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HomeMy WebLinkAboutK R SWERDFEGER CONSTRUCTION INC - INSURANCE CERTIFICATE (3)Client#: 163668 KRSWERDF ACORD.CERTIFICATE OF LIABILITY INSURANCE DATE 1YYYv) 2/18/20 2/18/2013 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 endomement(s). PRODUCER NAMEACT Mary Ann Eurich HUB International Ins Svcs Inc PHONE N Earl):719-546-6636 FAX lAdc,Ne: 866-908-2103 1414 W 4th St E-MAIL ADDRE : maryann.surich@hubintemational.com P.O. Box 58 5 INSURER(II)AFFORDINGCOVERAGE "c• Pueblo, 81002 INSURER A: Phoenix Insurance Company 25623 INSURED INSURER 6 : Travelers Property Casualty Co K R Swerdfeger Construction Inc 421 E Industrial Blvd INSURER C : Pueblo West, CO 81007 INSURER D: INSURER E: INSURER F: CA License #0757776 COVERAGES 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 CERTFICATE 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. L pR TYPE OF INSURANCE ADOL DB POLICY NUMBER M SIC P MMIDOrI,CY YfP LIMn3 A GENERAL LIABILITY X COMMERCW. GENERAL LIABILITY CLAIMS -MADE O OCCUR X PDDed:2,500 DTC05643B507PHX14 1/01/2014 01/01/2015 $1 000000 EEppApCCL�Hpp,GCO�EEC7C7URgR�ENCE PREMISES Eaos rwra SM0 000 MED EXP An one rson) $5 000 PERSONAL SADVINJURY $1000000 GENERAL AGGREGATE $00Q 000 GEWL AGGREGATE POLICY LIMIT APPLIES PER: PRO.LOD JECT PRODUCTS-COMP/OP AGG $ 000000 $ B AUTOMOBEELJA6ILITY ANY AUTO ALL OWNED SCHEDULEDBODILY AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS DT8105643B507TIL14 1/01/2014 01101/201S COMBINED SINGLE LIMIT 1,000,000 BODILY INJURY(Par parson) $ IX INJURY(Per accident) $ PROP RTY DAMAGE Pe $ $ B X UMBRELLA LIAB EXCESB UAS X OCCUR I CLAIMS -MADE DTSMCUPS643850771L 1/01/201401/01/201 EACHOCCURRENCE $10000000 AGGREGATE $10000 000 DED I X RETENTION $10,000 1$ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE YIN OFFICERMEMBER EXCLUDED? (Myyaaendatory In NH) ❑ESCRIPTION OF OPERATIONS asloty NIA DTKU85643B50714 1/01/2014 01101/201 XSTATIr• 2Tt4 E.L.EACH ACCIDENT $1 OOO O00 E.L. DISEASE - EA EMPLOYEE 511,000,0N E.L. DISEASE -POLICY LIMIT $1000000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule. If mom apace Is required) PROJECT: WATER, WASTEWATER, 8. STORMWATER UTILITY PROPOSAL #P951 CITY OF FT. COLLINS 215 N. Mason St FT. COLLINS, CO 80522-0000 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 11L ACORD 25 (2010/05) 1 Of 1 i 19771QI/MI75755171 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD rum