HomeMy WebLinkAboutHENSEL PHELPS CONSTRUCTION - INSURANCE CERTIFICATEClient#: 13981
HPCPD
ACORD,. CERTIFICATE OF LIABILITY INSURANCE
/YYYY)
5DATE /04/2M/D
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Ins., Inc.
P O Box 578
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
4687 West 18th Street
Greeley, CO 80632
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
Hensel Phelps Construction Co.
Plains District
P0Box 0
Greeley, CO 80632
INSURER A: Zurich American Ins. Co.
INSURER B: Steadfast Ins 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.
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATEM D
POLICY EXPIRATION
DATEMM D
LIMITS
GENERAL LIABILITY
GL0369726406
06/01/10
06/01/11
EACH OCCURRENCE
$2 000 000
FA
X COMMERCIAL GENERAL LIABILITY
DAMAGE TPREMISESO RENTED a occurrence)
IF
$3O0OOO
CLAIMS MADE 51OCCUR
MED EXP (Any one person)
$
PERSONAL & ADV INJURY
$2 OOO OOO
GENERALAGGREGATE
s4,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
s4,000,000
POLICY X JECOT PRLOC
A
AUTOMOBILE LIABILITY
X ANY AUTO
BAP369726106
06/01/10
06/01/11
COMBINED SINGLE LIMIT
(Ea accident)
$2,000,000
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
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
AUC928038409
06/01/10
06/01/11
EACH OCCURRENCE
$1 O 000 000
X OCCUR CLAIMS MADE
AGGREGATE
$1 O 000 000
$
DEDUCTIBLE
$
RETENTION $
A
WORKERS COMPENSATION AND
WC369726506
06/01/10
06/01/11
X OR sLLIMITS DER
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT
$1 000 000
E.L. DISEASE - EA EMPLOYEE
$1 00O 000
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
$1 000 000
B
OTHER Professional
EOC9374617-07
06/01/10
06/01/11
$5,000,000 Ea Claim
Liability
$5,000,000 Aggregate
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
RE: Discovery Museum Facility 7033
Owner and Owner's Consultants and any other persons or entities indicated in the Supplementary Conditions
including the respective officers, directors, partners and employees, agents and other consultants and
subcontractors are named as Additonal Insureds and the insurance afforded to these Additional Insureds is
(See Attached Descriptions)
I-L_U111.1P111117i D„9 as
City of Ft Collins
Purchasing Division
215 North Mason St, 2nd Floor
Fort Collins, CO 80524
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL in 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 INSURERGENTS OR
REPRESENTATIVES. /I I C\
AUTHORIZED REPRESENTATIVE
�°daol� -r ®"
ACORD 25 (2001/08) 1 Of 3 #S527189/M524161 CIR O 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.
ACORD 25-5 (2001/08) 2 of 3 #S527189/M524161
primary
AMS 25.3 (2001/08) 3 of 3 #S527189/M524161