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HomeMy WebLinkAbout147906 SAUNDERS CONSTRUCTION INC - INSURANCE CERTIFICATE (5)SAUND-1 OP ID: DP '4li.i CERTIFICATE OF LIABILITY INSURANCE DAT09112DIYYYVI osnznl 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 endorsements . PRODUCER 303-867-2066 NONEACT Olson &Olson Ltd. 303-867-2074 GreenwoodS Yosemite Street #1018011 GreeVillage, CO 80111 (AJCPHONE 303-867-2055 KC No : 303-867-2074 lac H_. EMI: A ..RIESs: o2@olsonandolson.com Lance M Olson INSURERS AFFORDING COVERAGE NAIL A INSURER A: Travelers P & C CO of America 25674 INSURED Saunders Construction, Inc. INSURER B: Phoenix Insurance Company 25623 6950 S. Jordan Rd. Centennial, CO 80112 INSURERC: Starr Indemnity & Liability Co 38318 INsuRERo: Pinnacol Assurance INSURERE: Great American Insurance Co 16691 INSURER F : COVERAGES CERTIFICATE NUMBER: 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. INSR LTn TYPE OF INSURANCE ADDL SUB POLICY NUMBER POUCYEFF MMIDDIYYYY) POLICYEXP (MMIDDIYYYY LIMITS GENERAL W&CITY EACCli OCTCURRENCE $ 2,000,00 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X X DTC0325D309APHX11 04130111 04/30/12 AGEB PREMISES Ea occurrence $ 300,00 MED EXP(AnYone person) 5 5,00 PERSONAL B ADV INJURY $ 2,000,00 GENERAL AGGREGATE S 4,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO S 4,000,00 POLICY X PRO- LOC S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acddenl $ 1,000,00 BODILY INJURY Per person) $ A X ANY AUTO X DT810325D309ATIL11 04/30111 04/30112 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY IPer accident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Peracciden[ S $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 10,000,00 X AGGREGATE $ 10,000,00 D EXCESS Me CLAIMS -MADE SISCCCLO1421711 04/30/11 04/30/12 OE D X RETENTIONS 0 S D WORKERS COMPENSATION AND EMPLOYERS' LIABLLm' ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICERNEMBER EXCLUDED' INin NH) N I A X 3096125 10/01/11 10101112 X T /RY LAM T OTH- e.L. EACH ACCIDENT $ 500,00 EL DISEASE-FAEMPLOYEE S 500,00 If DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT S 500,00 E Professional PCE211129601 02128111 02128112 See Belo an Pollution DESCRIP OF OPERATIONS I LOCATIONS I VEHICLES IAttach ACORD 101, Additional Renurils Schedule, It more space Is required) 7033 Dis very Museum Facilittyy Bid. Professional Liability Claims -Made Form . 2,000,000 each claim/(rD2,006,000 aggregate. City of Fort Collins is included as Additional Insuredd� primary basis as respects General Liability per form CGD246 08105 attached and as Additional Insured as respects Auto Liability per form CAT353 03110 attached. Waiver of Subrogation City of Fort Collins Attn: Financial Services Purchasing Division P.O. Box 580 Fort Collins, CO 80522-0580 CITYFO2 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. (198R-2010 ACORn CORPORATION. All rinhtc ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD No Text COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. WHO IS AN INSURED — (Section II) is amended to include any person or organization that you agree in a "written contract requiring insurance" to include as an additional insured on this Cover- age Part, but: a) Only with respect to liability for "bodily injury", "property damage" or "personal injury"; and b) If, and only to the extent that, the injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" to which the "written contract requiring insurance" applies. The person or organization does not qualify as an additional insured with respect to the independent acts or omissions of such person or organization. 2. The insurance provided to the additional insured by this endorsement is limited as follows: a) In the event that the Limits of Insurance of this Coverage Part shown in the Declarations exceed the limits of liability required by the "written contract requiring insurance", the in- surance provided to the additional insured shall be limited to the limits of liability re- quired by that "written contract requiring in- surance". This endorsement shall not in- crease the limits of insurance described in Section III — Limits Of Insurance. b) The insurance provided to the additional in- sured does not apply to "bodily injury", "prop- erly damage" or 'personal injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or sur- veying services, including: i. The preparing, approving, or failing to prepare or approve, maps, shop