HomeMy WebLinkAbout250056 WYATT CONSTRUCTION INC - INSURANCE CERTIFICATEA�� b® CERTIFICATE OF LIABILITY INSURANCE
4124/120114 '
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(les) 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
Taggart and Associates, Inc
1600 Canyon Boulevard
P. O. BOX 147
Boulder CO 80306
NAMPCT Courtney Gabriel, CIC
PHONE (303)442-1464 1FAX NII.I303)442-8822
-MAIL .courtneyg@taggartinsurance.com
INSURE B AFFORDING COVERAGE
NAIC4
INSURER A Cincinnati Insurance Companies
10677
INSURED
Wyatt one truction CO. Inc.
3223 Arapahoe Ave. Suite 100
Boulder CO 80303
INSURERB:St Paul Fire & Marine
4767
INSURER C:
INSURERD:
INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER:14-15 Master 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
TYPE OF INSURANCE
POLICY NUMBER
MMNDT�
M LICMIDVfTYY
UNITS
GENERAL UABIUTY
EACH OCCURRENCE
f 1,000,000
PREMISES . rr
f 500,000
A
X COMMERCIALGENERALLIABILIIY
CLAIMS-MADE�I-X-1OCCUR
PP0138088
/1/2014
/1/2015 .
MEDEXP(Anyoneperson)
f-'10,000
PERSONAL S ADJ INJURY
f 1,000,000
GENERAL AGGREGATE
f 2,000,000
GENT AGGREGATELIMIT
APPLIES PER:
PRODUCTS-COMPADPAGG
$ 2,000,000
POLICY
X PRO LOC
f
AUTOMOBILE
LIABILITY
Ea MBINEDt SINGLE LIMIT1,000,000
BODILY INJURY(Per Parson)
S
AALLOMED
AUTO
SCHEDULED
AUTOS AUTOS
PF0138088
/1/2014
/1/2015
IANY
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Peraalden
f
NONCANED
HIRED AUTOS AUTOS
Medical payments
f 5 000
X
UMBRELLA LIAB
X
OCCUR
EACH OCCURRENCE
f 5,000,000
AGGREGATE
$ 5,000,000
A
EXCESS LIAB
CLAIMS -MADE
DIED I I RETENTIONS
f
PP0138088
/1/2014
/1/2015
WORKERS COMPENSATION
I WCSTATJU OTK
UM
AND EMPLOYERS'UABIUTY YIN
ANY PROPRIETOWPARTNERIEXECUTNE❑
RI
OFFICEMEMBER EXCLUDED?
NIA
E.L. EACH ACCIDENT
S
E.L. DISEASE - EA EMPLOYE
f
(Mandatory in NH)
/yes, Oes1 under
DESCRIPTION OF OPERATIONS Oahu
E.L. DISEASE- POLICY LIMIT
S
B
EXCESS LIABILITY
ZU1P14K2B27414NF
/1/2014
/1/2015
EACH OCCURRENCE $5,000,000
AGGREGATE $5,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101. AddrUanal Remark. Schedule, B more space Is required)
City of Fort Collins
PO Box 580
Fort Collins, CO 80522
ACORD 25 (2010/05)
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
Gabriel, CIC/CJG (0-" w^AQ-1
INS025 tm,nn5i m Tha ArTngn nnma and Inn^ am raniatamd mark¢ of Ar.nPn
)RD CORPORATION. All riahts rasarvad.