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Home My WebLink About479201 R.C. HEATH CONSTRUCTION CO - INSURANCE CERTIFICATEClient@e 95AOR 1:10A6TaLI ACORD. CERTIFICATE OF LIABILITY INSURANCE DTE A00/YYYV) r 9/24/224/2012 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 Flood &Peterson P. O. Box 578 Greeley, CO 80632 970356-0123 '1�` CONTACT NAME: Cindy Zimmerman uc°No EM, 970.266-7155 FAX Ne. 970-506.6845 Aoliaess: Cindy.zimmerman@floodandpelerson.com PRODUCER CUSTOMER ID M: INSURER(S)AFFOROING COVERAGE NAICN INSURED INSURER A: Zurich American Ins. Co. R. C. Heath Construction Co. dba Heath Construction PO Drawer H INSURER BPinnacol Assurance Allianz Global Corporate & Spec INSURER C: P P INSURER D: American Guarantee & Liability Fort Collins, CO 80522 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THATTHE 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. L TYPE OF INSURANCE DOL UBRI POLICY NUMBER MWDDNYYY POLICY EFF PMINOD/VVV LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 51OCCUR X PDDed:5,000 CP0583316400 9/30/2012 09/30/2013 EACH OCCURRENCE S7 000 000 DAMAGE TORE TE PREM IS Eaoccu efurs) s300000 MED EXP (Anyone person) $1 O 000 PERSONAL & ADV INJURY $1000000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE POLICY LIMIT APPLIES PER: X PFCTR0 LOC PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTOBODILY ALL OWNED AUTOS AUTOS HIRED AUTOS NON-OWNEDAUTOS CP0583316400 9/30/2012 09/30/2013 COMBINED SINGLE LIMIT (Ea accident) $1000000 INJURY (Per person) $ BODILY INJURY(Per accitlenl) $SCHEDULED 1XX PROPERTY DAMAGE (Per accitlenl) $ $ D )( UMBRELLA LIAB EXCESS LIAB )( OCCUR CLAIMS -MADE AUC583319600 9/30/2012 09/30/2013 EACH OCCURRENCE s6,000,000 AGGREGATE s6,000,000 OEDUGTIBLE RETENTION 0 $ X $ B WORKERS COMPENSATION AND EMPLOYERS' UABILITY ANY PROPRIETOR/PARTNEWEXECUTIVEY/N OFFICEWMEMBER EXCLUDED? (Mandatory in NH) If yes, da icdb6 under DESCRIPTION OF OPERATIONS below N/A 4033691 10/01/2012 10/01/2013 X WC STATU- OTH EL EACH ACCIDENT s1000000 EL. DISEASE - CA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1 00O 000 C Blanket Builders Risk MX198471771 9/30/2012 09/10/201 $10,000,000 Any One Site/$1 000 Deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Adach ACORD 1D1, Additional Remarks Schedule, if more space is required) RE: Deicing Facility, Bid no 5909 City of Fort Collins, Engineer, Engineer's Consultants respective officers (See Attached Descriptions) City of Fort Collins Admin Services Purchasing Division PO Box 580 Fort Collins, CO 80522-0580 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 ACORD 25 (2009/09) 1 of 2 #S735779/M735448 @1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CAZ