draw- ings, opinions, reports, surveys, field or- ders or change orders, or the preparing, approving, or. failing to prepare or ap- prove, drawings and specifications; and ii. Supervisory, inspection, architectural or engineering activities. c) The insurance provided to the additional in- sured does not apply to "bodily injury" or "property damage" caused by "your work" and included in the "products -completed op- erations hazard" unless the "written contract requiring insurance" specifically requires you to provide such coverage for that additional insured, and then the insurance provided to the additional insured applies only to such "bodily injury" or "property damage" that oc- curs before the end of the period of time for which the "written contract requiring insur- ance" requires you to provide such coverage or the end of the policy period, whichever is earlier. The insurance provided to the additional insured by this endorsement is excess over any valid and collectible "other insurance", whether primary, ` excess, contingent or on any other basis, that is available to the additional insured for a loss we cover under this endorsement. However, if the "written contract requiring insurance" specifically requires that this insurance apply on a primary basis or a primary and non-contributory basis, this insurance is primary to 'other insurance" available to the additional insured which covers that person or organization as a named insured for such loss, and we will not share with that "other insurance". But the insurance provided to the additional insured by this endorsement still is excess over any valid and collectible 'other in- surance", whether primary, excess, contingent or on any other basis, that is available to the addi- tional insured when that person or organization is an additional insured under such 'other insur- ance". 4. As a condition of coverage provided to the additional insured by this endorsement: a) The additional insured must give us written notice as soon as practicable of an 'occur- rence" or an offense which may result in a claim. To the extent possible, such notice should include: CG D2 46 08 05 9 20D5 The St. Paul Travelers Companies, Inc. Page i of 2 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fied by the endorsement. GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. BROAD FORM NAMED INSURED B. BLANKET ADDITIONAL INSURED C. EMPLOYEE HIRED AUTO D. EMPLOYEES AS INSURED E. SUPPLEMENTARY PAYMENTS — INCREASED LIMITS F. HIRED AUTO — LIMITED WORLDWIDE COVERAGE — INDEMNITY BASIS G. WAIVER OF DEDUCTIBLE —GLASS PROVISIONS A. BROAD FORM NAMED INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION II — LIABILITY COV- ERAGE: Any organization you newly acquire or form dur- ing the policy period over which you maintain 50% or more ownership interest and that is not separately insured for Business Auto Coverage. Coverage under this provision is afforded only un- til the 180th day after you acquire or form the or- ganization or the end of the policy period, which- ever is earlier. B. BLANKET ADDITIONAL INSURED H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE — INCREASED LIMIT I. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT J. PERSONAL EFFECTS K. AIRBAGS L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS M. BLANKET WAIVER OF SUBROGATION N. UNINTENTIONAL ERRORS OR OMISSIONS executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to be named as an addi- tional insured is an "insured" for Liability Cover- age, but only for damages to which this insurance applies and only to the extent that person or or- ganization qualifies as an "insured" under the Who Is An Insured provision contained in Section I. C. EMPLOYEE HIRED AUTO 1. The following is added to Paragraph A.1., Who Is An Insured, of SECTION II — LI- ABILITY COVERAGE: The following is added to Paragraph c. in A.1., An "employee" of yours is an "insured" while Who Is An Insured, of SECTION II — LIABILITY operating an "auto" hired or rented under a COVERAGE: contract or agreement in that "employee's" name, with your permission, while performing Any person or organization who is required under duties related to the conduct of your busi- a written contract or agreement between you and ness. that person or organization, that is signed and CA T3 53 03 10 ® 2010 The Travelers indemnity Company. Page 1 Of 4 Includes copyrighted material of Insurance services Office, Inc. with its permission.