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HomeMy WebLinkAboutARCHER WESTERN CONTRACTORS LTD - INSURANCE CERTIFICATE (2)ACOROae CERTIFICATE OF LIABILITY INSURANCE DATE0(MMID01) 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(ies) 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 endomement(s). PRODUCER Aon Risk services Central, Inc. Chicago IL Office CONTACT NAME. NC Na. Esu: (866) 283-7122 INC No); (84p 953-5390 I E-MAIL ADDRESS: 200 East Randolph Chicago IL 60601 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Arch Insurance Company 11150 Archer Western Contractors, Ltd. 2121 Avenue l INSURERS: Allied World National Assurance Company 10690 INSURER C: Suite 103 Arlington TX 76006 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570042547988 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 requested INSIR LTR TYPE OF INSURANCE INSR MD POLICY NUMBER MMrDD MWDD LIMBS A GENERAL LIAll PKG EACHOCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY SIR applies per policy terns & condi ions PREMISES Ea orcuoence $300, 000 CLAIMS -MADE ❑X OCCUR MED EXP(Anyone person) $10,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $2,000, 000 POLICY X PRO-LOC JFrT A AUTOMOBILE LIABILITY 41PKG2394805 ADSaccident) 06 Ol 201106 Ol 2012 COMBINED SINGLE LIMIT $2,000,000 BODILY INJURY( Per person) A X ANY AUTO 41CAB2394905 06/01/201106/01/2012 BODILY INJURY (Per accident) ALL OWNED SCHEDULED MA ONLY AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident B UMBRELIALIAB X OCCUR 03056149 06/01/201106/01/2012 EACH OCCURRENCE $10,000,000 AGGREGATE sio,000,000 X EXCESS LIAB CLAIMS -MADE DED RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/ PARTNER I EXECUTIVE Y❑ 41WC12394705 06/01/2011 06/01/2012 X we LIMBS ERH E.L. EACH ACCIDENT S1,000,000 OFFICERIMEMBER EXCLUDED? N (Mandator, in NH) NIA E.L. DISEASE -EA EMPLOYEE $1,000,000 Ilyee deacroeunder DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. A ldinlonal Remarks Schedule, K more space is required) RE: Water/Wastewater Treatment Design/Construction Contractor RFP #7220. See attached. m m v 0 N CERTIFICATE HOLDER CANCELLATION --_' II 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 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. POLICY CHANGES Policy Change Number POLICY NUMBER POLICY CHANGES COMPANY EFFECTIVE 41PKG2394805 06/01/2011 Arch Insurance Company NAMED INSURED AUTHORIZED REPRESENTATIVE THE WALSH GROUP, LTD. COVERAGE PARTS AFFECTED General Liability Business Auto Coverage CHANGES Number of Days Notice: 90 For any statutorily permitted reason other than non-payment of premium, the number of days required for notice of cancellation, as provided in paragraph 2. of either the CANCELLATION Common Policy Condition ores amended by an applicable state cancellation endorsement, is increased to the number of days shown above. Authorized Representative Signature IL 12 01 1185 Copyright, Insurance Services Office, lnc., 19a3 Page 1 of 1 II Copyright, ISO Commercial Risk Services, Inc., 1983 n