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HomeMy WebLinkAboutBRB CONTRACTORS INC - INSURANCE CERTIFICATE (3),acoRO® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD YYYY 3/21/2014 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 Cretcher Heartland 4551 W. 107th St., Third Floor Overland Park KS 66207 CONTACT NAME: PHONE F I No 9111543.4148 E-MAIL ADDREss: INSURERS AFFORDING COVERAGE NAIC S INSURER A.TrBVelerS Property Casualty 25674 INSURED INSURER Amerisure Insurance Company 19488 INSURER C' 'sure Mutual Ins Co 23326 BRB Contractors, Inc. INSURER D: 3805 NW 25th Street Topeka KS 66618 INSURER E: NSURER F: COVERAGES CERTIFICATE NUMBER: 340357376 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 L OF INSURANCE L ADDrypE I U POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY E%P M D DMITS B GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ITI OCCUR Y Y GL20753590201 /1/2014 /1/2015 EACH OCCURRENCE $1,000,000 A e nen PREMISES $100000 MED EXP (Any one arson $10 000 PERSONAL &ADV INJURY $1000000 GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE 17 POLICY LIMIT APPLIES PER: X iECPRO- LOC PRODUCTS - COMP/OP AGG $2000,000 It A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS TOS NON —OWNED HIRED AUTOS AUTOS 0T63076448706TIL12 /1/2014 /1/2015 .accident 1000000 X BODILY INJURY (Par pawn) $ BODILY INJURY (Per accident) It PROPERTY DAMAGE IFer accident) $ A X UMBRELLA LIAR E%CESS LIAR X OCCUR CLAIMS -MADE ZUP41M0096114NF 11/2014 1112015 EACH OCCURRENCE $15,000,000 AGGREGATE $15.000,000 DED X RETENTION $0- Is C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY OFFICER/MEN PROPRIETORPARTNEWEXER EXCLUDED? ECUTIVE FN (Mandatory In NH) If yea, describe under DESCRIPTION OF OPERATIONS balm N / A WC207534902 11/2014 /112015 X WCSTATJU OTH- LIM E.L. EACH ACCIDENT — $1 004000 E.L. DISEASE -EA EMPLOYE $1 000 000 E.L. DISEASE -POLICY LIMIT 1 $i 000 000 A D Builders Risk/install Floater Professional/Pollution QT6307644B70STIL12 CZB276178830 11/2014 /712014 1112015 0/2015 Limit "SEE BELOW' Dad 2,500 Poll Lm[Claim/Agg 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Romance Schedule, If more space Is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN James O'Neill, CPPO, FNIGP, City of Fort Collins, ACCORDANCE WITH THE POLICY PROVISIONS. Director Purchasing & Risk Mgt 215 North Mason St., 2nd Floor AUTHORIZED REPRESENTATIVE Fort Collins CO 80524 oir:T:ra'z�zr��_er•�:uit•�:rs•�:i_��fr, I�_urm� ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORO