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HomeMy WebLinkAbout499821 STRUCTURES INC - INSURANCE CERTIFICATE1. O CERTIFICATE OF LIABILITY INSURANCE L.-� 1z/zo/zo12 D2/20 DD012 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: N the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to theterms 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 '- - Moody Insurance Agency,- Inc. BOSS East_Tufts Avenue' "' Sulte lOOO Denver CO 80237 CONTACT Erin Threlkeld, CRIS NAME: - —' - - 03)824-6600 FAX No: (303)370-0118 E-MAIL .ethrelkeld®moodyins.com- INSURERS AFFORDING COVERAGE. - - ':"NADIII INSURERA:Travelers Indeminity Company -25658 INSURED ;1 /.), �1 g'I I Structures, Inc. lam) 1 O 4 Inverness Ct E Ste 250 EII lewood CO 80112 INSURER e:Travelers Prop Cas Co of Amrca 25674 INSURER C: INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:12-13 All Lines w/Forms RFVIRION NIIMRRR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NO rWITHSTANDING 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 ADDL SUER POLICY NUMBER POLICY EFF MM/DDNYYY) POLICY EXP fMMVDDNYY`YI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000, 000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR DTC0324D8411IND12 2/31/2012 2/31/2013 DAMAGE TO -RENTED PREMISES Ea occurrence $ 300,000 VIED EXP (Any one person) $ 5,000 PERSONAL B ADV INJURY S 1,000,000 GENERALAGGREGATE $- 2,000,000 dd'1 Insured Bndt -- GEN•L AGGREGATE LIMIT APPLIESPER: PRODUCTS - COMP/OP AGG 1 � 2,000,000 GD246 08/05 attached - POLICY PZ X' iJEDT LOClas per written contract,' AUTOMOBILE LIABILITY CEOM�BIINdEED SINGLE LIMITent). 1,000,00 X BODILY INJURY-Fer person) . $ ._ . B ANY AUTO ALLOWNED SCHEDULED ,AUTOS AUTOS •- ._ T810324DS411TIL12 12/31/201212/31/2013 .. BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS N AUTOS - X PRO PERTV DAMAGE Peracc Hent $ 8 X UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 81000,000 AGGREGATE $ 81000,000 B EXCESS LIAB CLAIMS -MADE DIED I X I RETENTION$ 10, 000 $ TSMCUP325D2805TIL12 12/31/2012 12/31/2013 B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETONPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If describe under N/A DTJUB6C39934013 1/1/2013 1/1/2014 X WC STATU- OTRH - E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 11000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 as, DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace is required) Re: 7338 Troutman Court East #250 City of Fort Collins and State of Colorado are named as an additional insured with respect to General Liability. City of Fort Collins Financial Services Purchasing Division 215 N Mason St, 2nd floor PO Box 580 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 (2010/05) Threlkeld, CRIS/CHR ©1988.2010 ACORD CORPORATION. All rights reserved. IN51025 (2D1005).01 The ACORD name and logo are registered marks of ACORD CG D2 46 08 05 Page 1 of 2 CG D2 46 08 05 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. WHO IS AN INSURED — (Section II) is amended to include any person or organization that you agree in a "written contract requiring insurance" to include as an additional insured on this Coverage Part, but: a) Only with respect to liability for "bodily injury", "property damage" or "personal injury"; and b) If, and, only to the extent that, the injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" to which the `'written contract requiring insurance" applies. The person or organization does not qualify as an additional insured with respect to the independent acts or omissions of such person or organization. 2. The insurance provided to the additional insured by this endorsement is limited as follows: a) In the event that the Limits of Insurance of this Coverage Part shown in the Declarations exceed the limits of liability required by the "written contract requiring insurance", the insurance provided to the additional insured shall be limited to the limits of liability required by that "written contract requiring insurance". This endorsement shall not increase the limits of insurance described in Section III — Limits Of Insurance. b) The insurance provided to the additional insured does not apply to "bodily injury", "property damage" or "personal injury" arising out of the :rendering of, or. failure to render, any professional architectural, engineering or surveying services, including - I. The preparing, approving, or failing to prepare or approve, maps; shop drawings, opinions, reports, surveys, field orders or change orders, or the preparing, approving, or failing to prepare or approve, drawings and specifications; and ii. Supervisory, inspection, architectural or engineering activities. c) The insurance provided to the additional insured does not apply to "bodily injury" or "property damage" caused by "your work" and included in the "products -completed operations hazard" unless the "written contract requiring insurance" specifically requires you to provide such coverage for that additional insured, and then the insurance provided to the additional insured applies only to such "bodily injury" or "property damage" that occurs before the end of the period of time for which the "written contract requiring insurance" requires you to provide such coverage or the end of the policy period, whichever is eadier. , _ . , 3. The insurance provided to the additional insured by this endorsement is excess over any valid and collectible "other insurance", whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover under this endorsement. However, if the "written contract requiring insurance" specifically requires that this insurance apply on a primary basis or a primary and noncontributory basis, this insurance is primary to "other insurance" available to the additional insured which covers that person or organization as a named insured for such loss, and we will not share with that "other insurance". But the insurance provided to the additional insured by this endorsement still is excess over any valid and collectible "other insurance", whether primary, excess, contingent or on any other basis, that is available to the additional insured when that person or organization is an additional insured under such 'other insurance". 4. As a condition of coverage provided to the additional insured by this endorsement: a) The additional insured must give us written notice as soon as practicable of an "occurrence" or an offense which may result in a claim. To the extent possible, such notice should include: i. How, when and where the "occurrence" or offense took place; ii. The names and addresses of any injured persons and witnesses; and