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HomeMy WebLinkAboutJS CONTRACTING COMPANY INC - INSURANCE CERTIFICATE (2)Client#: 45027 JTWOC ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MWOONYYY) 12/12/2014 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 endorsement(s). PRODUCER Flood & Peterson Ins., Inc. P. 0. BOX 578 Greeley, CO 80632 970356-0123 N.'E ' Nancy Keiser PHONE FAX ac 97O-SO6-3239 ac, No : 970-506-6836 E-MAIL - ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Travelers Insurance Company INSURED J2 Contracting Company, Inc. PO Box 129 INSURER B : INSURER G: 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 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 ADDL INSR SUER WVD POLICY NUMBER POLICY EFF MMIDDNYYY POLICY EXP MMIDDNYVY LIMITS A GENERAL LIABILITY DTC0325D65761ND1$ 1/0112015 01/011201E EACHOCCURRENCE$1000000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I OCCUR PAEMISES EeOcourence 830D D00 MED EXP (Any one person) $$ 000 PERSONAL & ADV INJURY $1,000O00 X PDDed:2500 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 POLICY X JECT PRO - $ A A AUTOMOBILE LIABILITY 81032SD6576COF15 1/01/2015 01101/201 COMBINED SINGLE LIMIT Ea accident 1,000r000 X BODILY INJURY (Per person) $ ANVAUTO ALL OWNED F7 SCHEDULED AUTOS AUTOS BODILY INJURY (Par accitlenl) $ X PROPERTY DAMAGE Per euAtlent $ HIRED AUTOS X NON -OWNED AUTOS A X UMBRELLA Less ODOUR CUP325D6$76TIL15 1101/201501/011201 EACH OCCURRENCE $4000000 AGGREGATE s4,000.000 EXCESS LIAB CLAIMS -MADE EXX RETENTION$10000 $ WORKERS COMPENSATION WCSTATU- OTH- AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR/PARTNEWEXECUTWE OFFIGERIMEMBER EXCLUDED? � NIA E.L EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE S (Mandatory In NH) It yes, desvibe under DESCRIPTION OF OPERATIONS belo,e E.L. DISEASE -POLICY LIMIT S A Rented/Leased QT6607225L939TIL15 1/01/2015 01/01/201 $750,000 per item Equipment DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ANaoh ACORD 101, Addidonel Remarks Schedule, If more apace Is required) The City of Fort Collins is named as Additional Insured as respects the General Liability and Builders Risk only if requred by written contract and coverage applies only as respects to work performed by the Insured for the Additional Insured for the 7434 Reservoir Ridge Natual Area Improvements. City of Fort Collins 215 N. 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 REPRESENTATME ©1988.2010 ACORO CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of i The ACORD name and logo are registered marks of ACORD #S956902/M956876 ARP