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Home My WebLink AboutDIAMOND EXCAVATING INC - INSURANCE CERTIFICATE (2)Client#: 51923 8DIAMEXC ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDN 1011112010 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Willis of Colorado, Inc. 720 South Colorado Boulevard ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 60ON Denver, CO 80246 INSURERS AFFORDING COVERAGE NAIC # INSURED Diamond Excavating, Inc. 5940 W. 59th Avenue Arvada, CO 80003 INSURER A: Bituminous Casualty Corp. 20095 INSURER B: Pinnacol Assurance 41190 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. NS LTR 1k D' NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DDIYY LIMITS A X GENERAL LIABILITY CLP3543947 10/16/10 10/16/11 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR DAAMtAGE TO RENTCCUEDnca� $100 000 MED EXP (Any one person) $10 000 PERSONAL & ADV INJURY $1,000,000 GL3085 0105 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 POLICY-X] PRO- JECT X LOC A AUTOMOBILE LIABILITY ANY AUTO CAP3543946 10/16/10 10/16/11 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 _ X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS/UMBRELLA LIABILITY CUP2587768 10/16/10 10/16/11 EACH OCCURRENCE $5 000 000 X OCCUR CLAIMS MADE AGGREGATE s5,000,000 $ DEDUCTIBLE $ X RETENTION $ 10 000 B WORKERS COMPENSATION AND 2296640 04/01 /10 04/01/11 X I TWORYSLIMIT OTH- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Project Description: Right of Way Contractor License The following are Additional Insureds as respects General Liability only if required by written contract and coverage applies only as (See Attached Descriptions) I.CR I Irll K 1 C 19ULUCR City of Fort Collins P. O. Box 580 Fort Collins, CO 80522 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 INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE _ e&a ACORD 25 (2001/08) 1 of 3 #S725199/M724885 8NPER 0 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-S (2001/08) 2 of 3 #S725199/M724885 DESCRIPTIONS (Continued from Page 1) Irespects ongoing operations performed by the Insured for the Additional Insureds. I Additional Insureds: City of Fort Collins All coverage terms, conditions and exclusions of the policy apply. The Additional Insured endorsement which is referenced above under "Type of Insurance -General Liability" is attached. IThis Certificate of Insurance represents coverage currently in effect and may or may not be in compliance with any written contract. * The following cancellation conditions always apply: - 10 days for non-payment of premium - If policy shown, 10 days for Workers' Compensation for fraud; material misrepresentation; non-payment of premium; other reasons approved by the Commissioner of Insurance Ams Zb.3 (ZUU7/US) 3 of 3 95725199/M724885 B. CONTRACTORS AUTOMATIC ADDITIONAL INSURED COVERAGE - SECTION 11- WHO IS AN INSURED is amended to include: Any "owner", "contractor", "construction manager", "engineer" or "architect, if It Is required in your written contract or written agreement executed by you and all other parties to the contract or agreementprior to any loss that such persons) or organizatiori(s) be added as an additional insured on your policy but only for the project designated in your written contract or written agreement and only with respect to "bodily injury," "property damage" or "personal and advertising injury" caused, at Ieast in part, by your negligence and with respectto liability resulting from: A. Your ongoing operations forthe additional fnsured(s), or E3. Acts or omissions of the additional insured(s) in connection with their general supervision of such operations. ' With respect to the insurance afforded such additional insureds`pursuant to this endorsement and the above referenced General liability 1~orm, the following additional provisions apply to limit that coverage: 1. We will have no duty to defend the additional insured*..against any "suit" seeking damages for "bodily injury," "property damage" or "personal and''ative�Slug injury," unfit we receive written notice from the additional insured requesting that we defend it in the "suit." 2. The Limits of Insurance applicable to the additional insureds under this endorsement are the minimum limits specified in the written contract' or agreement requiring this coverage, or as stated in SECTION III - LIMITS OF INSURANCE of the COMMERCIAL GENERAL L.IABILIiY COVERAGE FORM, whichever is less. These. Limits.of insurance are inclusive of and not in addition to the Limits of Insurance described in SECTION. III of that form. 3. As additional conditions of'coverage under this form, : a1,, additional insured under this endorsement will as'soon as practicable: a. Give written• notice to us of an "occurrence" or an offense •.which may result in a claim. This shall include: (1) How, when and where the "occurrence" or offense took place; (2) The names and addresses of any injured persons and witnesses; and (3) The nature and location of any injury or daena`g�`.arising -out of the "occurrence" or offense. b. Give written notice to us of a clalm or "suit" brought against the additibnal insured including