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HomeMy WebLinkAbout380591 J 2 CONTRACTORS - INSURANCE CERTIFICATE (9)A CORDT. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 06/14/2010 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Ins., Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Corporate Mailing Address: HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. O. Box 578 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Greeley, CO 80632 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Travelers Insurance Company J2 Contracting Company, Inc. PO Box 129 INSURERS: Fireman's Fund Insurance, Co. Greeley, CO 80632 INSURER C: INSURER D: INSURER E: 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. INSIR LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD Y LIMITS A GENERAL LIABILITY DTC0325D65761ND10 01/01/10 01/01/11 EACH OCCURRENCE S1 000 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR _ DAMAGE TO RENTED PREMISES ( a occurrence) $300 000 MED EXP (Any one person) $5 000 X PD Ded:2,500 PERSONAL & ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000.000 . GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 0PRO- JECT 7 LOC PRODUCTS - COMP/OP AGG s2,000,000 A AUTOMOBILE LIABILITY ANY AUTO DT810325D6576TIL10 01/01/10 01/01/11 COMBINED SINGLE LIMIT (Ea accident) S1,000,000 X ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ S AUTO ONLY: AGG A EXCESS/UMBRELLA LIABILITY OCCUR ❑ CLAIMS MADE DTSMCUP325D6576TIL 01/01/10 01/01/11 EACH OCCURRENCE $4000000 AGGREGATE s4,000,000 DEDUCTIBLE X RETENTION $ 10000 $ $ WORKERS COMPENSATION AND WC STATU- OTH. EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT S B OTHER Builders Risk MZI98476319 05/23/10 05/23/11 $1,500,000 Per Project $50,000 Transit/Storage $1,000 Deductible DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ** Supplemental Name ** Supplemental Name applies to all policies - J2 Contracting Company J2 Contracting J2 Real Estate LLC (See Attached Descriptions) Downtown Development Authority 19 Old Town Square Suite 230 Fort Collins, CO 80524 n r^o ne rn--, rV va s Ior rvon-ra mem SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3f) DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE - 1--- ••--I. r Vr o ft00.54O0L/1VI014yyD4 NEK © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. -_ _ f U, ,aaswauuiw5zyab4 . I-".., 11 ul �) FFJ3.S40t$Z/mSZyyb4