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HomeMy WebLinkAboutARCHER WESTERN CONTRACTORS LTD - INSURANCE CERTIFICATEA� " CERTIFICATE OF LIABILITY INSURANCE oAl o3lldnou w) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed, 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). PRODUCER Ann Risk Services Central, Inc. Chicago IL Office CONTACT NAME: XCNNo. Eel): (5667 283-Ad2 NC(Eo )7 953-6390 ( . ND,: E-MAIL 200 East Randolph Chicago IL 60601 USA PRODUCER CUSTOMER ID p; 10]]4508 INSURERS) AFFORDING COVERAGE NAIL p INSURED INSURER AArch Insurance Company 11150 Archer western Contractors, Ltd. 2121 Avenue J INSURER B: Allied world National Assurance Company 10690 INSURER C: Suite 103 Arlington TX 76006 USA INSURER p: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570041819036 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requeste NSR LTR TYPE OF INSURANCE O INSR SUBR WVD POLICY NUMBER POLIO MMJDOM'YY P MMIDDIWYY LIMITS A GENERAL LIABILITY PKL' EACH OCCURRENCE $1.000.000 % COMMERCIAL GENERAL LWBILITY SIR applies per policy ter is ae' condl Tons N PRENnsEE Ea oc-creace $300,000 CLAIMS -MADE %❑OCCUR MED E%P(Anyone person) $10,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENLAGGREGATELIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $2,000,000 POLICY % PRO CDC A AUTOMOBILE LIABILITY 41PKG2282304 ADS 06/01 20100 /01 2011 COMBINED SINGLE LIMIT In aoul $2,000,000 BODILY INJURY( Pe,surea) A % ANY AUTO IICAB2282404 06/01/2010 06/01/2011 % ALL OWNED AUTOS MA ONLY BODILY INJURY (Per acoaard X SCHEDULED AUTOS PROPERTY DAMAGE X HIRED AUTOS Per accinem % NON OWNED AUTOS B UMBRELLA LIAB X OCCUR 0 05 149 06/01/2010 1 011 EACH OCCURRENCE $10,000,000 X EXCESS LIAB CLAIMS MADE AGGREGATE $10,000,000 DEDUCTIBLE RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANVPROPRIETOR I PARTNER I EXECUTIVE 4]wCT2282204 06/01/2010 06/01./2011, X WC STATU- OTH. TORY LIMITS I EH E. L. EACH ACCIDENT $1,000,000 OFFICORMEMBER EXCLUDED] (Mandatory in BID ❑ NIA E. L. DISEASE -EA EMPLOYEE $1,000,000 If yes, DESCRIPTION OFF DESCRIPTION under OPERATIONS Gebw E. L DISEASEPOLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS (LOCATIONS I VEHICLES (Al+ach ACORD 101, Additional Remarks Schedule, it more space is mpulmdl RE: Water/wastewater Treatment Design/Construction Contractor RFP #7220. See attached. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Fort Collins, Colorado AUTHORIZED REPRESENTATIVE 4316 LaPorte Avenue Fort Collins CO 80522 USA ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD INSURED Archer western Contractors, Ltd. 2121 Avenue suite 103 -- Arlington Tx 76006 USA Attachment with Respect to RFP #7220, City of Fort Collins, Colorado is an Additional Insured pertaining to General Liability with respects to liability arising out of the Named Insured's operations on the referenced project. Professional services for Architects, engineers, Consultants, etc. are excluded. Completed operations is included, subject to the terms, conditions, limitations and exclusions of the General Liability policy. The General Liability policy includes the perils of (xCU) Explosion, Collapse and Underground. Certificate No : 570041819036