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HomeMy WebLinkAboutBRB CONTRACTORS INC - INSURANCE CERTIFICATE (4)DATE L ORO® CERTIFICATE OF LIABILITY INSURANCE 3/17/2015Drnvr) 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 PRODUCER her Heartland W. 107th St., Third Floor and Park KS 66207 INSURED BRB Contractors, Inc. 3805 NW 25th Street Topeka KS 66618 COVERAGES CERTIFICATE NUMBER: 2083107327 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 ADDLSUBR INSR WV POLICY NUMBER POLICY EFF MM/DD/YYYY POLICYEXP MM/DD/YYYY LIMITS B GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE IX7 OCCUR Y GL20753590301 11/2015 11/2016 EACH OCCURRENCE $1,000,000 AMA E TO RENTED PR AMISES Ea occurrence $100,000 MED EXP (Any oneperson) $10,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2 000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO- LOC PRODUCTS - COMP/OP AGG $2 000,000 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS Y CA20753500502 /1/2015 /112016 COMBINED SINGILL LIMIT Ea accident) $1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per eceident) $ PROPERTY DAMAGE Per axident $ A X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE ZUP41M0096115NF A/1I2015 /1/2018 EACH OCCURRENCE $20,000,000 AGGREGATE $20,000,000 DIED X RETENTION$-O- $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY OFFICER/MEMBER EXCLUDED? ECUTIVE IN I (Mandatory in NH) fl yyes, describe under DESCRIPTION OF OPERATIONS below NIA WC207534903 /1/2015 /1/2016 X WCSTATU- OTH- ER E.L. EACH ACCIDENT $1,000,000 E. L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT --- 1 $1,000,000 A Builders Risk D Pollution Liability OT6307644B708 2076178830 11/2015 l7/2015 /112016 /2016 Limit "SEE BELOW** Ded 2,500 Poll Lmt Claim/Agg 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, Rmom apace Is re"red) I.CR 1 IriI A I C n%JLLJCM I.AINI.CLLA I ILI N SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN James O'Neill, CPPO, FNIGP, City of Fort Collins, ACCORDANCE WITH THE POLICY PROVISIONS. Director Purchasing & Risk Mgt 215 North Mason St., 2nd Floor AUTHORIZED REPRESENTATIVE Fort Collins CO 80524 av 7 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD