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HomeMy WebLinkAboutWANER CONSTRUCTION COMPANY - INSURANCE CERTIFICATE�Psxwzrodl R A� CERTIFICATE OF LIABILITY INSURANCE DATE18 /2015 Y) 02/1B/2015 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: D 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 1-303-534-4567 CONTACT NAME. IM'A, Inc_ - Colorado Division PHONE FAX 1705 17th Street Suite 100 Denver, CO 80202 INSURED Warier Construction Company, Inc. 8950 Barron Blvd, Unit 103 CO 80129 (AIC, No, Erdl IAJC, No): SS: ESS. ADDREADDR denpamiaimmscorp.ca INSURER(S) AFFORDING COVERAGE NAIC 4 INSURER A. CONTINENTAL CAS CO (CNA) 20443 INSURER B: CONTINENTAL INS CO (CNA) 35289 INSURER C: AMERICAN CAS CO OF READING PA (CRA) 20427 INSURER D: PINNACOL ASSUR 41190 INSURER E: HANOVER INS CO 22292 rr1VFOar-9C rFOTIGIr ATF AIIHURFD- A7n2nASi DCVICIAM M1111 - 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. SUER LICY EFF FJm NSR ADDLTYPE LTR LIMITS OF INSURANCE also POLICY NUMBER UWDD I MIDY A Z COMMERCIAL GENERAL LIABILITY i2092449581 03/01/15 103/01/16 EACHOCCURRENCE $ 1,000,000 CLAIMS 3 OCCUR S M TO DAMAGEPREMISES NTED PREMISES $ 300,000 X PD Ded:$2,000 MED EXP(Any one peramr) $ 5,000 PERSONAL a ADV INJURY $ 1,000,000 G94L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 .. POLICY] Z JECTT X LOC PRODUCTS - COMP/OP AGO S 2,000,000 OTHER $ B AMIONORELMMLM 2092449595 03/01/15 03/01/16 COMBINED SINGLE LIMIT f 11000,000 I_E# accident) i ANY AUTO BODILY INJURY (Per Person) S ALL ON0IED SCHEDULED BODILY INJURY (Per awdan0 $ AUTO$ ` AUTOS I f HIAUTOS AUT �socijDAMAGE Iz 3 C X UMBRELLALIAB 2 OCCUR 209244957$ 03/01/15 03/01/16 EACH OCCURRENCE f 2,000,000 EXCESS LIAR CLAIMS -MADE AGGREGATE $ 2,000,000 DIED X RETENTIONS 10,000 $ D WORKERS COMPENSATION 4107186 03/01/15 03/01/14 2 STATUTE ERH AND EMPLOYERS' LIABILITY via - - - ANY PROPRIETORIPARTMERIEXECUTNE E.L. EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? oMIA -- - (Mandatory In NMI E.L. DISEASE - EA EMPLOYEE $ 500,000 B yes, describe under DESCRIPTION OF OPERATIONS below I E.L. DISEASE - POLICY LIMIT $ 500,000 2 Builders Risk Coverage IH4986694402 03/01/15 03/01/16 Frams $5,000,000 $5,000 Ded. SPC Form $10,000,000 Non Frame Limait Any 1 Location $10,000,000 •Flood/Earthquake *$1,000,000 Sub Limit *$25,000 Dedaotibl IL Loc/Transit $250,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Addklonal Remarks Schedule, may be atMehed N mom We" N required) Certificate Holder is included as Additional Insured on the General Liability Policy if required by written Contract or agreement and with respect to work performed by Insured subject to the policy terms and condition. I,CR I IrIVM 1 C r1VLUCR I,MnI,CLLM I IVI'r SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 AUTHORIZED REPRESENTATIVE ///jJJ Fort Collins, Co 80522-0000 / //,�j, USA /A/�//L © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD kellym2013 43040453