 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3n* DAYS WRITTEN ,E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL iE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVE 0. a,. ACORD 25 (2001/08) 1 of 3 #S632048/M606778 8MSTY 0 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. i ACORD 25S (2001/08) 2 of 3 4S632048/M606778 The following:are Additional lnsureds:as respects General Liability only 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 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 AM5 25.3 (Z001108) 3 of.3 #5632048/M606778 ER AIZ SENERA—LiABItIT1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. WHO IS AN INSURED. — (Section II) is. amended c) to include any person or organization that you agree in a "written contract requiring insurance" to include as an additional insured on this Cover- age Part, but: a) Only with respect to liability for "bodily injury", "property damage" or "personal injury"; and b) If, and only to the extent that, the injury or damage is caused by acts or omissions of you .or your subcontractor in the performance of "your work" to which the "written contract requiring insurance" applies.. The person or organization does not qualify as an additional insured with respect to the independent acts or omissions of such person or organization. 3, 2. The insurance provided to the additional insured by this endorsement is limited as follows: a) In the event that the Limits of Insurance of this Coverage Part shown in the Declarations exceed the limits of liability, required by the "written contract requiring insurance", the in- surance provided to the additional insured shall be limited to the limits, of liability re- quired by that "written contract requiring in- surance". This endorsement shall not in- crease the limits of insurance described in Section Ill — Limits Of Insurance. b) The insurance provided to the additional in- sured does not apply to "bodily injury", "prop- erty damage" or "personal injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or sur- veying services, including: i. The preparing, approving, or failing to prepare or approve, maps, shop draw- ings, opinions, reports, surveys, field or- ders or change orders, or the preparing, approving, or failing to prepare or ap- prove, drawings and specifications; and ii. Supervisory, inspection, architectural or engineering activities. The insurance provided to the additional in- sured does not apply to "bodily injury" or "property damage" caused by "your work" and included in the "products -completed op- erations hazard" unless the "written contract requiring insurance" specifically requires you to provide such coverage for that additional insured, and then the . insurance provided to the additional insured applies only to such "bodily injury" or "property damage" that oc- curs before the end of the period of time for which the "written contract requiring insur- ance" requires you to provide such coverage or the end of the policy period, whichever is earlier. The insurance provided to the additional insured by this endorsement is excess .over any valid and collectible "other insurance", whether primary, excess, contingent or on any other basis, that is available to the additional insured for loss we cover under this endorsement. However, if the "written contract requiring insurance" specifically requires that this insurance apply on a primary basis or a. primary and non-contributory basis, this insurance is primary to "other insurance" available to the additional insured which covers that person or organization as a named insured for such loss, and we will not share with that "other insurance". But the insurance provided to the additional insured by this endorsement still is excess over any valid and collectible "other in- surance", whether. primary, excess, contingent or on any other basis, that is available to the addi- tional insured when that person or organization is an additional insured under such "other insur- ance". 4. As a condition of coverage .provided to the additional insured by this endorsement: a) The additional insured must give us written notice as soon as practicable of an "occur- rence" or an offense which may result in a claim. To the extent possible, .such notice should include: CG D2 46 08 05 nl� Q7C © 2005 The St. Paul Travelers Companies, Inc. Page 1 of 2 COMMERCIAL GENERAL LIABILITY 31 c) EE i. How, when and where the "occurrence" or offense took place; ii. The names and addresses of any injured persons and witnesses; and iii. The nature and location of any injury or damage arising out of the "occurrence" or offense. If a claim is made or "suit" is brought against .the additional- -insured, the additional insured must: i. Immediately record the specifics of the claim or "suit" and the date received; and ii. Notify us as soon as practicable. The additional insured must see to it that we receive written notice of the claim or "suit" as soon as practicable. The additional insured must immediately send us copies of all legal papers received in connection with the claim or "suit", cooperate with us in the investigation or settlement of the claim or defense against the "suit", and otherwise comply with all policy conditions. The additional insured must tender the de- fense and indemnity of any claim or "suit" to any provider of "other. insurance" which would cover the additional insured for a loss we cover under this endorsement. However, this condition does not affect whether the insur- ance provided to .the additional insured by this endorsement is primary to "other insur- ance" available to the additional insured which covers that person or organization as a named insured as described in paragraph 3. above. 5. The following definition is added to SECTION V. DEFINITIONS: "Written contract requiring insurance" means that part of any written corit�act or agreement' under which you are required to include a person or organization as an additional in- sured on this Coverage Part, provided that the "bodily injury" and ".property damage" oc- curs and the "personal injury" is caused by an offense committed: a. After the signing and execution of the contract or agreement by you; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. Panes 9 of 9 (cl Inn; Tha .4t Pahl Travalarc r mmnnnicc Inr- r^r_ n) AC n4 nc