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HomeMy WebLinkAbout541139 GH PHIPPS CONSTRUCTION COMPANIES - INSURANCE CERTIFICATEClient#: 1082464 GERALH ACORD- CERTIFICATE OF LIABILITY INSURANCE -DATE 1 9/29/2018 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 have ADDITIONAL INSURED provisions or 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER US[ Colorado, LLC Construction P.O. Box 7050 NAME: Client Manager a/c°N o Ext : 800 873-8500 AAC, No): 303-831-5295 E-MAIL den.contractors@usi.com ADDRESS: Englewood, CO 80155 INSURER(S) AFFORDING COVERAGE NAIC # 800 873-8500 INSURER A Arch Insurance Company 11150 INSURED Gerald H. Phipps, Inc. dba GH Phipps Construction Company 5995 Greenwood Plaza Blvd, Suite 100 Greenwood Village, CO 80111 INSURER B ; Travelers Property Cas. Co. of America 25674 - -- - — _---- INSURER C INSURER D — INSURERE: 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 CONTRACTOR 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 A TYPE OF INSURANCE ADDLSUBR INSR WVD POLICY NUMBER ZAGLB9220102 POLICY EFF LM/DD/YYY POLICY EXP MM/DDNYYY LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS-MADEI—I OCCUR X X 10/01/201810/01/201 EEDACH��OCCURRENCE $1000000 PREMISES aoccE ence $100 000 MED EXP (Any one person) $10 000 PERSONAL & ADV INJURY $1 ,000,000 $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY I JECOT LOC OTHER: GENERAL AGGREGATE PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY X X ZACAT9242202 0/01/2018 10/01/201 COMBINED SINGLE LIMIT Ea ccident a 1r r 00O 000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE X X ZUP15R0315318NF 10/01/2018 10/01/201 EACH OCCURRENCE $25000000 AGGREGATE s25,000,000 DED I X RETENTION $O $ A WORKERS COMPENSATION EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A X ZAWC19389302 10/01 /2018 10/01/2019 X IsPTEAROTH- TuTEAND E.L. EACH ACCIDENT $1 00O 000 E.L. DISEASE - EA EMPLOYEE $1 00O 000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) As required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and exclusions: the City of Fort Collins its officers, agents and employees are included as Additional Insured for work, acts or omissions under the General Liability on a primary and non-contributory basis and Additional Insured under Automobile Liability but only with respect to liability arising out of the Named Insured's work performed on behalf of the certificate holder. City of Fort Collins Attn: Tracy Oschner 281 N. College Ave. 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 ACORD 25 (2016/03) 1 of 1 #S23985833/M23976976 @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD BHRZP