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HomeMy WebLinkAbout380591 J 2 CONTRACTORS - INSURANCE CERTIFICATE (7)Client#: 45027 1TWOC ACORD- CERTIFICATE OF LIABILITY INSURANCE DATE(MNI/DD/YYYY) 1 /4/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Insurance Inc 211 First Street ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Eaton, CO 80615 _. 970 454-3381 - INSURERS AFFORDING COVERAGE NAIC # .INSURED - u i i I J2 Contracting Company, Inc. :PO BOX 129 ' JAN 12 2010 �1 Greeley,'CO- 80632 INSURER A: Travelers Insurance Company .INSURERB: INSURER C: INSURER D: i _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. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE M DD Y POLICY EXPIRATION DATE M DD LIMITS A GENERAL LIABILITY DTC0325D6576 01/01/10 . 01/01/11 EACH OCCURRENCE $1 000000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED occurrancAl PREMISES (E. $300 000 CLAIMS MADE 51OCCUR MED EXP (Any one person) $5 000 PERSONAL & ADV INJURY $1 000 000 X PCDed:2,500 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 POLICY PRO LOC A AUTOMOBILE LIABILITY X ANY AUTO DT810325D6576 01/01/10 01/01/11 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS - PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY - AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS/UMBRELLA LIABILITY CUP325D6576 01/01/10 01/01/11 EACH OCCURRENCE s4,000,000 OCCUR CLAIMS MADE AGGREGATE s4.000.000 $ DEDUCTIBLE $ X RETENTION $ 10,000 WORKERS COMPENSATION AND I TWC STATU. OTH- DRYEMPLOYERS' LIABILITY ANY PROPRIE fOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? - If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ** Supplemental Name ** J2 Contracting Company J2 Contracting J2 Real Estate LLC (See Attached Descriptions) 1a City of Fort Collins 215 North Mason Street- 2nd Floor Fort_Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL �Rn DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE y- Y"' IIDcmok �i .Tilt;. ACORD 25 (2001/08) 1 of 3 #S499012/M498111 TCM © ACORD CORPORATION 1988