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HomeMy WebLinkAboutOKLAND CONSTRUCTION COMPANY - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE 1 ATE(M 14�) 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 Dale Barton Agency 1100 East 6600 South Suite 400 Salt Lake City UT 84121-7418 CONTACT Robert L Bauman PHONE FAX . 801-288-1600 I. 801-288-1944 EMAIL . rbauman@dalebarton.com INSURERS AFFORDING COVERAGE NAIC It INSURERA -Advantage Workers Compensation Ins 40517 INSURED OKLACON-01 INSURER B: Okland Construction Company, Inc. 1978 South West Temple Street Salt Lake City UT 84115- INSURER C: INSURER D: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1556379391 RFVIRNTN NI IMRFR- 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. ILTR TYPE OF INSURANCE IINSD WVD POLICYNUMBER MM/LDD//YYYY MM/DD/YEYri LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occunence $ MED EXP (Any one person) $ PERSONAL B ADV INJURY $ GEN'L AGGREGATE LIM IT APPLIES PER. RI- POLICVDJECTPRO- ElOC OTHER. GENERALAGGREGATE $ PRODUCTS - COMP/OP AGG $ $ MOBILE LIABILITY NY AUTO LL OWNED SCHEDULED IRED TOS AUTOS NON -OWNED AUTOS SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ FA BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ LIED RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDE09 F—N] (Mandatory In NH) If desaiEe under DE SCRIPTION OF OPERATIONS below N/A 2204336 1/1/2015 1/1/2016 PER OTH- X STATUTE I ER E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $500,000 E.L. DISEASE -POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS LOCATIONS/ VEHICLES (ACORD 101, Addi4onal Remarks Schedule, may be attached If more space Is required) All Work Perfomred 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 ,; � 4. 1,3, 01988-2014 ACORD CORPORATION_ All rinhfs rpeprepd ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD