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HomeMy WebLinkAbout521604 KECI COLORADO INC - INSURANCE CERTIFICATE (2)ACORDrM CERTIFICATE OF LIABILITY INSURANCE vuzol5 DATE 9/25//25/2014 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(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 Lockton Companies 8110 E Union Avenue Suite 700 Denver CO 80237 (303) 414-6000 A No Ea : A/C No): EMAIL INSURERISI AFFORDING c Ic If INSURER A: The Charter Oak Fire Insurance Company 25615 INSURED K.E.C.I, Colorado, Inc. 1050899 5750 W. Airport Rd. Sedalia, CO 80135 INSURER B: Travelers Prop. Casualty Co. of Am. INSURER C : Pinnacol Assurance INSURER F; . !'A]OV11 RFVLCInM MIIMRFR• XXXXXXX COVERAGES 1lLl.l.V¢r. ..,V..I V n.,muu�. •c���.. - - - 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. INTR TYPE OF INSURANCE ADDLSUBIR D POLICY NUMBER POQCV EFF 1/l/2014 POLICY EXP I/1/2015 LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR iohs to Y N DTC06C647481 EACH OCCURRENCE 1000000 PR MI ET EaErterra 300OOO MED EXP (My one rson 5,000 PERSONAL SADVINJURY $ 1000000 Pollution GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PELT LOC OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ g AUTOMOBILELwelutY X ANYAUTO ALTOS NED HIRED AUTOS SCHEDULEDUTO NON -OWNED X X AUTOS y N DT810325D9148 1/12014 I/12015 E...deDSINGLE LIMIT $ 1000000 BODILY INJURY (Per pelson) $ XXXXXXX BODILY INJURY (Per accident s XXXXXXX PROPERTY DAMAGE Per aceden $XXXXXXX $XXXXXXX B X UMBRELLALUIB EXCESS LUMB X OCCUR CLAIMS -MADE N N DTSMCUP325D9148 1/12014 I/l2015 EACH OCCURRENCE $ 5000000 AGGREGATE $ 5,000,00 DED X RETENTION 410,000 s XXXXXXX C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN AWPROWMfMBERE%RTNE ECUTIV N❑ OFFICEIMa.Wel In NN) DESCRIPDON OF OPERATIONS We NIA N 4048534 10/1/2014 10/12015 X STATUTE OTH E.L. EACH ACCIDENT $ 500000 E.L. DISEASE - EA EMPLOYEE 500000 E.L. DISEASE - POLICY LIMIT 500000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule. may be attached If more space Is required) RE: 7519 Lemay Ave Bridge Expansion Joint. The City, its officers, agents and employees are additional insured as respects General and Auto Liability if required by written contract per policy terms and conditions. Ten(10) Day Notice of Cancellation will be provided to the City for non-payment. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 12439811 City of Fort Collins Purchasingg Department PO Box 280 Ft Collins CO 80522 ......,.. rya,..,.,. 014AR14a1d ACORO CORPORATION- All Hants reserved Th. ACnan ...... e...l I..,...... .aal.f...A mark. of Ar:nRn