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HomeMy WebLinkAboutMPB CONTRACTORS - INSURANCE CERTIFICATE (3)ACO III CERTIFICATE OF LIABILITY INSURANCE 23/20 4 YY) 613l20RO® 14 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 CONTACT NAME: Olson & Olson Ltd 5655 S. Yosemite St. #101 Greenwood Village CO 80111 PHONE FAX A C N.):303-867-2074 EIMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC A INSURER AWeStfield Insurance Company 24112 INSURED MPBCO-1 INSURER B: INSURERC: MPB Contractors 3155 Chambers Road Aurora CO 80011 INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 350264832 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 ttpE OF ADDLSUBR INS WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POUCYEXP MMIDDIYYY LIMITS A GENERAL LIABILITY TRA5122432 /12014 21112015 EACH OCCURRENCE S1000000 X COMMERCIAL GENERAL LIABILITY CLAIMS�MADEOCCUR PREM SES Ea ccur ace S500,000 MED EXP (Any one person) $15,000 PERSONAL B ADV INJURY S1,000000 GENERAL AGGREGATE S2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2000000 POLICY X pRo- X LOC S A AUTOMOBILE LIABILITY TRA5122432 12014 12015 COMBINED SINGLE LIMIT Ea accident 9.000000 X BODILY INJURY (Per person) S ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per acceenp S PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS PAUTOS S A UMBRELLA LIAR X OCCUR TRA5122432 12014 12015 EACH OCCURRENCE s5,000,000 AGGREGATE $5,000,000 EXCESS LIAR CI -AIMS -MADE DIED X RETENTIONSNIL S B WORKERS COMPENSATION 4058803 7/1/2014 /12015 X I 'AICSTATU- OTH- ANDEMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERJMEMBER EXCLUDED' N❑ N I A EL EACH ACCIDENT 5500,000 E. L. DISEASE -EA EMPLOYEj S500000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE. POLICY LIMIT 1 $500000 A Installation Floater TRA5122432 1/1014 12015 Budding S1,00OW0 Deduct S1,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. Additional Remarks SLlreduM, it more space is required) Certificate Holder and those listed below(if any) are Additional Insureds as respects General Liability and Umbrella Liability on a Primary and Non -Contributory basis, and Auto Liability only if required by written contract or agreement and coverage applies only as respects work performed by the Insured for the Additional Insureds. All coverage terms, conditions, and exclusions of the policy apply. The Worker's Compensation, General Liability, Auto Liability, and Umbrella Liability policies include a Waiver of Subrogation in favor of the Additional Insureds only if required by written contract or agreement. Contractor's License. City of Fort Collins P.,O. 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. AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 26 (2010105) The ACORD name and logo are registered marks of ACORD