HomeMy WebLinkAbout250056 WYATT CONSTRUCTION COMPANY - INSURANCE CERTIFICATEACORD CERTIFICATE OF
LIABILITY
INSURANCE
DATE /2011
PRODUCER (720) 524-9344 FAX: (720) 524-9352
Cc West Insurance Associates
P.O. Box 101387
Denver CO 80250-1387
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC#
INSURED
Wyatt Construction Company, Inc.
3223 Arapahoe Ave. #100
Boulder, CO 80303
INSURERA: Pinnacol Assurance.
41190 '
INSURERS:
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.
REG kTE LIMITS SHOWN MAY HAVE BEE q REDUCED BYPAID
INSR
ADD'L
OF INSURANCE
POLICY NUMBER
POLICTYPE
DATE YMMIDD/YYE
POLICY DATE MMIDDMIN
LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
EACH OCCURRENCE
$
PRMISEES TOao rrn
$
VIED EXP (My oneperson)
$
PERSONAL 8 ADV INJURY
$
GENERAL AGGREGATE
$
GEN-L AGGREGATE
. POLICY
LIMIT APPLIES PER:
PRO-
LOC
PRODUCTS - COMPIOPA
$
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULEDAUTOS
HIREDAUTOS -
NON -OWNED AUTOS
-
COMBINED SINGLE LIMIT
(Ea accident)
$ '
BODILY INJURY
(Per person)- - -- -
$ -
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHERTHAN EAACC
AUTO ONLY. AGO
$
$
EXCESS/UMBRELLA LIABILITY
OCCUR F1 CLAIMS MADE
DEDUCTIBLE
RETENTION S
EACH OCC RRIENCE
$
AGGREGATE
$
$
$
$
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, describe uncer
SPECIAL PROVISIONS ti
4115005
5/1/2011
5/1/2012
WCSTATU- I OTH-
X I FR
EL EACH ACCIDENT
$ 1,000,OOO
EL DISEASE - EA EMPLOYEES
1, 000,000
E. L. DISEASE PGLICY LIMIT
8 1, 000, 000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
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
30 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
AUTHORIZED REPRESENTATIVE _
4.R. Withrow/AMB���+-�
ACORD 25 (2001/08)
INS025 (otoe)Dsa
0 ACORD CORPORATION 1988
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