HomeMy WebLinkAboutWANER CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATEA " oa CERTIFICATE OF LIABILITY INSURANCE
O05/24/2012ATE )
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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. It 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 endorsament(s).
PRODUCER 1-303-536-6567
IMA, Inc. - Colorado Divislon
CONTACT
NAME:
PHONE FAX
INC. N. LIEU; —CAL, No1:
1550 17th Street
Suite
E-MAIL
ADDRESS:
Denver,, CO 80202
INSURERS AFFORDING COVERAGE
NAILS
INSURER A: VALLEY FORGE INS CO
20508
INSURED
Waner Construction Company, Inc.
INSURER B: AID3RICAN CAS CO OF READING PA
20427
INSURER tPINNACOL ASSUR
61190
INSURERD: TBAVELERS PROP CAS CO OF AMER
25674
8950 Barron Blvd, Unit 103
INSURERE:
Highlands Bench, CO 80129
INSURER F :
COVERAGES CERTIFICATE NUMBER- 27265446 RFVlglAM NIIMRFR--
IHIS IS 10CERTIFY 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 TYPE OF INSURANCE ADOL SUER POLICY EFF POLICY EXP
TR POLICY NUMBER MMMD MNEU LIMITS
A
GENERAL LABILITY
2092619581
03/01/1
03/01/13
EACHOCCURRENCE
f 2,000,000
Y
_ COMMERCIAL GENERAL LABILITY
DAMAGE TO RENTED
PREMISESJEa ocw—Mv--J
300,000
CWMS-MADE L:!] OCCUR
MED EXP(MY me Person)
f5,000
Y PD Ded:$2,000
PERSONAL S ADV INJURY
f 1,000,000
GENERAL AGGREGATE
f 2,000,000
GENL AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMPIOP AGG
32,000,000
POLICY X PRO- X LOC
IFCT
f
A
AUTOMOBILE
LABILITY
2092649595
3
LeeBD,SINGLE LIMIT
1,000,000
BODILY INJURY(P. person)
f
X
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY IPw eviOertl I
$
Y
NON"WNED
HIRED AUTOS Y AUTOS
PROPERTY DAMAGE
(Pw amMenl
S
f
B
X
UMBRELLA LAB
X
OCCUR
2092669578
03/01/1
03/01/13
EACHOCCURRENCE
f 2,000,000
f 2,000,000
EXCESS LAB
CLAIMSMADEAGGREGATE
DED I % RETENTION f 10, 000
f
C
WORKERS COMPENSATION
a107186
03 /O1/1
03/O1/13
WCSTATU OTH-
X .TORY LIMITS _ ER
ANDEMPLOYERS' LABHUTY YIN
E.L. EACH ACCIDENT
S 500,000
ANY PROPRIETOWPARTNEREXEOUTIVE
OFFICERIMEMBER EXCLUDED? O
NIA
E.L. DISEASE - EA EMPLOYEE
f 500,000
(WMM"1e AN)
N ss, IIBSn16e 111140!
EL. DISEASE -POLICY LIMIT
6500,000
DESCRIPTION OF OPERATIONS Wa
D
Builders Risk Coverage
OT660142D9933TIL12
03/01/1
03/01/13
Frame 5.000,000
$5,000 Dad. an Form
Any 1 Location 10,000,000
•Flood/Harthquake
e$1,000,000 Sub Limit
•$25,00
Deductib
Llem, Loc/Transit 250,000
DESCMI NOFOPERATONSI LOCATIONSIVEHICLES(Almuh ACORD131,AaaM RemarsSCBe ,Ifmorepau h W9uM )
Certificate Holder is included an Additional Inured on the General Liability Policy if required by written contract or
agreemant and with respect to work performed by Inured subject to the policy terms and conditions.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Fort Collin THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
PO Bur 580
AUTHOIrIIED REPRESEMATNE //JJ
Fort Collins, CO 80522-0000 USA [[[[[[ �F//��////�� /ZIR
019RR-2D70 ACORn CnRPORATInM All rinNFv eaea,vnH
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
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27265446