HomeMy WebLinkAbout110280 ECI SITE CONSTRUCTION MANAGEMENT INC - INSURANCE CERTIFICATE (2)ECISI
Client#: 41670
ACORD- CERTIFICATE OF LIABILITY INSURANCE 1
GATE10/011201I20IYYYY)
13
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(les) 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
NAME.- oaNay outulltlr na
(ZNENo Ext: 970 266-7107 Ne: 970 5064845
A/C
�3Si sschifferns@floodpeterson.com
INSURER(3) AFFORDING COVERAGE NAK:e
INSURERA: Bituminous Insurance
INSURED
ECI Site Construction Management, Inc.
PO Box 2135 11 02
Loveland, CO 80539
INSURER B:
National Union Fire Cc of Pitts
INSURER C
INSURER D
INSURER E
INSURER F
:
rnvcv ar_cc 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 CONTRACTOR 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.
pR
TYPE OF INSURANCE
INSIR AOOL
Syy D
POLICY NUMBER
MM/DOIYYEYVY
MM/D�Y/YYYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE 51OCCUR
X PD Ded:2,000
CLP3594135
10/0112013
07101/2014
EACH OCCURRENCE
$1000o0O
PREMISES Ea Nr Once
s300 OOO
MED EXP (Any one peman)
$5 000
PERSONAL S ADV INJURY
$1,000,000
GENERAL AGGREGATE
$2,000,000
GEN'L AGGREGATE
POLICY
LIMIT APPLIES PER:
X PRO LOC
PRODUCTS-COMPIOP AGO
s2000000
$
A
AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS NON -OWNED
X HIRED AUTOS X AUTOS
X DOC$
CAP3594138
10101/2013
07101/201
COa¢IICstifSINGLE LIMIT
1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
E
PROPERTY DAMAGE
Per accident)
$
B
X
UMBRELLA LIAR
EXCESS UAB
X
OCCUR
CLAIMS -MADE
BE017142200
0/0112013
07/0112014
EACH OCCURRENCE
s5,000,000
AGGREGATE
$5 000 000
DED I X RETENTION$O
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTIVE YIN
OFFICERIMEMBER EXCLUDED?
(Mandatory In NH)
If desalts, under
DESCRIPTION OF OPERATIONS below
NIA
WC3589584
7101/2013
07/01/201
X WCSTATU- OTH-
E.L. EACH ACCIDENT
$1 000 OOO
E.L. DISEASE - EA EMPLOYEE
E1 OOO OOO
E.L. DISEASE- POLICY LIMIT
$1 OOO OOO
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
Re: Contractor License
Certificate holder is named as additional insured.
City of Fort Collins
PO BOX 580
Fort Collins, CO 80522-0580
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
V Unit TU AMUKU VUKYVKA I IUN. An nynu reae,Vsa.
ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD
Client#: 41670
ECISI
ACORD. CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIODIYY'
10/01/2013
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: Ifthe certificate holder is an ADDITIONAL INSURED, the policy(les) 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
NAME:- - Jdlluy aGNDleruO
(."No, Et : 970 266-7107 Nc xa : 970 506.6845
noDARIEss, sschifferns@floodpeterson.com
INSU S AFFORDING COVERAGE NAICS
INSURER A; Bituminous Insurance
INSURED
ECI Site Construction Management, Inc.
PO Box 2135
Loveland, CO 80539
INSURERS: National Union Fire Co of Pitts
INSURERc:
INSURER D:
r�etlnrwTo a IM!!ER: REVISION NUMBER:
vVirimiri
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 CONTRACTOR 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 CLAIMS.
INSR
TYPE OF INSURANCE
ADDRL
SUB
WVD
POUCY NUMBER
MMIDOY
��P��AID
YM/D�Y F1P
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE O OCCUR
X PD Ded:2,000
CLP3594135
0/01/2013
071011201A
s7 000 000
pEpAApCCMHq GOCCURRENCE
PREMISES Eis, rrence)11300000
MED EXP (Any one person)
E 5 000
PERSONAL S ADV INJURY
$1 000 000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE
POLICY
LIMIT APPLIES PER:
X PRO- LOC
PRODUCTS-COMP/OP AGG
s2000000
$
A
AUTOMOBILE LIABILITY
X ANYAUTO
AUTOS AUTOS
X HIREDAUTOS
ALL OWNEDMCLAJMS-MADE
X OC
CAP3594136
1010112013
07/01/201
COMBINED SINGLE LIMIT
Eaeccident
1,000,000
BODILY INJURY (Pal person)
$
BODILY INJURY(Per accident)
S
PROPEdent)RTY AGE
Per ecdtlanl
S
$
B
X
UMBRELLAUAB
EXCESS UAB
BE017142200
0/01/2013
07/01/201
EACH OCCURRENCE
s5 000 000
AGGREGATE
s5.000.000
DED I X I RETENTION $0
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNER/EXECUTIVE Y/"
OFFICERIMEMBER EXCLUDED?
(Mandatory In NH)
It we describe antler
DERIPTION OF OPERATIONS bobw
SC
NIA
WC3589584
D7101120113
07101/201
X WC STATU- OTH-
E.L. EACH ACCIDENT
E1 OOO OOO
E.L. DISEASE - EA EMPLOYEE
$1 00O 000
E.L DISEASE -POLICY LIMIT E1,000,000
- —
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, AddlOonal 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
l I wOO-I M Y -------
ACORD 25 12010105) 1 of 1 The ACORD name and logo are registered marks of ACORD