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HomeMy WebLinkAboutGAMMA CONSTRUCTION COMPANY - INSURANCE CERTIFICATEALCORO® 1.l CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD,YYYY) 1 12/19/2013 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 Tucker Agency, Ltd. P O Box 2285 Ft. Worth TX 76113 C NTA T NAME: Roberta Erb PHONEFir, (817)336-8520 WC .(817)336-6501 EMAILA DRESS .robertaatuckeragency. cont INSURE S AFFORDING COVERAGE NAIC $ INSURERA:Zurich American Insurance Co. INSURED Gamma Construction Company P O Box 22047 Houston, TX 77227 INSURERBiCL Specialty Insurance Company I INSURER C: INsuRERo: INSURERE: INSURER F COVERAGES CERTIFICATE NUMBER:13/14 All Lines 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 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 OF INSURANCE L ADDTYPE U POLICY NUMBER POLICY EFF POLICY EXP UNITS A GENERAL LIABILITY X COMMERCIAL GENERAL LABILTY CLAIMS -MADE Fx-1 OCCUR X XCO Included X X 3L0 3981716-11 12/31/201312/31/2014 EACH OCCURRENCE f 1,000,000 PREMISES n $ 300,000 MED UP (My oneperson) $ 10,000 PERSONAL S ADV INJURY $ 11000,000 X Contractual GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE POLICY LIMIT APPLIES PER: X PRO- LOD JFCT PRODUCTS-COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X AUTOS Ix x X BAP 3981717-11 12/31/201312/31/2014 COMBINED SINGLE LIMIT 11000,000 BODILY INJURY (Per person) $ BODILY INJURY(Per accident) $ PPROPERTY DAMAGE it $ B X UMBRELLA LJAB EXCESS LIMB X OCCUR CLAIMS -MADE X X S0006629SLI13A 12/31/201312/31/2014 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10, 000, 000 DED I I RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LLITY IABIYIN ANY PROPRIETORIPARTNEWEXECUTIVE O OFFICERIMEMBER EXCLUDED7 (Mendml In NM) 0 yes, describe under DESCRIPTION OF OPERATIONS below N/A X WC 3981718-11 12/31/2013 12/31/2014 X1 WC STATU- OTM- LIMITS E.L. EACH ACCIDENT $ 1,000.00 EL. DISEASE - EA EMPLOYEE $ 11000,00 E.L. DISEASE -POLICY LIMIT f 1 000 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remaras Schedule, 0 more space is required) Re: Contractors License #A-84 CER`IFICATE HGL DER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins P O Box 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522-0580 Tracy Tucker/RE "-�- AC uRD 25 (2010105) INS025 (201005) 01 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD