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HomeMy WebLinkAboutECI SITE CONSTRUCTION MANAGEMENT INC - INSURANCE CERTIFICATEClient#: 41670 ECISI ACORD CERTIFICATE OF LIABILITY INSURANCE OATE(M 09/30/201YVV) 2011 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 endorsement(s). PRODUCER CONTACT NAME: Sandy SChlffernS Flood 8, Peterson Ins., Inc. n/co No Ert:970-266-7107 ac No: 970-506-6845 P. O. Box 578 E-MAIL andy.schifferns@floodandpeterson.com Greeley, CO 80632 PRODUCE ECISI 970 356-0123 CUSTOMER ID, INSURER(S) AFFORDING COVERAGE NAIC0 INSURED INSURER A: Travelers Insurance Company ECI Site Construction Management, Inc. INSURER B: National Union Fire Co of Pitts PO Box 2135 INSURERC: Pinnacol Assurance Loveland, CO 80539 INSURER D: INSURER E 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. TYPE OF INSURANCE POLICY NUMBER M/DD/YYYY M Y EXP MWDD/VYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X PD Ded:2,500 DTC08099A7531ND11 10/01/2011 10/01/2012 EACHOCCURRENCE $1 OOOOOO PREMISES Ea occurrence s3000OO MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY F PRO LOC PRODUCTS - COMP/OP AGO $2,000,000 S A AUTOMOBILE LIABILITY MY AUTO ALL OWNED AUTOS SCHEDULEDAUTOS HIREDAUTOS NON -OWNED AUTOS DT8108099A753TIL11 10/01/2011 10/01/2012 COMBINED SINGLE LIMIT (Ea accident) $ 1 000.000 X BODILY INJURY (Per person) S BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X $ $ B X UMBRELLA LIAB EXCESS DAB OCCUR CLAIMS -MADE BE025036204 10/01/2011 10/01/2012 EACH OCCURRENCE $5 000 000 AGGREGATE $5 000 000 DEDUCTIBLE RETENTION S 0 $ C WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes describe under DESCRIPTION OF OPERATIONS below N/A 1221742 7/01/2011 07/01/201 X WC$TATU- OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1 000 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space Is required) Re: Contractor's License City of Fort Collins PO Box 580 Ft Collins , CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2009/09) 1 Of 1 #S651134/M651130 01988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SLS