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