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Home My WebLink About235414 JUDGE NETTING INC - INSURANCE CERTIFICATE (4)a ACORV CERTIFICATE OF LIABILITY INSURANCE �/- DATE 2/(MMIDD014 130 /214 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 CONTACT Blanca OLozco NAME: Robert Harris Insurance Agency, Inc. ac°NNo Ext: (714) 619-4480 FAX No: 17141619-4481 Lic. #0216736 ADDRE ,Blanca@reharris.com 3150 Bristol St., Suite 200 INSURERIS) AFFORDING COVERAGE NAIC0 INSURER A:Liberty Mutual Insurance Costa Mesa CA 92626 INSURED INSURERB:Netherlands Insurance Company 4171 Judge Netting, Inc. INSURER C:Berkshire Hatllaway INSURER D: 427 E. 17th St. INSURER E Costa Mesa CA 92627 1 INSURER F: COVERAGES CERTIFICATE NUMBER:15/16 Liability 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 A DL SUBS POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDrYYYY LIMITS GENERALLIABILITY EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence S 100,000 A CLAIMS -MADE OCCUR CBP8993288 /1/2015 /1/2016 MED EXP(An, one person) $ 5,000 PERSONAL B ADV INJURY E 1,000,000 CENERAL AGGREGATE F 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGO S 2,000,000 X1 POLICY PRO-JFCT LOC $ AUTOMOBILE UABILII COMBINED SINGLE IE...ddenl) $ 1,000,000 B X ANY AUTO BODILY INJURY Per person) $ BODILY INJURY(Pelacodent) ALL OWNED SCHEDULED 8994288 /1/2015 /1/2016 AUTOS AUTOS $ NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident Medical Expense E 5 000 UMBRELLA LIAR OCCUR EACH OCCURRENCE S 5,000,000 X AGGREGATE E 5,000,000 A EXCESS LIAB CLAIMS -MADE LIED R6TBNTION3 USQ94499 1/1/201$ /1/2016 s C WORKERS COMPENSATION H- X OYAMIUER ANDEMPLOYERS' LIABILITY YIN EL EACH ACCIDENT E 1 000 000 ANY PROPRIETORIPARTNERIEXECUTIVE OPPIDERIIAEM NH) If in NH) NIA JUNC600553 1/1/2015 /1/2016 EL DISEASE -EA EMPLOYE $ 1, 000,000 yes dory If yes describe under E.L. DISEASE - POUGV LIMIT S 1 000,00 DESCRIPTION OF OPERATIONS below A Contractors Equipment BP8993288 /1/2015 /1/2016 Leased/Rented Equipment $500,000 Deductible $1, 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks SClvdub, it more space Is required) The City, its officers, agents and employees are named as Additional Insureds as their interest(s) may appear regarding any and all work performed by the above named insured per attached GECG970 0111 and GECA701 0107. City of Fort Collins PO Box 580 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. AUTHOMMED REPRWONTATIVE ACORD 25 Orozco/BLANCH @ 1988-2010 ACORD CORPORATION- All riahts reserved INS025 (201005).01 The ACORD name and logo are registered marks of ACORD