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HomeMy WebLinkAbout250056 WYATT CONSTRUCTION CO INC - INSURANCE CERTIFICATE (2)'`�� R" CERTIFICATE OF LIABILITY INSURANCE a/17/20 4Y" 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 endorsement(s). PRODUCER CO West Insurance Associates P.O. Box 101387 Denver CO 80250-1387 CONTACT COWest Associates NAME: PHONE (720) 524-9344 FAX No). (720)524-9352 EMAIL RESS INSURERS AFFORDING COVERAGE NAICa INSURERA:Plnnaeol Assurance 41190 INSURED ((�� f Wyatt Construction CO.Inc. 2J VOlS 3223 Arapahoe Avenue #100 Boulder CO 80303 INSURER B: INSURER C: INSURER D: NSURERE: INSURER F: 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 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 POLICY NUMBER MM/DD/YYYF POLICY EXP LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE S $ MED EXP An one person)S PERSONAL S ADV INJURY $ GENERAL AGGREGATE S GEN'L AGGREGATE POLICY LIMIT APPLIES PER: PRO- LOC PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS COMBINED SINGLELIMIT BODILY INJURY (Par person) $ BODILY INJURY (Per accadent) $ PROPERTY DAMAGE $ S UMBRELLA (JAB EXCESS LWB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DELI I I RETENTION S A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If y deerfibe under DESCRIPTION OF OPERATIONS below NIA 1150U5 5/1/2014 /1/2015 X I YVC STATU- I JOT" ER E.L EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space Is required) CERTIFICATE HOLDER 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 W.R. Withrow/LIA ACORD 25 (2010105) INS025 (201005) 01 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD