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HomeMy WebLinkAboutIDEAL FENCING - INSURANCE CERTIFICATE!`rcn431• rl Qd5 RIDFAFFN ACORU, CERTIFICATE OF LIABILITY INSURANCE 09/30/090vrrvl PRODUCER Willis of Colorado, Inc. 720 South Colorado Boulevard Suite 60ON Denver, CO 80246 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Ideal Fencing Corporation 5795Ideal Drive Erie, CO 80516 INSURER A. Charter Oak Fire Insurance Company 25615 INSURER B Travelers Property Casualty Company 36161 msuRERC Pinnacol Assurance 41190 INSURER 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. TR NSR TYPE OF INSURANCE POLICY NUMBER PDATEVMM DDIYIY E POLICY MMODIYY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADEOCCUR X AI# CG D2 46 08/05 C00748C220TIA09 10/01/09 10/01/10 EACH OCCURRENCE S1 OD0 0OO DAMA SE TO RENTED $300 000 MED EXP (Any one person) $5,000' PERSONAL & ADV INJURY $1 000 000 X Ltd Pollution GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X JECOT LOC PRODUCTS - COMP/OP AGO s2,000,000 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUI'OS Ltd Pollution 8100748C220TIL09 10/01/09 10/01/10 COMBINED SINGLE LIMIT (EaacddeM) S1,000,000 X BODILY INJURY (Per parson) $ X BODILY INJURY (Peraccident) $ X X PROPERTY DAMAGE (Per accident) S GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC AUTO ONLY. AGG $ S B EXCESSIUMBRELLA LIABILITY X OCCUR F-ICLAIMS MADE DEDUCTIBLE X RETENTION $ 10 000 CUP0748C220TIL09 10/01/09 10/01/10 EACH OCCURRENCE 52 000,000 AGGREGATE 52_,_000,000 S $ S C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 4058096 I 10/01/09 10/01/10 X WC BI ATU- OTH- E.L. EACH ACCIDENT S500000 EL.DISEASE - EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT S500000 OTHER r--1 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Project Description: Fort Collins Police Station PO# 9952544 (See Attached Descriptions) 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 30- DAYS WRITTEN :E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL :E NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AOORD 25 ('2UUlIU8) 1 Of 3 #M649484 8M51 T v= Hwnl, wnr vrerI IVIa Iaoo 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 25-6 (2001/08) 2 of 3 #M649484 DESCRIPTIONS (Continued from Page 1) IFC# 1399 The following are Additional Insureds 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 AMS 26.3 (2001/08) 3 of 3 #M649484 COMMERCIAL GENERAL LIABILITY 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) The insurance provided to the additional in- to include any person or organization that you sured does not apply to "bodily injury" or agree in a "written contract requiring insurance' property damage" caused by "your work" to include as an additional insured on this Cover and included in the "products -completed op - age part. but: erations hazard" unless the "written contract a) Only with respect to liability for"bodily injury", requires you toguiring provdencesu hncove ageflforllthat additional. "property damage" or "personal injury"; and insured, and then the insurance provided to b) If, and only to the extent that, the injury or the additional insured applies only to such damage is caused by acts or omissions of "bodily injury" or "property damage" that oc- you .or your subcontractor in .the performance curs before the end .of the period of time for of "your work" to which the "written contract which the "written contract requiring insur- requiring insurance" applies.. The person or ance" requires you to provide such coverage organization does not qualify as an additional or the end of the policy period, whichever is insured with respect to the independent acts earlier. or omissions of such person or organization. 3. The insurance provided to the additional insured 2. The insurance provided to the additional insured by this endorsement is excess.over any valid and by this endorsement is limited as follows: collectible other insurance", whether primary., — a) In the event that the Limits of Insurance of excess, contingent or on any other basis, that is — this Coverage Part shown in the Declarations available to the additional insured for loss we exceed the limits of liability required by the cover under this endorsement. However, if the "written contract requiring insurance", the in- "written contract requiring insurance" specifically _ surance provided to the additional insured requires that this insurance apply on a primary -- = shall be limited to the limits of liability re- basis or a primary and non-contributory basis, "other quire by that "written contract, requiring in- this insurance :s primary to insurance" available to the additional insured which covers — surance". This endorsement shall not in described In that person or organization as a named insured crease the limits of insurance c—_ for such loss, and we will not share with that Section Ili —Limits Of Insurance. "other insurance". But the insurance provided to _ b) The insurance provided to the additional in the additional insured by this endorsement still Is _= sured does not apply to "bodily injury", "prop- excess over any valid and collectible "other in- - erty damage" or "personal injury" arising out surance", whether primary, excess, contingent or — of the rendering of, or failure to render, any on any other basis, that is available to the addi- "--= professional architectural, engineering or sur- tional insured when that person or organization is veying services, including: an additional insured under such "other insur- L The preparing, approving, or failing to ance". prepare or approve, maps, shop draw- 4. As a condition of coverage provided to the �= ings, opinions, reports, surveys, field or- additional Insured by this endorsement: = ders or change orders, or the preparing, a) The additional insured must give us written approving, or failing to prepare or ap- notice as soon as practicable of an "occur - prove, drawings and specifications, and rence" or an offense which may result in a ii. Supervisory, insnectlon, architectural or claim. To the extent possible, such notice engineering activities. should Include: CG D2 46 08 05 © 2005 The St. Paul Travelers Companies, Inc. Page 1 of 2 COMMERCIAL GENERAL LIABILITY I. How, when and where the 'occurrence" or offense took place; It. 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. b) 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 c) d) 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 contract 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 and of the policy period. Pace 2 of 2 © 2005 The St. Paul Travelers Companies, Inc. CG D2 46 08 05