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Home My WebLink About109363 ALLIANCE CONSTRUCTION SOLUTIONS LLC - INSURANCE CERTIFICATE. i. O CERTIFICATE OF LIABILITY INSURANCE �/ DATE (MM DD011 12/30/2011 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 endorsements . PRODUCER Moody Insurance Agency, Inc. BOSS Eaat Tufts Avenue Suite 1000 Denver CO 80237 CONTACT Eileen Munoz NAME: PHONE' (303) 824 - 6600 FAX (303)370-0118' E-MAILRESS.emunozBmoodyins.com ADD INSURERS AFFORDING COVERAGE NAICa INSURER A Travelers Indeimrtity Company 25658 INSURED Alliance Construction Solutions LLC 1028 Park Ave West Denver CO 80205 INSURER B:Trave l era Prop Cas Co of Amrca 25674 INSURERC:Amer Guarantee Liab Ins Co 26247 INSURERD:Pinnacol Assurance 1190 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. INSR LTfl OF INSURANCE L ADDTYPE U POLICY NUMBER MM/DDBR Y YYY MWDDNYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1.000.000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR X OTC0016IL68AIND12 /1/2012 /1/2013 DAMAGE TO PREMISES (Ea ocTEren S 300,000 MED EXP (Anyone person) $ 5.000 PERSONAL &ADV INJURY $ 1.000,000 X Blkt Add Ins -Ongoing CGD246 8/05 attached- X Incl Comp Operations- GENERAL AGGREGATE $ 2,000,000 when required by GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000,000 written contract X POLICY RO LOG X PIPCT $ AUTOMOBILE LIABILITY EeeBINEDtSINGLE LIMIT 1, 00()000 BODILY INJURY IPerperson) $ B X ANY AUTO- ALL OWNED SCHEDULED AUTOS AUTOS DT8100161LISSATIL12 1/1/2012 /1/2013 BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per cklent $ NON -OWNED HIRED AUTOS AUTOS X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000, 000 C. EXCESS LIAB CLAIMS -MADE DEC) I X I RETENTION IS UC914113805 1/1/2012 /1/2013 D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETORIPARTNEFVEXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A 038468 /1/2012 /1/2013 1.I WC STATU- OTH- E.L. EACH ACCIDENT $ 11 000,000 E.L. DISEASE EA EMPLOYE $ 1 000,000 If yes, describe Under DESCRIPTION OF OPERATIONS below E.L. DISEASE-PDHGY LIMIT $ l GGG 000 B Builders Risk T6605892N166TIL12 1/1/2012 /l/2013 NC MNC MFR FR Limit 10,000,000 Special FormDeductible: $5,000 Frame&JM Limit 2,500,000 DESCRIPTION OF OPERATIONS / LOCATIONS VEHICLES (Attach ACORD 101, Additional Remarks Schedak, If more space is required) RE: Ground Lease 0 Fort Collins/Loveland Airport City of Fort Collins is Additional Insured in regards to General Liability. City of Fort Collins PO Box 580 Fort Collins, CO 80522-0580 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 (2010/05) lean Munoz/DEBHAL 1988.2010 INS025 (20101 The ACORD name and logo are registered marks of ACORD All riahts reserved.