HomeMy WebLinkAboutCONSTRUCTION MANAGEMENT SERVICES INC - INSURANCE CERTIFICATE. i%. R CERTIFICATE OF LIABILITY INSURANCE
`/
GATE 0 20 4
12/30/2014
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
J. Goodman Insurance Agency
1990 E Santa Fe Suite 103
Olathe KS 66062
CONTACT Patrick Cross
NAME
PHONE (913)829-0093 FAX
o:(913)829-0083
IL .Patri+e=.,; asurance. com
E ck@jgooH
INSURERS AFFORDING COVERAGE
NAIC #
INSURERA:Rockhill Insurance Company
8053
INSURED
Construction Management Services, Inc.
19343 W 151st Terr
Olathe KS 66062
INSUREReOhio Security Insurance Co
24082
INSURIBRcRiverport Insurance Company
36684
INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:CL14123000278 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 POUCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTRlmwa
TYPE OF INSURANCE
DDL
SUER
NUMBER
MWDICYEFF
POLPOLICY
MPOLICY E%P
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
S 1,000,000
X COMMERCIAL GENERAL LIABILITY
PREMISES Ea occurrence
$ 100,000
A
CLAIM&MADE FxIOCCUR
7ENLO1193000
2/18/2014
2/18/2015
MED EXP(Any one person)
$ EXCLUDED
PERSONAL B ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER
PRODUCTS-OOMPIOPAGG
$ 2,000,000
X POLICY PRO-LOC
AFCT
$
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
500,000
BODILY INJURY (Per person)
$
B
ANY AUTO
ALL OWNED X SCHEDULED
AUTOS AUTOS
S6450929
2/22/2014
2/22/2015
BODILY INJURY (Per acoden0
$
PROPERTY DAMAGE
(Per accdent
$
NON -OWNED
HIRED AUTOS AUTOS
Bls AM Enhncmt Emit
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED I I RETENTION $
$
C
WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY YIN
ANY PROPRIETWMARTNER/E)IECUTIVE
OFFICERIMEMBER EXCLUDED? Y❑
(Mandmory in NH)
NIA
C-15-81-031627-00
/3/2015
/3/2016
X VVC STATU- OTH-
E.L. EACH ACCIDENT
$ ZOO OOO
E.L. DISEASEEAEMPLOY
$ 100 000
If yes, descnM under
DESCRIPTION OF OPERATIONS bCIOM
E1. DISEASE -POLICY LIMIT
S 500.0GD
DESCRIPTION OF OPERATIONS i LOCATIONS I VEMCLES (Atfadh ACORD 101, Addmorlal Remarks Schedule, N more space Is required)
19aC4rILef1\r Ii PJ YIiL 9110 PI A etS\ r PIP
CITY OF FORT COLLINS, COLORADO
300 LAPORTE AVE
FORT COLLINS. CO 80521
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
Andersen/KA 1 r•' pd-0
1988-2010 ACORD CORPORATION. All rights reserved.
INS025 (271oo5).o1 The ACORD name and logo are registered marks of ACORD