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HomeMy WebLinkAbout429212 GLH CONSTRUCTION INC - INSURANCE CERTIFICATE (2)Ro® CERTIFICATE OF LIABILITY INSURANCE OP ID B3 CATE(MMIDD/YYYY) GLNCO-1 03 29 11 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rich 6 Cartmill Ins of CO ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE of Colorado LLC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 8213 W. 20th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Greeley CO 80634 Phone: 970-356-8030 Fax: 970-356-8032 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Bituminous Insurance Cos 20095 INSURER B. " GLH Construction, Inc. INSURER C: -- 780,E.- Garden Drive INSURERD: - - Windsor CO 80550 I INSURER E. V THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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. 114511 LTR �VO O TYPE OF INSURANCE POLICY NUMBER DATE MM,ODCTIVE DATE MPOLICYM)%ODINNNY IRATION LIMITS A X GENERAL LIABILITY X COMMERCIALGENERAL LIABILITY CLP 3551665 04/01/11 04/01/12 EACH OCCURRREENCE $ 1,000,000 PREMISES (Ea) $100,000 MED EXP (Any one person) $ 5,000 CLAIMS MADE IK OCCUR PERSONAL B ADV INJURY s1, 000, 000, . GENERAL AGGREGATE s2,000,000 GEH L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 Emp Ben. 1000000 X POLICY JPRO OT LOC A AUTOMOBILE LIABILITY ANY AUTO CAP 3551666 04/01/11 04/01/12 COMBINED SINGLE LIMIT (Ea accident) $1,000, 000 X BODILY INJURY (Par person) $ --- ALL OWNED AUTOS ' SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS - .. PROPERTY DAMAGE (Peraccidenl) $ - - - GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ "-- OTHER THAN EA ACC AUTO ONLY: AGG $ --' ANY AUTO - $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $5,000,000 AGGREGATE s5,000,000 A X OCCUR ElCI-AIMS MADE CUP 2589607 04/01/11 04/01/12 8 _ $ hDEDUCTIBLE , $ X RETENTION $10000 B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY OERIFXCLUEWEECUTIVr� OFFICER/MEMB (Mandatory in NH) LI 4028616 07/01/10 07/01/11 X TORV LIMITS ER EL EACH ACCIDENT $1,000,000 E.L. DISEASE- EA EMPLOYEE$ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 If yes. SPECIAL SPECCIALALPROVISIONS be. OTHER C Leased/Rented Equp QT-660-5895N629 04/01/11 04/01/12 Limit $400,000 C Installation Float Floater $50 000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate Holders are named as additional insured on the general liability policy but only with respect to liability arising out of the insureds operations on any and all operations by the insured for the certificate holder. 10 day cancellation provision still applies for non-payment.Project: 6115 Resource Recovery Farm Outlet Pipe. CFRTIFICATF HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITF-AN DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN City of Ft. Collins 6 Anderson NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Consulting Engineers, Inc. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR.., Purchasing Division REPRESENTATIVES. PO BOX 580 AUTHORIZED REPRESENTATIVE Fort Collins CO 80522-0580 Michael J Schmitt CIC ACORD 25 (2009/01) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD