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HomeMy WebLinkAboutFRANSEN PITTMAN CONSTRUCTION CO INC - INSURANCE CERTIFICATEA6ORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMMDNYYY) 07/31/2014 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 Willis of Colorado, Inc. CONTACT NAME: c/o 26 Century Blvd PHONE FA% 1-877- d -] 78 AIC No 1-888-467-2378 P.O. Box 305191 Nashville, IN 372305191 USA E-MAIL ADDRESS: certificate0willis.com INSURER $ AFFORDING COVERAGE NAIC a INSURER A:Continental Insurance Ccm,any 35289 INSUREDFranaen Pittman Construction Co., Inc. INSURERB:Vall&V Fore Insurance Company 20508 INSURER C:Continental casualty Cannery 20443 23 Inver... Way East, A250 Engle rood, CO 80112 INSURER D:Pivnacol Assurance conpary 41190 :SURER E : SURER' COVERAGES CERTIFICATE NUMBER W513502 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 L7R TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMMD POLICY EX MMIDD LIMBS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 ..MS -MADE OCCUR DAMAGE TO RENTED PREMISES , nce $ 100,000 MED EXP (my onePerson) $ 5,000 A PERSONAL B ADV INJURY $ 1,000,000 4032702457 08/01/2014 08/01/2015 GENT AGGREGATE LIMIT APPLIES PER: POLICY JE0 LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accdent § 1,000, 000 X BODILY INJURY (Per Person) $ ANY AUTO B ALL OWNED SCHEDULED AUTOS AUTOS 4032702460 00/01/2014 08/01/2015 BODILY INJURY Per accident ( ) $ HIRED AUTOS NON-0WNEO AUTOS PROPERTY DAMAGE Per accident § C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 EXCESS LIAB CLAIMS -MADE 4032886640 08/01/2014 08/01/2015 DED I X i RETENTION$0 00 $ D WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERVEMBER EXCLUDED? (Mandatory In NH) NIA 4046117 08/01/2014 08/01/2015 PER OTH- X STATU ER EL EACH ACCIDENT $ 500,000 E.L. DISEASE -EA EMPLOYE $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT I $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Addidonal Remarks Schedule, may he adached if more spau Is required) Contcactora License City of Fort Collins PO Box 580 Fort Collins, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORI2ED REPRESENTATIVE V—a Cr1RPr1PATIAM All Anh4a ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD SR ID:6416751 BATCH:Batch y: 77331