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HomeMy WebLinkAboutK R SWERDFEGER CONSTRUCTION INC - INSURANCE CERTIFICATE (4)Clientfk 163668 KRSWERDF ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE 1 12/1812014812014 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 CONTACT Mary Ann Eurich HUB International Ins Svcs Inc PHONE 719.546-0836 FAX 866-908-2103 A/C No Ea: A/C No 1414 W 4th St L ADDRESS: mary ann.eurich hubinternational.com ADDRESS: P.O. Box 58 INSURER(S) AFFORDING COVERAGE NAIL A Pueblo, CO 81002 INSURER A: Phoenix Insurance Company 25623 INSURED INSURER B: Travelers Property Casualty Co 25674 K R Swerdfeger Construction Inc INSURERC: Travelers Indemnity Company 25658 421 E Industrial Blvd INSURER D: Travelers Property Casualty Co Pueblo West, CO 81007 INSURER E INSURERF: HUB CA License #0757776 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 ADDLSUB INSR WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP W MMIDD/YV LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxI OCCUR X PDDed:2,500 DTC05643BS07PHX15 1/01/2015 01101/2016 EACH OCCURRENCE $1 000000 PREM8ES TORENTED$300000 MED EXP (Any one person) $5 000 PERSONAL & ADV INJURY $1000000 GENERALAGGREGATE $2,000 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ECO JT LOC PRODUCTS - COMP/OP AGG $2,000000 $ D AUTOMOBILE UABIU ANV AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS IX DT8105643B507TIL15 1/01/2015 01101/2016 COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) S BODILY INJURY(Per accident) S PROPERTY DAMAGE Per accident $ a B X UMBRELLALIAB EXCESS LIAB X OCCUR CLAIMS -MADE DTSMCUP5643B507TIL 1/01/201501/01/201 EACH OCCURRENCE $10000000 AGGREGATE $1 O 000 000 OEO I X RETENTION$10000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA DTKUB5643B50715 1/01/2015 01/01/201 6X WCSTATU- oTH- ER E.L. EACH ACCIDENT $1 000 000 E.L. DISEASEEAEMPLOYEE $1 000000 E.L. DISEASE - POLICY LIMIT $1 00O 000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) PROJECT: WATER, WASTEWATER, & STORMWATER UTILITY PROPOSAL #P951 CITY OF FT. COLLINS 215 N. Mason St FT. COLLINS, CO 80522-0000 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 8S39d2903IM39dDR33 _fa ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD PVD1