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HomeMy WebLinkAbout168787 GOLDEN TRIANGLE CONSTRUCTION - INSURANCE CERTIFICATE (2)Client#: 51920 8GOLDTRI I ACORD_ CERTIFICATE OF LIABILITY INSURANCE DATE 12/29/20149/2014 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 CONTACT NAME: Willis of Colorado, Inc. PHONE 303 722-7776 F'ix 303-722-8862 AIC No Est):INC, No 2000 South Colorado Boulevard EMAIL Tower II, Suite 900 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Denver, CO 80222 INSURER A: Charter Oak Fire Insurance Co 25615 INSURED INSURER B: Travelers Property Casualty Co 25674 Golden Triangle Construction, Inc. Travelers Casualty Insurance Co INSURER C: y 19046 700 Weaver Park Rd, Ste E INSURER D: Atlantic Specialty Insurance 27154 Longmont, CO 80501 RSUI nemnCom any 22314 INNSURER: UEF: 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 ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DDIYYYY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 51OCCUR DTCO2F66716214 12/31/2014 12/31/201Z EACH OCCURRENCE $1000000 PREMISES Ea E. sore $ 30O OOO MEDEXP(Anyonew.n) $5000 PERSONAL &ADV INJURY $1,000,000 GENERALAGGREGATE $2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: POLICY X PRO X LOC JECT PRODUCTS - COMPIOP AGG $2,000,000 $ B AUTO MOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS DT8102F66716214 12/31/2014 12/31/201 EeeBBINtlEDISINGLE LIMIT 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Peraxitlent) $ PROPERTVDAMAGE Peracdtlem $ $ B X UMBRELLALIAB EXCESS LIAR X OCCUR CLAIMS -MADE DTSMCUP2F667162 12131/2014 12/31/2015 EACH OCCURRENCE $5000000 AGGREGATE $S 000 000 DED I X RETENTION$10000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? � (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A DTSUB3FO2060415 1/01/2015 01/01/201C X I WCASTATU- oTH- RVMla E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 EL.DISEASE - POLICY LIMIT $1.000.000 D Lease/Rent Equip. Owned Equipment 7100351350000 12/31/2014 12/31/201 Limit $100,000 See Schedule Deductible $2,500 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Insurer E / Excess Liability / Policy #NHA237032 / 12-31-2014 to 12-31.2015 / $5,000,000 Each Occurrence / $5,000,000 Aggregate RE: Contractor's License City of Fort Collins 215 N. Mason PO Box 580 Fort Collins, CO 80524 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 #Sll36672/M1136246 ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 8ALIN