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HomeMy WebLinkAbout101027 HENSEL PHELPS CONSTRUCTION CO - INSURANCE CERTIFICATE (2)Client#: 13981 HPCPD ACORD CERTIFICATE OF LIABILITY INSURANCE D5M 0/2012"Y"' 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(les) 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: Carey Bueno Flood & Peterson Ins., Inc. PHONE g70 508-3252 ,vC Na Ext : aC, Na : 970-330-1867 P O Box 578 4687 WestlBth Street ADDRESS: Greeley, CO 80632 CUSTOMERIDN: INSURER(S)AFFOfl01NG COVERAGE NAICM INSURED INSURER A: Zurich North America Hensel Phelps Construction Co. (O I D%� INSURERS: Steadfast Ins. Co, Plains District P O BOX O INSURER C: Greeley, CO 80632 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. LTIL TYPE OF INSURANCE POLICY NUMBER MWDDIYYF MMV�D/Y P LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL ABIUTY CLAIMS -MADE 7 OCCUR GL0369726407 GL0369726408 6/01/2011 7/01/2012 07/01/2012 01/01/201 EACH OCCURRENCE s2 000 000 DAMAGE TO HEWED PREMISES Ea «CuIrome $300000 MED EXP (Any one person) $ PERSONAL &ADV INJURY $2,000,000 GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PR0. LOC PRODUCTS - COMP/OP AGG $4,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BAP369726107 BAP369726108 6/01/2011 7/01/2012 07/OT/2-012 01/01/201 COMBINED SINGLE UMIT (Ea accident) $ 2,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ 1 PROPERTY DAMAGE (PeraccidenU $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE AUC928038410 AUC928038411 6/01/2011 7/01/2012 07/01/201 01/01/2014 EACH OCCURRENCE $1 O 000 000 AGGREGATE $10000000 DEDUCTIBLE RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVEY OFFICER/MEMBER EXCLUDED? N (Mandatory In NH) If es, dnioe under DE SCRescIPTION OF OPERATIONS below WA WC369726507 WC369726508 WC369726509 6/01/2011 7/01/201201/01/201 1/01/2013 07/01/2012 01/01/2014 X WCSTATu- OTH. E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE EA EMPLOYEE $1,000,000 E.L. DISEASE POLICY LIMIT $1000000 B I Professional Liab EOC937461708 6/01/2011 01/01/201 $5,000,000 Ea Claim $5 000 000 Agg DESCRIPTION OFOPERATIONS/ LOCATIONS/ VEHICLES (Attach ACORD 101, Addidonal Remarks Schedule, H more apace U required) RE: Discovery Museum Facility 7033 Owner and Owner's Consultants and any other persons or entities indicated in the Supplementary Conditions (See Attached Descriptions) City of Ft Collins Purchasing Division 215 North Mason St, 2nd Floor 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 ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORD 25 (2009/09) 1 Of 2 #S695586/M692743 CIR DESCRIPTIONS. (Continued 66mvPage 1). ' including the respective officers, directors, partners and employees, agents and other consultants and subcontractors are named as Additonal Insureds and the insurance afforded to these Additional Insureds is primary. AMS 25.3 (2009109) 2 of 2