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HomeMy WebLinkAbout105888 VALMONT INDUSTRIES - INSURANCE CERTIFICATE�. CERTIFICATE OF LIABILITY INSURANCE Dnr 1213tn014 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 Aon Risk Services Central, Inc. Omaha NE office CONTACT NAME: PHONE (402) 697-1400 FA% (402) 697-0017 IAIC. No. Ext): AIL. No.: E-MAIL ADDRESS: 11213 Davenport Suite 201 INSURERS) AFFORDING COVERAGE NAICtl Omaha NE 69154 USA INSURED INSURER A: ACE American Insurance Company 22667 INSURER B: Continental Casualty Company 20443 Valmont Industries. Inc. Attn: Kathy Heaney One Valmont Plaza INSURER C: INSURER 0: Omaha NE 68154-5215 USA INSURER E: INSURER F: CnVFRAnFR CERTIFICATE NUMBER: 570056445519 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. Limits shown are as requested LT0. TYPE OF INSURANCE INSO Me POLICY NUMBER 1.1-11 MMIDDIYI'YY MMIDDrIYYV LIMITS A X COMMERCIAL GENERAL LIABILITY HDOG EAOHOCCURRENCE -UAMAUL $2,000,000 General Liability I U HIEN I EU $1,000,000 CLAIMS -MADE ❑X OCCUR PREMISES Ea dccunence MEO EXP (Any one person) $10, 000 PERSONAL &ADV INJURY $1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $4,000, 000 PRODUCTS-COMPIOP AGG $4, 000, 000 POLICY �% PEa ❑LOC OTHER: A AUTOMOBILE LIABILITY ISAH08830368 01/01/201501/01/2016 COMBINED SINGLE LIMIT $2.000,000 BODILY INJURY ( Per person) % ANY AUTO BODILY INJURY (Per acaden0 ALL OWNED SCHEDULED AUTOS AUTOS PRO(Par TV DAMAGE HIRED AUTOS NON -OWNED Pereccdent AUTOS B L5094882742 01/01 2015 01 0112016 EACH OCCURRENCE $25,000,000 X UMBRELLA LIAB X OCCUR umbrella AGGREGATE $25,000,000 EXCESS LIAB CLAIMS -MADE OED I X RETENTION$10,000 A WORKERS COMPENSATION AND WLRC48139528 O1 O1 201$ O1 O1 2016 PER GTH- STATUTE EMPLOVERS'LIABILITY YIN INCWC EL EACH ACCIDENT S1,000.000 ANY PROPRIETOR I PARTNER I EXECUTIVE -. -� OFFICERIMEMBER E%CLUOFDi (Mandatory In K,f NIA - �- -" - E. L. DISEASE -EA EMPLOYEE 11,000.000 If yes, describe under DySCRIPTION OF OPERATIONS belox I E.L. DISEASE -POLICY LIMIT $1,000,000 A' Archit&Enq Prof EONG24578215006 01/01/2015 01/01/2016 Each Claim $5,000,000 A&EProfessional Liability Aggregate $5,000,000 Retention $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If mom space Is required) . Additional Insured - The General Liability and Automobile Liability policies include a blanket automatic additional insured endorsement or policy terms that provide additional insured status to certificate holder including the "products -completed operations" hazard where required by written contract. waiver of Subrogation - All policies listed above include a blanket automatic waiver subrogation endorsement or policy terms that provide a waiver of subrogation only where required by written contract. Loss Payee - Automobile Liability policy includes a blanket loss payee endorsement or policy terms that provide loss payee status to certificate holder where required by written contract. Coverage is primary and non contributory. Umbrella policy follows form of underlying policies listed above. CERTIFICATE HOLDER CANCELLATION City of Fort Collins Financial Services; Purchasing Division 215 N. Mason Street 2nd Floor Po Box 580 Fort Collinsq CO 80522 USA 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 i 0 `m ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD