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HomeMy WebLinkAboutBOSCO CONSTRUCTORS INC - INSURANCE CERTIFICATE (6)BOSCO-1 OP ID: DL lllw O CERTIFICATE OF LIABILITY INSURANCE �� ATE D3/31/LIDV/2015 031315 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 CRS/Surescape Ins. Services 6600 E. Hampden Ave. Denver, CO 80224 Erik E. Ulibarri CONTACT NAMEJessica Batten PHONE FAX ac No E :303-996-7800 AIc No: 303-757-7719 E-MAIL Jbatten@crsdenver.com INSURER 9 AFFORDING COVERAGE NAIC N INSURERA:Valley Forge Insurance Co. INSURED Bosco Constructors, Inc. INSURERS: Plnnacol Assurance 1860 Blake Street, Suite 170 Denver, CO 80202 INSURER C: Continental Casualty Co. INSURER D:The Travelers Companies INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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 INSURANCEADDLIVU POLICY NUMBER POLICY EFF MM/DDNIYYY POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR PD Ded: $10,000 C5088684079 12/01/2014 12/01/2015 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 100,00 X WED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GERL AGGREGATE LIMIT APPLIES PER: POLICY IK CET LOC OTHER: GENERAL AGGREGATE $ 2,000,00 PRODUCTS -COMPIOP AGG $ 2,000,00 $ A AUTOMOBILE LIABILITY ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS WNED HIRED AUTOS X NON -OWNED AUTOS C5088584082 1=112014 12/01 /2015 EOaMoNED d'hISINGLE LIMIT $ 1,000,00 X BODILY INJURY (Par person) $ BODILY INJURY (Per accident) $ X DAMAGE Per accident $ $ C UMBRELLA LU1T1 EXCESS UAB X OCCUR CLAIMS -MADE C5088584065 12/01/2014 12/01/2015 EACH OCCURRENCE $ 9,000,00 AGGREGATE $ 9,000,00 DIED , X I RETENTION $ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? N❑ (Mandatory in NH) N yes, describe under DESCRIPTION OF OPERATIONS below NIA 2226180 04/01/2015 04/01/2016 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 600,00 E.L. DISEASE - EA EMPLOYEE $ 500,00 E.L. DISEASE - POLICY LIMIT $ 500,00 A Lease/Rented Equip IC5088584079 12 O112014 12 O112011 Limit 350,00 Ded 1,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Re: Water/Wastewater Treatment and Site Infrastructure, Design/Construction Contractor #7220. CITFTCO City of Fort Collins Financial Services Purchasing Division 215 N Mason Street 2nd Floor 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 U U.` ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD