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HomeMy WebLinkAboutTHE WEITZ COMPANY LLC - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE 05/1(6/201YYY) OS/16/2012 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 1-515-698-4262 CONTACT NAME: Construction Surety & Insurance Services, LLC PHONE FAX (AIC, NQ E". JAUC, No: P.O. Box 65428 E#AIL ADDRESS: PRODUCER West Use Moines, IA 50265 CUSTOMER INSURERS AFFORDING COVERAGE NAIC# Maria Matamoros INSURED INSURER A: AMERICAN CONTRACTORS INS CO RRG 12300 The Weitz Company, LLC INSURER B: ACIG INS CO 19984 INSURER C: 5901 Thornton Avenue INSURER D: Dee Moines, IA 50321 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 27148806 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 LTR rypE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP POLICY NUMBER tMWDDIYYY1D (MMIDDrYINT)LIMITS A GENERAL LIABILITY GL12P00005 0610111 06/01/15 EACH OCCURRENCE $ 5,000,000 A X COMMERCIAL GENERAL LIABILITY GL12 PX0005 Excess FP 06/01/1 06/01/15 DAMAAAG 0 RANT D PREMISES E.tnoummce $ 100,000 MED EXP(Any one person) $ 51000 CLAIMS -MADE T OCCUR PERSONAL$ ADV INJURY $ 5,000,000 GENERAL AGGREGATE $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $5.000,000 POLICY-X] PRO- LOD $ AUTOMOBILE MBILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Per accitlenl) $ $ NON -OWNED AUTOS 8 UMBRELLA MB OCCUR EACH OCCURRENCE S AGGREGATE $ EXCESS DAB CLAIMS -MADE DEDUCTIBLE $ $ RETENTION $ B S B WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICFRIMENE El (Mandatory in NH) NIA WC12000016 KC12 DO0110 WC12000097 0610111 06/01/1 06/01/1 06/01/13 06/01/13 06/01/13 X WC STATU- OTH- TORYJJMI E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 B II Yes descdde under DE SCRIPTION OF OPERATIONS Wave WC12000111 06/01/1 06 /Ol/13 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space is required) (PA**) Weitz Rocky Mountain: Contractors License. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Sox 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 USA philiphm ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD 27148806