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HomeMy WebLinkAbout476108 INTERSTATES CONSTRUCTION SERVICES - INSURANCE CERTIFICATE<- . , 11i CERTIFICATE OF LIABILITY INSURANCE DATE 27/2010 ) ��� 07/27/2010 PRODUCER 1-800-247-7756 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Holmes Murphy & Assoc - WDM ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Box 9207 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Des Moines, IA 50306-9207 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Employers Mutual Casualty Co. Interstates Construction Services, Inc. (See Attached Named Insured List) INSURER B:St. Paul Fire & Marine Attn: Scott Peterson INSURERC:Great American Insurance Company of N w PO Box 260 Sioux Center, IA 51250-0260 INSURER D: 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. INSR LTRTYPE DD'L NrPOLICY OF INSURANCE NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY 3D1894910 09/01/09 09/01/10 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY AMAGE TO RENTED PDREMISES Ea occurrence $ 11000,000 MED EXP (Any one person) $ 10,000 CLAIMS MADE X❑ OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PRO LOC A AUTOMOBILE X LIABILITY ANY AUTO 3EI894910 09/01/09 09/01/10 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ l GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG B EXCESS/ UMBRELLA LIABILITY QK05501527 09/01/09 09/01/10 EACH OCCURRENCE $ 15,000,000 AGGREGATE $ 15, 000, 000 X OCCUR 1-1 CLAIMS MADE $ DEDUCTIBLE $ X RETENTION $ 10,000 A WORKERS COMPENSATION ANDEMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? 3YI894910 09/01/09 09/01/10 WC STATU- OTH- X T LIMITS ER E.L. EACH ACCIDENT $ 500,009 E.L. DISEASE - EA EMPLOYEE $ 500,000 (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ 500,000 SPECIAL PROVISIONS below OTHER C Installation Floater IMP5924881 09/01/09 09/01/10 $2,500 Deductible 2,500,000 A Rented/Leased Equipment 3C1894910 09/01/09 09/01/10 $2,500 Deductible 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS City of Fort Collins is added as an additional insured on the general liability as respects work performed by the named insured CERTIFICATE HOLDER CANCELLATION SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Director of Purchasing and Risk Mgmt IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 281 N. College P.O. Box 580 REPRESENTATIVES. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE USA Fri; /At-UKU L5 (LUUy/U1) anurrowswosm © 1988-2009 ACORD CORPORATION. All rights reserved. 16780311 The ACORD name and logo are registered marks of ACORD SUPPLEMENT TO CERTIFICATE OF INSURANCE o„2„ DATE I NAME OF INSURED: Interstates Construction Services, Inc. I (See Attached Named Insured List) 1 The Harbor Group, Inc. 2 Interstates Engineering, Inc. 3 Interstates Control Systems, Inc. 4 Interstates Electric & Engineering Co. 5 Interstates Construction Services, Incorporated 6 IEEC of California, Inc. 7 IEEC Transportation & Leasing Co. 8 IEEC Enterprises Co. 9 Interstates Foundation 10 Interstates Electric & Engineering Co., Inc. dba IEEC of Texas, Inc. 11 Interstates Electric & Engineering Co., Inc. dba IEEC of Illinois, Inc. 12 Interstates Electric & Engineering Co., Inc. dba IEEC of Oregon, Inc. 13 Interstates Electric & Engineering Co., Inc. dba IEEC of Arizona 14 IEEC International, Ltd. 15 IEEC International, Inc. 16 Harbor Engineering Group, LLC 17 Harbor Group Investments, LLC 18 Harbor Management, LLC 19 Interstates Construction Services, Inc. dba IC of Nebraska, Inc. 20 Interstates Construction Services, Inc. dba IC of Arizona, Inc. 21 Interstates Construction Services, Inc. dba IC of Texas, Inc. 22 Interstates Instrumentation, Inc. 23 InterAir, LLC 24 Harbor Consulting Group, Inc. 25 Harbor Engineering Group, PLC 26 Interstates Construction Services, Inc. dba IC of Illinois, Inc. 27 Interstates Construction Services, Inc. dba IC of Oregon, Inc. 28 IC of Wyoming, L.L.C. 29 InterFab, L.L.C. 30 Desert View Electric Services, LLC 31 Harbor insurance Trust, Inc. 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