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HomeMy WebLinkAboutOVERLAND CONTRACTING INC - INSURANCE CERTIFICATEacoizo CERTIFICATE OF LIABILITY INSURANCE `� n/u2o1s DATE l0/28/2014 28/20t4 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 endomement(s). PRODUCER.. LOCkton Companies 444 W. 47th Street, Suite 900 Kansas C%y, MO 64112-1906 (816)96000 CONTA M MC No Est): ac No E-MAIL COVERAGE NAIC INSURER A; Zurich American Insurance Company 16535 INSURED OVERLAND CONTRACTING INC. 1058332 587 SIGMAN ROAD, N.E. CONYERS GA 30013 KYLE,CATHY INSURER B : American Zurich Insurance Comparty 40142 INSURERC: INSURER Ec Br A WCal CERTIFICATE NUMBER: 120401 "A REVISION NUMBER: XXXXXXX 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 TYPE OF INSURANCE ANDL UBIWI POLICY NUMBER POLICY EFF 11/1/2014 POLICY EXP IMMIDDNYYY 11/l/2015 LIMITS A X. COMMERCIAL GENERAL LIABILITY N N GLG4641358 EACH OCCURRENCE s 1,000,000 DAMAGE TO RENTED PREMISESEa occvDo. 3OO OOO CLAIMSIMDE OCCUR CONTRACTI JAI X MEDEXPAnone 10000 X RFPD & C/0 & XCU PERSONAL a ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 000 000 PRODUCTS - COMPIOP AGG $ 1000 000 POLICY PRO [::] LOC JE $ OTHER A AUTOMOBILE LABILITY N N $AP46413$$(AO$) I I1/1/2014 11/1/201$ E.acccideOSINGLE LIMIT $.1000000 BODILY INJURY (Per person) $ i{XXXXi{X ANY AUTO' BODILY INJURY (Per accident $ XXXXXX}{ ALL OWNED SCHEDULED AUTOS ALITOSpS Ix perOPERldYDAMAGE s XXXXXXX HIRED AUTOS X HUTOSWNED $Xxxxxxx UMBRELLA LAB OCCUR EACH OCCURRENCE S XXXXXXX EXCESS LIAR CLAIMSAAOE NOT APPLICABLE AGGREGATE S XXXXXXX DED I I RETENTION $ $ $ WORKERS COMPENSATION N WC 4641353(AOS) 11/1/2014 Il/l/2015 X sThruTE OTH FP A AND EMPLOYERS' LIABILITY Y I q WC 4641354 W1&MA) 11/1/2014 11/1/20I5 E.L.EACH ACCIDENT $ 1000000 ANY PROPRIETOPARTNEWEXECUTIVE ❑ N NIA E.L.OISEZE2F. EMPLOYEE 111 1000000 OFFICERIMEMSER EXCLUDED? (ManE'l NH) E.L. DISEASE -POLICY LIMIT Is 1,000,000 if DEC PTION OF OPERATIONS aeIw DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may b attached if more space is required) OCI PROJECT AND PHASE: 122061.0080. PROJECT MANAGER OR LEAD CONSTRUCTION MANAGER: ANDREW BIRCH. CONTRACTOR REGISTRATION FOR: AT&T. CERTIFICATE HOLDER IiMIYI.CLLH I IVIY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 12039113 AUTHORIZED REPRESENTATIVE CITY OF FORT COLLINS 281 N COLLEGE AVENUE P. 0. BOX 580 FORT COLLINS CO 80526 /Y! ACORD 25 120141011 ©1 8-2014 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD