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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 .-