HomeMy WebLinkAbout157655 WATTLE & DAUB CONTRACTORS INC - INSURANCE CERTIFICATE (3)A� CERTIFICATE OF LIABILITY INSURANCE
°2 2 M 201""
12/27/2013
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: 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 endorsements .
PRODUCER
Denver Agency
210 University Blvd, Suite 600
CONTACT NAME: Laura Mass
PNONE , 03)892-6900 FAT( (303)892-6938
E-MaL .laur(3a@denveragency.com
INSURE S AFFORDING COVERAGE
NAIC 0
Denver CO 80206-4661
INSURERAAtain Specialty Ins Co %Burns &
Wilcox
INSURED i
Wattle 6 Daub Contractors, Inc. 151�5�
INSURER B:Phoenix Insurance Cc
INSURER C:Pinnacol Assurance
8 Gibbs Rd.
INSURERD:
INSURER E
Laramie WY 82070
INSURER F:
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.
INSR
LTR
TYPE OF INSURANCE
ADOL
JunNUMB
BUBB
POLICY ER
POLICY EFF
POLICY EXP
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
X COMMERCIAL GENERAL LIABILITY
PREMISES (Es r n
$ 50,000
A
CLAIMS -MADE OCCUR
CIP143645
/1/2014
/1/2015
MED EXP (my onePerson)
S 5,000
PERSONAL ADV INJURY
$ 1,000,000
GGREGATE
$ 2,000,000
GEN'L AGGREGATE
LIMIT APPLIES PER:
-COMP/OP AGO
$ 2,000,000
POLICY
}[ PRO- LOC
$
AUTOMOBILE
LIABILITY
SINGLE LIMR
accidern)
1 000 OOO(Ea
URY (Par penan)
SALL
B
ANY AUTO
OWNED SCHEDULED
AUTOS
-1281YO79-14-SEL
/1/2014
/1/2015(
)AUTOS
RY Per accidut
$HIRED
AUTOSAONO-0WNED
DAMAGE
Pr
$
Uninauretl motorist combinedr
000000UMBRELLA
IlAB
OCCUR
EACH OCCURRENCE
AGGREGATE
EXCESS LIAR
CLAIMS -MADE
DED RETENTION
C
WORKERS COMPENSATION
WC STATU- OTHAND
XANY
EMPLOYERS' LIABILITY YIN
EACH ACCIDENT
1 O00 OOO
PROPRIETOR(PARTNERIEXECUTNEE.L.
OFFICER/MEMBER EXCLUDED?
NIA(Mandatory
in NH)
093011
/1/2014
/1/2015
If yes, describe under
E.L. DISEASE -EA EMPLOYE1,000.000
000
E.L. DISEASE - POLICY LIMIT 1
$ 1 00()000
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, AddlNonal RarnaMs Schadula, N mora Space Is required)
Certificate Holder is included as Additional Insured regarding General Liability.
City of Fort Collins
P.O. Box 580
Fort Collins, CO 80524
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
ACORD 25 (2010105)
McKeever, CIC/LADRA�
0 1988-2010
Ar• Oa -- --. :--- -- ,.a Arnen
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