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Home My WebLink About380591 J2 CONTRACTING COMPANY INC - INSURANCE CERTIFICATEClient#: 45027 JTVVOC ACORDTM CERTIFICATE OF LIABILITY INSURANCE TE D12/2020/YYYY) 2/20/2012 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 Ins., Inc. P. O. Box 578 Greeley, CO 80632 970 356-0123 o S11 CONTACT NAME: Nancy Keiser PHONE g70 356-0123 FAX 9705066836 A/C NaEst : A/C, No): ADDRIESS: nkeiser@floodpeterson.com FHUUUULM CUSTOMER ID If INSURER(S) AFFORDING COVERAGE NAIC If INSURED INSURER A: Travelers Insurance Company J2 Contracting Company, Inc. PO Box 129 INSURER B Greeley, CO 80632 INSURER L 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. INSLTR TYPE OF INSURANCE DOL UBR POLICY NUMBER MMIDD/YYYY MMIDDNYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X PD Ded:2,500 DTC0325D65761ND13 1/01/2013 01101/2014 EACH OCCURRENCE $1000000 DAMAGE TO RENTED PREMISES IRA occ.lamce s300 DDD MED EXP(Any one person( $5,000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY F PROJECT 7 LOC PRODUCTS - COMP/OP AGO $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS 810325D6576TIL13 1/01/2013 01/01/2014 COMBINED SINGLE LIMIT (Ea accident) $1000000 BODILY INJURY(Per person) $ BODILY INJURY(Per accident) $ 1XX PROPERTY DAMAGE (Per accident) $ S $ A UMBRELLA LIAB EXCESS LIAB OCCUR CLMS-MADE AI CUP325D6576TIL13 1/01/2013 01/01/201 EACH OCCURRENCE $1 000 000 AGGREGATE $1000000 X DEDUCTIBLE RETENTION 10,000 $ $ WORKERS COMPENSATION ANDEMPLOYERWLIABILITY YIN ANY PROPRIETONPARTNERJEXECUTIVE❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A WC STATU- OTH- E.L. EACH ACCIDENT $ E. L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) ** Supplemental Names: J2 Contracting Company (See Attached Descriptions) City of Fort Collins 215 North Mason Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 2nd Floor Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE m 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 Of 2 The ACORD name and logo are registered marks of ACORD #S752185/M752126 AXN Client#: 45027 JTWOC ACORM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) ,2/20/2012 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 ins., Inc. P. O. Box 578 Greeley, CO 80632 970 356-0123 CONTACT NAME: Nancy Keiser P"ONEo 970 356-0123 FAX, 9705066836 A/C NEXt : A/CNo ADDRESS: nkeiser@floodpeterson.com CUSTOMER ID If, INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Travelers Insurance Company J2 Contracting Company, Inc. PO Box 129 INSURER a Greeley, CO 80632 INSURER C: 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. LM/DD/YVY TYPE OF INSURANCE DOL UBR POLICY NUMBER LICY EFF MM/DD/YYYV POLICY EXP M LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXIOCCUR X PD Ded:2,500 DTC0325D65761ND13 1/01/2013 01/01/2014 EACH OCCURRENCE $1 000000 DAMAGE RENTED PREMSESOEaoccurrence) s3000OO MED EXP(Any one person) $5,000 PERSONAL &ACV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEHL AGGREGATE LIMIT APPLIES PER: POLICY PRO-LOC PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 810325D6576TIL13 1/01/2013 01/01/2014 COMBINED MBINEDt)SINGLE LIMIT $1 000 000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) S X X $ $ A UMBRELLA LIAB EXCESS LIAB OCCUR CLAIM$ -MADE CUP32SD6576TIL13 1/01/2013 01/01/201 EACH OCCURRENCE $1 OOD 000 AGGREGATE $, 000 000 DEDUGTIBLE RETENTION 10 000 $ X $ WORKERS COMPENSATION ANDEMPLOVERSUABILITY Y/NIT, ANY PROPRIETOWPARTNEWEXECUTIVE❑ OFFICE W MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A WCSTATU- OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ EL DISEASE - POLICY LIMIT It ERNCERATIONS/LOCATIONS/VEHICLES(AUacM1 ACORD 101, Atltlitionel Remarks SCM1etlule, if more space is required) al Names: Company Descriptions) City of Fort Collins 215 N. Mason Street 2nd Floor Fort Collins, CO 80522 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 Y*4-ifi ACORD 25 (2009/09) 1 of 2 #S752184/M752126 @1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AXN Client#: 45027 JTWOC ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE" i2oizYY' 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 Ins., Inc. P. O. Box 578 Greeley, CO 80632 356-0123 CONTACT NAME: Nancy Keiser PHONE FA% aC No Est): 970 356-0123 A/O, Ni, 9705066836 n DRESS: nkeiser@floodpeterson.com PRODUCER CUSTOMER ID if:970 INSURERS) AFFORDING COVERAGE NAICM INSURED INSURER A: Travelers Insurance Company J2 Contracting Company, Inc. PO Box 129 INSURER B: Greeley, CO 80632 INSURER C 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. ILTIL NSR OF INSURANCE ADDTYPE SR D POLICY NUMBER MM/DDNYYY (MM/DDNYYYNEACH LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS-MADEOCCUR X PD Ded:2,500 DTC0325D65761ND13 1/01/2013 01/01/201RRENCE $1000000X Eaocc rrERoNTED nce $300000 ny one person) $5,000 &ADV INJURY $1,000,000 GGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOG COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 810325D6576TIL13 1/01/2013 01/01/2014 COMBINED OMBI EDt)SINGLE LIMIT Ed $1,000,000 X BODILY INJURY(Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X 1 $ $ A UMBRELLA LAB EXCESS LIAB OCCUR CLAIMS -MADE CUP325D6576TIL13 1/01/2013 01/01/201 EACH OCCURRENCE $1 000 000 AGGREGATE $1,000,000 X DEDUCTIBLE RETENTION 10,000 $ $ WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETOFLPARTNER/EXECUTIVE❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes. describe under DE SC RIPTION OF OPERATIONS below N/A WC STATU- OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE 5 E.L. DISEASE - POLICY LIMIT 5 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) .. Supplemental Names: J2 Contracting Company (See Attached Descriptions) City of Ft Collins 215 North Mason Street 2nd Floor Fort Collins, CO 80522 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 #S752190/M752126 (01988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AXN