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HomeMy WebLinkAboutGAMMA CONSTRUCTION COMPANY - INSURANCE CERTIFICATE (2)R CERTIFICATE OF LIABILITY INSURANCE 6-./ DATE (YY0ID14 12/18/2014 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(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 endorsements . PRODUCER CONTACT Roberta Erb NAME: Tucker Agency, Ltd. PHONE . (817)336-8520 FAX (817)336-6501 P 0 Box 2285 E-01AIL .roberta®tuckeragency. com INSURE S AFFORDING COVERAGE NAICA INSURERA:Zurich American Insurance Co. Ft. worth TX 76113 INSURED INSURERB:RSLTI Indemnity Company Gamma Construction Company I INSURER C: INSURER D: P O BOX 22047 INSURERE: Houston, TX 77227 INSURER F : COVERAGES CERTIFICATE NUMBER:14/15 All Linea 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 ADDLSUSR POLICY NUMBER POLICY EFF MM POLICY UP LIMIT A GENERALLUIBIUTY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR X XCD Included X X LO 3981716-12 12/31/201412/31/2015 EACH OCCURRENCE $ 1,000,000 DAMA NTED PREMISES E occurrence) $ 300,000 MED UP (Aryy one person) $ 10,000 PERSONAL B ADV INJURY $ 1,000,000 X Contractual GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE POLICYFx-1 LIMIT APPLIES PER: PRO. LOC PRODUCTS -COMPIOP AGG $ 2,000,000 E A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED X X SAP 3981717-12 12/31/201412/31/2015 COMBINED SINGLE LIMB 11000,000 X BODILY INJURY (Per person) $ IAUTOS BODILY INJURY (Per accident) 8 X PROPERTY DAMAGE (Per accidentl $ E B X UMBRELLA LIAR EXCESS UAB X OCCUR CLAIMS -MADE X X REA070320 2/31/2014 2/31/2015 EACH OCCURRENCE $ 10,000,000 AGGREGATE S 10, 000, 000 DED RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) Ifyes. descdoe under DESCRIPTION OF OPERATIONS below NIA X INC 3981718-12 12/31/2014 12/31/2015 X WC STATU- OTH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1 000,000 E.L. DISEASE - POLICY LIMIT $ 1 000 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AddlOonal Remarks Schedule, N more space la required) Re: Contractors License #A-84 City of Fort Collins P O Box 580 Fort Collins, CO 80522-0580 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 ACORD 25 (2010/05) Tucker/RE ©1988.2010 ACORD CORPORATION. All rights INS025 (2o/owpi The ACORD name and logo are registered marks of ACORD