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HomeMy WebLinkAbout365691 BRYAN CONSTRUCTION INC - INSURANCE CERTIFICATE (11)30055 A� �® CERTIFICATE OF LIABILITY INSURANCE °"T1/zvzo Yam" 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 pollcy(les) 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 Commercial Lines - (800)-332-9256 Wells Fargo Insurance Services USA, Inc. 90 S. Cascade Ave, 2nd Floor CONTACT Amber C. Keller NAME: PHONE FAX -INC. No. ExU: 800-332-9256 L, Ne , 877-405-9032 �— — E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIL 0 Colorado Springs, CO 80903 INSURER A: Valley Forge Insurance Company 20508 INSURED Bryan Construction, Inc. INSURER B: Transportation Insurance Company 20494 INSURERC: Plnna00l Assurance Company 41190 7025 Campus Drive INSURER D: INSURER E : Colorado Springs, CO 80920-3164 INSURER F: COVERAGES CERTIFICATE NUMBER: 8648578 REVISION NUMBER: See below 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 ADDL SUBA POLICY EFF POLICY E%P LTR TYPE OF INSURANCE IN POLICY NUMBER MMIDD/YYYY MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR 4029167470 4/30/2014 4/30/2015 _EACH OCCURRENCE DAMAGE TO RENTED PREMISES.(Ea occurrence)_ $ 1,000,000 $ 300,000 y 15,000 MED EXP(Anyone person) _ PERSONAL B ADV INJURY $ Two 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000.000 POLICY PRO ECT ❑ LOC PRODUCTS - COMP/OP AGG $ 2,000, D00 S OTHER: B AUTOMOBILE LIABILITY 4029167484 4/30/2014 4/30/2015 COMBINED SINGLE LIMIT (Ea s IOBnI) $ 1000000 x $ ANY AUTO BODILY INJURY (Per person) ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per acclden) $ x NON -OWNED HIRED AUTOS x AUTOS — PROPERTY DAMAGE {Per acdE enQ__ S x $ PP Autos MBRELLA LAB OCCUR EACH OCCURRENCE $ ADED AGGREGATE $ XCESS LAB CLAIMS -MADE _ RETENTIONS $ (, WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOWPARTNEMXECUTIVE M OFFICEREMBER EXCLUDED? C] NIA 2310880(CO) 2/1/2015 2/1/2016 PER OTH- x STATUTE___[ER E.L. EACH ACCIDENT $ 1 000,Wo — E.L. DISEASE - EA EMPLOYEE It 1 000,000 (Mandatory In NH) If yea, descnae under DESCRIPTION OF OPERATIONS pam -- E.L. DISEASE - POLICY LIMIT S 1000000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101. Additional Remarks Schadule, my a aescese If mom space Is re ulred) The certificate holder is listed as additional insured in regards to the 7136 Lincoln Center Addition and Renovations project. City of Fort Collins 300 Laporte Avenue 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. The ACORD name and loan are realstered marks of ACORD © 1999-2014 ACORn CORPORATION All rinhtB ACORD 25(201Q01) Iillll 111 llllll ll11111111111111111111111111111111111111111111111111111111111111111evporazrrcursavovovworwo