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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