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Home My WebLink AboutBOSCO CONSTRUCTORS INC - INSURANCE CERTIFICATE (5)BOSCO-1 OP ID: MMZ . kft R CERTIFICATE OF LIABILITY INSURANCE `.—�" D11107/2014Y) t t w7nota 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 CRS/Surescape Ins. Services 6600 E. Hampden Ave. Denver, CO 80224 Erik E. Ulibarri CONTACT Alex Rothe PHONE FAX An: No , ; 303-996-7801 ACC No), ADoRE$$, arothey@crsdenver.com INSURERS AFFORDING COVERAGE NAIC p INSURERA:Valley Forge Insurance Co. INSURED Bosco Constructors, Inc. INSURERS: Pinnacol Assurance 6568 South Racine Cir Centennial, CO 80111 NSURER C INSURER D : INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 OF INSURANCE ADOLTYPE INSO SUER POLICY NUMBER MMMPOLID Y EFF fVYVY1 POLICY UP (MMVDDfVYYY1 OMITS A X COMMERCIAL GENERAL LIABILITY 71 CLAIMS -MADE FKOCCUR PD Ded: $10,000 C5088584079 i 1210112014 12/01/2015 EACH OCCURRENCE $ 1,000,00 DAMA GE T 0 K I, N I t U PREMISES Ee amrnance $ 100,00 X MED EXP (Any one person) $ 5,00 PERSONAL S ADV INJURY $ 1,000,00 GENT AGGREGATE LIMIT APPLIES PER: POLICY�JE�T LOC OTHER: GENERAL AGGREGATE S 2,000,00 PRODUCTS - COMP/OP AGG $ 2,000,00 $ A AUTOMOBILE LIABILITY ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS X NON -OWNED HIREDAUTOS AUTOS C5088584082 li 12101/2014 12/01/2015 COMBINED SINGLE LIMIT Ea accident $ 1,000,00 X BODILY INJURY (Per person) $ BODILY INJURY (Per ecodent) $ X PROPERTY DAMAGE Per accident $ $ A UMBRELLA LIAB EXCESS LULe X OCCUR CLAIMS -MADE C5088584079 12/01/2014 1210112015 EACH OCCURRENCE S 9,000,00 AGGREGATE $ 9,000,00 DED X RETENTIONS 10,000 $ IS WORKERS COMPENSATION AND EMPLOYERS' LIABIUTY ANY PROPRIETORRARTNERIEXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory In NH) rc yes, descnbe under DESCRIPTION OF OPERATIONS below NIA 2226180 04/01/2014 04/0112015 XI PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 500,00 E. L. DISEASE - EA EMPLOYEE 3 500,00 E L DISEASE -POLICY LIMIT S 500,0010 A Lease/Rented Equip C5088584079 12/0112014 12/0112015 Limit 350,00 Ded 1,00 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (AMRD tdt, AddldonW Ramarb Soh W ule, may M a had N mon apwa Is raqulnxt) Re: Water/Wastewater Treatment and Site Infrastructure, Design/Construction Contractor #7220. CITFTCO City of Fort Collins Financial Services Purchasing Division 215 N Mason Street 2nd Floor 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 V "L$At % 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD