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HomeMy WebLinkAbout365691 BRYAN CONSTRUCTION INC - INSURANCE CERTIFICATE (8)CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 1 /29/2014 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 kE-Ili NTACT Amber C. Keller ME: _ Commercial Lines - (719) 592-1177 d 'FAX - /C. No. Eat); _ 800-332-9256 A Me,: 877-405-9032 Wells Fargo Insurance Services USA, Inc. 5755 Mark Dabling Blvd., Suite 300 INSURER(S)AFFORDING COVERAGE NAIL0 Colorado Springs, CO 80919-2228 N6URERA: Valley Forge Insurance Company_ 20508 INSURED INSURERB: Continental Casualty Company 2D443 L Bryan Construction, Inc (3656 q I INSURER C : Pinnacol Assurance Company Pant 41190 7025 Campus Drive INSURER D _ INSURER E : Colorado Springs, CO 80920-3164 1 INSURER F: COVERAGES CERTIFICATE NUMBER: 7225792 REVISION NUMBER: See below 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. TYPE OF INSURANCE --- ��� SI18R -- --POLICY EFF POLICY EXP LNIrIS POLICY NUMBER MMIDDIYYYY M rA X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR 4029167470 4/30/2013 4/30/2014 EACH OCCURRENCE €TO RENTED PREMISES (Ea occurrence 9 1,000,000 $ 300,000 $ 15,000 _ MED EXP (Any one person) PERSONAL S ADV INJURY $ 1,000.000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000.000 POLICY PROL ECT 0 LOC PRODUCTS - COMP/OP AGG $ 2.000.000 $ OTHER: B AUTOMOBILE LIABAnY 4029167484 4/30/2013 4/30/2014 COMBINED INGLE LIMIT Ea Ideg S 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED I SCHEDULED AUTOS ;AUTOS IS BODILY INJURY (Per secldent) $ PROPERTY DAMAGE Per scolds M X NON OWNED AUTOS X AUTOS S XHIRED PP Autos UMBRELLA LAB OCCUR EACH OCCURRENCE S AGGREGATE S EXCESS LIAB CLAMS -MADE DIED I I RETENTIONS $ C WORKERS COMPENSATION AND EMPLOYERS' LtABILrTY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE 2310880 2/1/2014 2/1/2015 X I STATUTE I I ER E.L. EACH ACCIDENT _ 1,000,000 $ OFFICER/MEMBER EXCLUDED? ❑NIA (Mandatory In NH) E.L. DISEASE - EA EMPLOYE S 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACCORD 101, Additional Remarks Schedule, may be attached It more spa" Is required) The certificate holder is listed as additional insured in regards to the 7136 Lincoln Center Addition and Renovations project. GLKI WICAIt MULUCK GAINGtLLA I IUK City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 300 Laporte Avenue THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE a The ACORD name and logo are registered marks of ACORD © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) 11111111111111111111111111111111I I 1111111111111111111111111111111111111111111111111111 .cv80IAZW001e35,M2102laaoro-