Loading...
HomeMy WebLinkAbout157655 WATTLE & DAUB CONTRACTORS INC - INSURANCE CERTIFICATE (5)k.O � CERTIFICATE OF LIABILITY INSURANCE DATE (MMDD/YYYY) 1/e/zols 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 Denver Agency 210 University Blvd, Suite 600 Denver CO 80206-4661 CONTACT Laura Maes NAME: PHONE (303)892-6900 FAX IAIC No,. (303)892-6938 EMA AbONLESS.laura@denveragency.com INSURERS AFFORDING COVERAGE NAIC N INSURERA:Gemini Ins Co %Burns 6 Wilcox 10833 INSURED Wattle 6 Daub Contractors, Inc. 8 Gibbs Rd. Laramie WY 82070 INSURERB:Travelers Indemnity CompanV 25658 INSURERC:Pinnacol Assurance 41190 INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:2015 GL;AL;WC 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. ILTR TYPE OF INSURANCE 1= POLICY NUMBER MMLICY EFF POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES E oCcumencel $ 50,000 A CLAIMS -MADE OCCUR VCGPO50081 /1/2015 /1/2016 MED EXP (My one person $ 5,000 PERSONAL S ADV INJURY $ 1,000,0001 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS AGG $ 2,000,000 POLICY X PRO - § AUTOMOBILE AUTOMOBILE UABIUTY SINGLE LIMIT EdOMBIINED 11000,000 BODILY INJURY(Per person) $ B ANY AUTO I BODILY INJURY Per accident ( )AUTOS $ ALL OWNED SCHEDULED AUTOS -1281YO79-15-SEL /1/2015 /1/2016 NON -OWNED HIRED AUTOS N AUTOS PROPERTY DAMAGE (Per iden $ Uninsured molonst combined $ 1,000,000 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ El AGGREGATE $ EXCESS UAB CLAIMS -MADE DED I I RETENTION$ $ I C WORKERS COMPENSATION X WC STATU- OTH- ANDEMPLOYERS'UABILITY YIN E.L. EACH ACCIDENT $ 1 000 000 ANY PROPRIETORIPARTNEWEXECUTIVE OFFICERIMEMSER EXCLUDED? ❑ (Mandatory in NH) NIA 093011 /1/2015 /1/2016 E.L. DISEASE-EA EMPLOYE $ 1,000,000 Hy describe under E.L. DISEASE -POLICY LIMIT $ 11000,00 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remaraa Schedule, H more space Is required) Certificate Holder is included as Additional Insured regarding General Liability. City of Fort Collins P.O. 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 McKeever, CIC/LAURA © 1988-2010 wcmc,o�, ���, ,,, rs._ wrmm� __—_ _..w t___ _... ._•-"s--..-r .....-�-_ _s wrnon All rinhts romrvnd