specifics,ofthe claim or "suit" and the date-itwas-re'celVed. c. Give written notice of such claim or "suit," Including a demand for defense and indemnity, to any other insurer who had- coverage for the claim or "suit" under its pblicy(ies), either at the time of, or at any time, subsequent to the occurrence of the "bodily injury," ''property damage" andlbr the offense causing -the "personal and. advertising injury," which is the basis for such claims or "suit". (1) Such notification must demand the full coverage'aVallable under that policy; and fm• zqR- IM11 (2) The additional Insured shall not take. any action to waive or limit such other coverage available to it. ,. GL-3085 (01106) -2- - 4. This insurance does not apply to: a. "Bodily Injury" "property damage" or "personal and advertising injury" occurring after: a ' (1) All work on the project (other than service, rpa<intenance, or repairs) to be performed by'you or on your behalf forthe additional Insure(s) has been completed; or (2) That portion of "yourwork" out of which the injury or damage arises has been put to its intended use by any person or organizafidne other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. , b< "Bodily injury" "property damage" or "personal and advertising injury" resulting from any act or omission of the additional insured(s) or any of their.emp[oyees, other than the general supervisions of work performed for the additional insbred(s) by you. c. "Bodily injury" "property damage" or "personal andadvertising injury" resulting from work performed on a project where other valid and eollec%le insurance is available to*the additional insured under an Owner Controlled Insurance Program or Consolidated (wrap- up) Insurance Program. d. "Bodily injury," "property damage" or "personal and advertising injury": (1) Arising out of the rendering or failure to render any professional services by any insured, or on their behalf, but only with respect to either or both of the following operations; • _ . . (a) Providing engineering,• architectural or?sgJrveying services to. others in .the insureds capacity as an engineer, archieeciror.surveyor, and (b) Providing, or hiring independent ,professionals to provide, engineering, architectural or surveying services inAo.nnection with work the insured performs. (2) Subject to paragraph (3) below, -professional seryicesJR6,1pde: (a) The preparing, approving or failing to prepara ,or approve maps, shop• drawings, opinions, reports, surveys, field 'orders,; change orders, or drawings and specifications; and (b) Supervisory or inspection activities performed as part of any related architectural or engineering activities, but does not include:,the general supervision of your operations on such project. (3) Professional services do not include services4within construction means, methods, techniques, sequences and procedures employed 'by you in connection with your operations as a construction contractor. Forthe purpose of this endorsement, the following definitions are added: f. "Owner" means a person or organization who has ownership. in the project premises, designated in your written contract or written agreement, -at which you gre•.performing operations. "Contractor" means a person or organization with whom you have agreed in a written contract or written agreement to perform operations for at the project' designated in -the written contract or written agreement, GL-3085 (01106) —3— "Construction Manager" means a person or organizationi designated as "construction manager" in your written contract or -written agreement, and has management or supervisory responsibilities over your operations for the project designated in your written contractor written agreement, . "Engineer" means a person or organization who has beem,engaged by the "owner", "contractor" or "construction manager" to pertorm engineering services for the project designated In your' written contract or written agreement and has a contractual' responsibility for supervising, directing or controlling your operations on such project. "Architect" means a person or organization who has been engaged by the "owner", "contractor" or "construction manager" to perform architectural services for the project designated in your written contract or written agreement and has a contractual responsibility far supervising, directing or controlling your operations on such project. Any coverage provided herein will be excess over any other valid and collectable insurance available _to the. additional insureds) whether• primary, -excess, contingent,.or on any other basis unless you have agreed in a written confiraet 'or written agreement exedufed'•prior to any loss that this insurance will be primary. However, any other insurance specifically purchased for a designated praject(s), including but not limited to additional insured coverage, owners contractors protective coverage, etc., will be primary with the insurance provided by this endorsement being excess. If this insurance is determined to be primary, we agree not to seek contribution from such other insurance only if you have so agreed in the written contract or written agreement. ;