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HomeMy WebLinkAbout165981 SAILER CONSTRUCTION OF FORT COLLINS INC - INSURANCE CERTIFICATE (2)SAILE-2 OP ID: PL d►,*.i CERTIFICATE OF LIABILITY INSURANCE DATDIYVVV) 04I30/12- 04130 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 'I+` 970-635-9400 PFSInsurance GrouP,�JT 4848 Thompson Pk Ste.200 _. __ 970-635.9401 JOhnstoWn, CO 80534' r .'. JohnstownSelect Accounts CONTACT NAME: FAX a/c No Ear: --- --- -- we No:=- E-MAIL ADDRESS:- _ INSURERS AFFORDING COVERAGE NAICi INSURER A: Darwin Select Insurance Co ' 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 NUMRFR- 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 TYPE OF INSURANCE L BR' POLICY NUMBER POLICY EFF MMIDD/YYVY POLICY EXP (MMIDDIYYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE_DT $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F-IOCCUR PREMISES SES Ea occurrence $ VIED EXP (Any one person) $ PERSONAL B ADV NJURV $ GENERAL AGGREGATE $- - -- r.- �.;., „ ; GEN' L AGGREGATE '� fPOLICV' LIMIT APPL�IEIS PER'. "1i .PRO- LOG PRODUCTS - COMPIOP AGG $ -- "I-'- `+;I' - - -- _ _ $ "AUTOMOBILE LIABILITY. •` <%\' ':• , q: COMBINED SINGLE LIMIT Ea accident _... $ __. _... =Y BODILY INJURY. IPer.person) • ANY AUTO �••_:" t .___-.... _._..... -. ' ALL OWNED!,I UTOS SCHEDULED A - AUTOS HIRED AUTOS„ 'NON -OWNED" AUTOS; _ - v , I - I -• f <••, ,. - - BODILY INJURY (Pi a¢idenq ,. $. PROPERTY OHMAGE Peraccident '$ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE I $ AGGREGATE-•' $ EXCESS LIAB CLAIMS -MADE ' DIED RETENTION $ $ -' WORKERS COMPENSATION WC STATU- OTH AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? (Myandatory in NH)If NIA T V E.L. EACH ACCIDENT $- E.L DISEASE - EA EMPLOYEE 4 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Professional Liab 03066230 - 04/28/12 04/28/13 Prof Liab 1,000,00C Dad. 1,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Construction Consulting CERTIFICATE HOLDER rAlui I Anna SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. 215 North Mason St., AUTHORIZED REPRESENTATIVE Fort Collins, CO 80524 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/06) The ACORD name and logo are registered marks of ACORD