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HomeMy WebLinkAboutAMERICAN CIVIL CONSTRUCTORS INC - INSURANCE CERTIFICATEDATE A� CERTIFICATE OF LIABILITY INSURANCE page 1 of 3 F 08/(30//2010 PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE willis of Colorado, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Box 305191 Nashville, TN 37230-5191 INSURED American Civil Constructors, Inc. Division 201 1601 W. Belleview St. Littleton, CO 80120 f*Ts11r/ y:T1Te1 XA INSURERS AFFORDING COVERAGE NAIC# INSURERA:Arch Insurance Company 11150-001 INSURERB:National Union Fire Insurance Company of 19445-001 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. INSRADD' TYPEOFINSURANCE POLICY NUMBER POLICYEFFECTIVE DATE M DD POLICY EXPIRATION LIMITS A GENERAL LIABILITY 71PKG2326606 7/1/2010 7/l/2011 EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY - - CLAIMS MADE 7 OCCUR PRE AGERENTED $ 300,000 MED EXP (Anyone person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GENERALAGGREGATE $ 4,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 4,000,000 POLICY X PRO- LOC A AUTOMOBILE LIABILITY ANY AUTO 71PKG2326606 7/1/2010 7/1/2011 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULEDAUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X X PROPERTYDAMAGE (Per accident) $ $5,000 Comp Ded. ' X 5 000 Coll Ded. GARAGE LIABILITY AUTO ONLY -EAACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG B EXCESS/UMBRELLA LIABILITY BE23465062 7/1/2010 7/1/2011 EACH OCCURRENCE $ 5,000,000 X OCCUR F-ICLAIMS MADE AGGREGATE $ 51000,000 $ DEDUCTIBLE $ X RETENTION $ 10,000 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE❑ 71WC12326506 7/1/2010 7/1/2011 X ORYLMITS o R E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 11000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Re: 7161 College Avenue and Harmony Road Landscape & Urban Design This Certificate of Insurance represents coverage currently in effect and may or may not be in compliance with any written contract. 10 days for Workers' Compensation for fraud; material misrepresentation; non-payment of premium; other reasons approved by the Commissioner of Insurance. CERTIFICATE HOLDER CANCELLATION io Days for Non-payment of Premium SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN City of Fort Collins NOTICE TO THE CERTIFICATE HOLDE AMED TO THE LEFT, BUT FA RE TO DO SO SHALL Financial Services IMPOSE NO OBLIGATION OR LIABI OF ANY KIN PO I T IN ITS AGENTS OR Purchasing Division 215 North Mason St., 2nd Floor REPRESENTATIVES. P.O. BOX 580 AUTHORIZED REPRESENTATIV Fort Collins, CO 80522 ACORD 25 (2009/01) Coll:3111475 Tpl:1114894 Cert:14587930 ©1988-20 9A5 RDCORPORATION.Allrightsreserved. The ACORD name and logo are registered marks of ACORD W1111S CERTIFICATE OF LIABILITY INSURANCE page 2 of 3 DATE 08/30/2010 PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A ONLY AND CONFERS NO RIGHTS MATTER OF INFORMATION UPON THE CERTIFICATE Willis of Colorado, Inc. 26 Century Blvd. HOLDER. THIS CERTIFICATE DOES ALTER THE COVERAGE AFFORDED NOT AMEND, EXTEND OR BY THE POLICIES BELOW. P. O. Box 305191 Nashville, TN 37230-5191 INSURERS AFFORDING COVERAGE NAIC# INSURED American Civil Constructors, Inc. INSURERA: Arch Insurance Company 11150-001 INSURERB: National Union Fire Insurance Company of 19445-001 Division 201 1601 W. Belleview St. INSURERC: Littleton, CO 80120 INSURER D: INSURER E: Urbf,KIr I IUry Ur UrrNA I JUNW LVGA 1 I V rv0/ V GnII.LCJ/cAI.L UJ NIVJ AUUCU o i CIYUV nA CIVI CIY I/Jr CIA AL rn V v W WP1J The following are Additional Insureds as respects General Liability only if required by written contract and coverage applies only as respects work performed by the Insured for the Additional Insureds. All coverage terms, conditions and exclusions of the policy apply. Additional Insureds: City of Fort Collins (Owner) Coll:3111475 Tpl:1114894 Cert:14587930 Page 3 of 3 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 This Certificate of Insurance 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 (2009/01) Co11:3111475 Tp1:1114894 Cert:14587930