Loading...
HomeMy WebLinkAbout380591 J 2 CONTRACTORS - INSURANCE CERTIFICATE (8)Client#: 45027 rll N=0 6, ACORDT, CERTIFICATE OF LIABILITY INSURANCE 5DATE /18/2010nvvY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Ins., Inc. Corporate Mailing Address: p g ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0. Box 578 Greeley, CO 80632 INSURERS AFFORDING COVERAGE NAIC # INSURED J2 Contracting Company, Inc. PO Box 129 Greeley, CO 80632 INSURER A: Travelers Insurance Company INSURER B: Fireman's Fund Insurance, Co. INSURER C: 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE M DD Y POLICY EXPIRATION DATE MWDD/YY LIMITS A GENERAL LIABILITY DTC0325D65761ND10 01/01/10 01/01/11 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED nee PREMISES (Fa occ,,rre $300OOO MED EXP (Any one person) $5 OOO CLAIMS MADE 51OCCUR PERSONAL & ADV INJURY $1 OOO OOO X PC Ded:2,500 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 POLICY PRO LOC JECT A AUTOMOBILE LIABILITY X ANY AUTO DT810325D6576TIL10 01/01/10 01/01/11 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) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY -'EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS/UMBRELLA LIABILITY DTSMCUP325D6576TIL 01/01/10 01/01/11 EACH OCCURRENCE s4,000,000 AGGREGATE s4,000,000 OCCUR CLAIMS MADE $ DEDUCTIBLE $ X RETENTION $ 10000 WORKERS COMPENSATION AND WC STAI'MTU"RyT.- I OTH- EEL EMPLOYERS' LIABILITY ANY PROPRIETOR/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 1 $ B OTHER Builders MZI98476319 05/23/10 05/23/11 $1,500,000 Per Project Risk $50,000 Transit/Storage $1,000 Deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ** Supplemental Name ** Supplemental Name applies to all policies - J2 Contracting Company J2 Contracting J2 Real Estate LLC (See Attached Descriptions) Vr-n i irm m 1 r- nVLUCrf GAIVI;tLLA 1 IUIV 1 U Ua S Tor Non-va mern SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 2 111 DAYS WRITTEN 215 North Mason Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 2nd Floor IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fort Collins, CO 80522 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE AP'160a ® .*y0a� n✓Sasr ea.�lelt , ,TAJC-. AGURD 25 (2001/08) 1 of 3 #S530076/M529964 TCM © ACORD CORPORATION 1988 J2 Equipment Leasing LLC J2 Company RE: LPATH Berm Erosion Protection Measures, Fort Collins The City of Fort Collins and Anderson Consulting are named as Additional Insured as respects the General Liability only if requred by written contract and coverage applies only as respects to work performed by the Insured for the Additional Insured. AMS 25.3 (2001/08) 3 of 3 #S530076/M529964