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
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