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Home My WebLink About201461 CONSTRUCTION CONCEPTS INC - INSURANCE CERTIFICATE (5)ACORD CERTIFICATE OF LIABILITY INSURANCE .M DATE20/2I014 06/20/2014 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 endorsement(s). PRODUCER CONTACT NAME: Karole Peters Ewing -Leavitt Insurance Agency 4025 St. Cloud Dr. FAX AICC E:t:970.679.7355 A,D,Ne;866.237.2178 ADDRESS: karole-peters@leavitt.com Suite 100 INSURER(S) AFFORDING COVERAGE NAICN Loveland, CO 80538 INSURER A: Cincinnati Insurance Co 10677 INSURED Construction Concepts Inc INSURER : PTnnacol Assurance 41190 14125 Mead Street INSURER : OneBeacon Insurance Company 21970 Longmont, CO 80504 INSURER D: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 13-14 w/ we update 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. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDD/YYYY MMIDDIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I OCCUR X Blkt Addl Insured EPP016236 10/01/2013 10/01/2014 EACH OCCURRENCE $ 1,000,00 PREMISES (Ea occurrence) $ SOO, 00 MED EXP(Anyone person) $ 10,000 PERSONAL B ADV INJURY $ 1,000,00 X Blkt Waiver of Sub GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER POLICY FX7 PECROT LOG PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUTOS X NON -OWNED AUTOS EPP016236 10/0112013 10/0112014 Eaaccident $ 1,000,00 X BODILY INJURY (Per person) $ ( ) BODILY INJURY Per accident $ X Per accident) $ $ A X UMBRELLA LIAB EXCESSLIAB X OCCUR CLAIMS -MADE EPP016236 10/01/2013 10/01/2014 EACH OCCURRENCE $ 2,000,00( AGGREGATE $ 2,000,00 DED X RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVBI�Y/"I OFFICER/MEMBER EXCLUDED? u (Mandatory In NH) If yes. descrbe under DESCRIPTION OF OPERATIONS below N/A 403174507/01/2014 BLANKET WAIVE OF SUBROGATION 07/01/2015 X TWORV LIMITS ER EL EACH ACCIDENT $ 1,000,00( E.L. DISEASE -EA EMPLOYEE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,00 C Commercial Builders Risk Reporting Form 790-01-03-05-000210/0112013 10/01/2014 $1,500,000 any one structure $1,000 deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) City of Fort Collins Purchasing Division 21S N. Mason Street 2nd Floor Fort Collins, CO 80524 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 ./ ACORD CORPORATION. All riahtc ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD