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Home My WebLink AboutJS CONTRACTING COMPANY INC - INSURANCE CERTIFICATEClient#: 45027 JTWOC ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE 12/12/20142I2014 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 endorsement(s). PRODUCER NAON C MEA Nancy Keiser Flood & Peterson Ins., Inc. PHONE g70-506-3239 FAX 970-506-6836 AIL No E,,: AIL Ne P. O. Box 578 E-MAIL Greeley, CO 80632 ADDRESS: 970356-0123 INSURER(S) AFFORDING COVERAGE NAIL# INSURER A: Travelers Insurance Company INSURED INSURER B : J2 Contracting Company, Inc. PO Box 129 INSURER C Greeley, CO 80632 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 CONTRACTOR 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 ADDLSUBR INSR MD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I -XI OCCUR X PDDed:2,500 DTC032SD6576IND15 1/01/2015 01/01/201E EACH OCCURRENCE $1 000000 PREMISES Ea occurrence $300000 MED EXP (Anyone person) $ 5,000 PERSONAL & ADV INJURY $1000000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO- LOG JECTA PRODUCTS .COMP/OP AGO $2,000,000 $ AUTOMOBILE LIABILITY ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS 810325D6576COF15 1/01/2015 011011201 EeeBINEDSINGLELIMIT 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Peraccitlent $ A UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE CUP325D6576TIL15 1/0112015 01/01/201E EACH OCCURRENCE $4000000 AGGREGATE I s4,000,001) DED I X I RETENTION $10000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? IMandatory In NH) a If yes, describe under DESCRIPTION OF OPERATIONS below NIA WGSTATU-M1S OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE- POLICY LIMIT 1 $ A Rented/Leased Equipment QT6607225L939TIL15 1/01/2015 011011201C $750,000 per item DESCRIPTION OF OPERATIONS I LOCATIONS I VEHIL LES (Attach ACORD 101, Additional Remarks Schedule, If mom space Is required) Cit of Fort Collins is named as an additional insured in regard to the general liability policy per policy terms and conditions in regard to the 7209 Registry Neighborhood Park; Fort Collins CO project. City of Ft Collins 215 North Mason Street 2nd Floor Fort Collins, CO 80522 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) 1 of 1 #S956909/M956876 01988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ARP