HomeMy WebLinkAbout110280 ECI SITE CONSTRUCTION MANAGEMENT INC - INSURANCE CERTIFICATEClient#: 41670
ECISI
ACORD. CERTIFICATE OF LIABILITY INSURANCE
DO6/"DDr3YY)
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
NAME: Sandy Schlfferns
PHONE g70 266-7107 F"X 970 506-6845
A/C No Ext : A/D, No
AIL
ADDRESS: sschifferns@floodpeterson.com
PHUUUUEHECISI
CUSTOMER ID#:
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURED
ECI Site Construction Management, Inc.
PO Box 2135
INSURER A: Bituminous Insurance
INSURER BNational Union Fire Co of Pitts
Loveland, CO 80539
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 REOU I REMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE 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.
IN SR
TYPE OF INSURANCE
D
UBR
y
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE 17X OCCUR
X PDDed:2,000
CLP3577488
10/01/2012
10/01/2013
EACHOCCURRENCE
$1000000
_ITAMA T RENTED
PREMISES Ea occurrence
$300000
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 PRO- LOC
PRODUCTS COMP/OP AGG
$2,000,000
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
DOC
CAP3577489
10/01/2012
10/01/201
COMBINED SINGLE LIMIT
(Ea accident)
$1 DDDDDD
X
BODILY INJURY (Per person)
S
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
X
X
$
X
$
B
X
UMBRELLA LIAR
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
BE034064786
10/01/2012
10/01/2013
EACH OCCURRENCE
$5000000
AGGREGATE
$5 OOD ODO
DEDUCTIBLE
RETENTION 0
$
X
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOWPARTNEWEXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes. descries under
DESCRIPTION OF OPERATIONS below
N/A
WC3589584
07/01/2013
07/01/2014
OTH-
X ITORY LIMITS EB
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASEEAEMPLOYMEJ
$1,000,000
E.L. DISEASE -POLICY LIMIT
1 $1,000000
DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (AHach ACORD 101, Additional Remarks Schedule, if more space is required)
Re: Contractor's License
City of Fort Collins
PO Box 580
Ft 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
01988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD
.-