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HomeMy WebLinkAbout165981 SAILER CONSTRUCTION OF FORT COLLINS INC - INSURANCE CERTIFICATESAILE-2 OP ID: PL ,d►141 CERTIFICATE OF LIABILITY INSURANCE DATD/YYYY) 05125 05125112 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 ' v 970-635-9400 PFSlnsurance Group -JT 970-635-9401 4848 Thompson Pkwy,.Ste 200'-• CONTACT NAME: - PHONE FAX AIc No J: -, ac Na: E-MAIL ADDRESS: Johnstown; CO 80534 Johnstown Select Accounts INSURERS AFFORDING COVERAGE NAICp .0j-.�'—•'-'V INSURER A : Darwin Select Insurance Cc INSURED Sailer Construction of Ft. Collins, Inc 5318 Highcastle Drive INSURER B: INSURER C: Ft Collins, CO 80525.6714 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 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE AD BR POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00C COMMERCIAL GENERAL LIABILITY 03066230 04/18/12 04/18/13 DAfAGE77" PREMISES (Eaoccurrenca) $ MED EXP (Any one person) Is CLAIMS -MADE OCCUR A X CONTINGENT BODILY INJURY PERSONAL& AOV INJURY I$ GENERAL AGGREGATE I $ .AND PROPERTY DAMAGE GENL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OPAGG S POLICY PRO- IFCT n LOC $'- - AUTOMOBILE LIABILITY 1.. COMBINED SINGLE LIMIT Ea aCeitlenl $ BODILY INJURY (Per person)] '$ - ANVAUTO'�" - -- ALL OWNED,":� SCHEDULED AUTOS. AUTOS (� ' BODILY INJURY Per accident) $ • NON -OWNED •HIRED AUTOS _ AUTOS - .. --. _... _ --. _ . - - - - - - r PROPERTY DAMAGE Peramidenl - $ - .. -._.. UMBRELLA LIAS OCCUR - EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE ER EXCLUDED' OFFICEtor, ❑ NIA - T RY IMIT - R E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ In If be and NH) ns describe GyeCRIPTIbe under DESCRIPTION OF OPERATIONS below E.L DISEASE -POLICY LIMIT $ ' A Professional Liab 03066230 04/28/12 04/28/13 Prof Liab -. 1,000,00 Ded. 1,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is required) Construction Consulting/Contingent Bodily Injury and Property Damage included in Professional Liability policy provisions City of Fort Collins 215 North Mason St., Fort Collins, CO 80524 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 V 1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD