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Home My WebLink AboutMCDAVID CONSTRUCTION INC - INSURANCE CERTIFICATE (2)lleae ® CERTIFICATE OF LIABILITY INSURANCE `/ IDDI DATE IMA/2014 12/17/2014 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 - LeBaron 6 Carroll, LLC 1350 E. Southern Ave. Mesa AZ 85204 C NAME: N AC Lizeth Gastelu . PHONE (480)834-9315 FA% .(400)844-9066 AIC E-MAIL lgastelum@landc.com INSURERS AFFORDING COVERAGE NAIC 3 INSURER AAMCO 19100 INSURED McDavid Construction, Inc. 2239 E Rose Garden Loop Phoenix AZ 85204 INSURER B : INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:14/15 Master 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 ADDLSUum INSR VAID POLICY NUMBER POLICY EFF IMMIDDIYYYYI POLICY EXP (MMIDDIYYYYII LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 A it COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR PLCP3006959762 2/18/2014 2/18/2015 DAMAGE O RENTED PREMISES fEa ocalnence S 100,000 MED EXP (My we arson) S 5,000 PERSONAL S ACV INJURY ,000,000 GENERALAGGREGATE , 000, 000GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO,000,000POLICY X; PRO- LOC V$2 AUTOMOBILE LIABILITY COMBINED SINGLE LIMITEa accident 000 000A BODILY INJURY(Per person) ANY AUTO ALL OWNED SCHEDULED AUTOS P3006959762 2/18/2014 2/18/2015 BODILY INJURY(Per, ectidanl)AUTOS PROPERTY DAMAGE Per accident NON -OWNED HIREDAUTOS AUTOS Uninsured motorist combined $ 1 000.000 X UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE S 2,000,000 A EXCESS UAS CLAIMS -MADE DELI I I RETENTIONS $ P3006959762 2/18/2014 2/18/2015 WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORMARTNER/EXECUTIVE ❑ OFFICERAIEMBER EXCLUDED? NIA E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYE $ (Mandatary In NMI If yes, descrine under _ DESCRIPTION OF OPERATIONS Reim EL DISEASE - Pre ICY LIMIT 3 A Leased/Rented Equipment CP3006959762 2/18/2014 2/18/2015 Limit 50,000 DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (AtUch ACORD 101, Additional Remarks schedule, It more specs Is required) Coverages are per the terms and conditions of the policies. City of Fort Collins PO Box 580 Fort Collins, CO 80526 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) INS025 (201005).01 Parkinson/LIZETH ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD