HomeMy WebLinkAbout147906 SAUNDERS CONSTRUCTION INC - INSURANCE CERTIFICATE (7)FF".. .'
AC 40MY CERTIFICATE OF LIABILITY INSURANCE
os 2/2014
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 endoreement A statement on this Certificate does not Confer rights to the
certificate holder in lieu of such endorsements .
PRODUCER 1-303-536-4567
CONTACT
NAME:
IAA, Inc. - Colorado Division
PHONE FAX
INC No bt-AA No:
411MIL denpamSimcorp.com
ADDRESS:
E1705
17th SLLYMC
INSURER(S) AFFORDING COVERAGE
NNCa
suite 100
INSURER A: PHOENIX INS 00(7revelers)
25623
Deaver, CO 80202
INSURED,
INSURERS: TRAVELHAS IND CO
25658
INSURER C: ANMCAN GUAR 6 LIAB INS(Surlch North M
44247
Saunders Construction, Inc.
INSURER D: ACIG INS CO
19984
6950 South Jordan Road
INSURER E :
INSURER F:
Centenulal, CO 80112
COVERAGES CERTIFICATE NUMBER: 41529013 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.
amOL
LTR
TYPE OF INSURANCE
UBTI
POLICY NUMBER
POLICY EFF
MMN
POLICY EXP
MAl
LIMITS
A
i
COMMERCIAL GENERAL LABILITY
DTC0325D325APHX16
04/30/14
04/30/15
EACH OCCURRENCE
f 2.000,000
CLAIMSMADE i OCCUR
DAMAGE
PREMISES Ee
f 300,000
NED ErP (" mY pwren)
f 10,000
PERSONAL A ADV sJuNY
S 2.000,000
GEN'LAGGREGATEUMITAPPLIESPErt
GENERAL AGGREGATE
f 4,000,000
POLIC,[�]JECT ❑LOC
PRODUCTS - COMPIOP AGG
fa,000,000
It
OTHER:
B
AUTOMOBILE IABILn-T
DT810325D325AIND10
04/30/14
04/30/15
COMBINED SINGLE LIMIT 11
f 1,000,000
BODILY INJURY (Perpenon)
$
i ANY AUTO
BODILY INJURY (Pera[G0en0
f
ALL OWNED SCHEDULED
AUTOS OS
NNTONAWNED
i HIRED AUTOS i AUTOS
PRO=DAMAGE
PerevJdenl
f
s
C
i
UMBRELLA IAB
i
OCCUR
AUC596783906
04/30/14
04/30/15
EACH OCCURRENCE
$ 10,000,000
AGGREGATE
f 10,000,000
EACEBS UPS
CWNSMAOE
DED RETENIONf
Is
D
D
WORMERS COMPERSATIGH
AND EMPLOYERS' LIABILITY YIN
ANY PROPWETORrPARTNERIFJ(ECUTNE
OFFICER MEMBER EXCIUDEDi
lYwlda"In NNI
NIA
MCA000014214- KS
NC'A00001{11a-AOS
10/01/14
10/01/14
10/01/15
10/01/15
i 5 ATUT OR -
EL.EACHACCIDENT
S 1,000,000
E.L. DISEASE -EA EMPLOYE
$ 1,000,000
E.L. DISEASE -POLICY LIMIT
1 f 1,000,000
If yes, deaths under
DESCRIPTION OF OPERATIONS MIow
OEBORIPTN)N OF OPEMDO" I LOCATION! I VEHICLES (ACOND 101, A,1dMbntl RwnwN SNrduM, mO M �W tlrd Amen tpp M npub�
RE: Contractors Licens a YB-119.
City of Port Collins is included ere Additions1 Insured on the General Liability Policy if required by
wrlttm contract or agreement and with respect to work performed by Insured subject to the policy torme
and couditions.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Port Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Contractor's License DSvieion ACCORDANCE WITH THE POLICY PROVISIONS.
PO BOr 580 AUTHORIZED REPRESENTATIVE ///JJJ
Port Colli, ns, CO 80522-0580 09A 111 /Y/�/(� / //,�/1
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ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
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41529013