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HomeMy WebLinkAbout541139 GH PHIPPS CONSTRUCTION COMPANIES - INSURANCE CERTIFICATE (2)Client#: 1082464 GERALH ACORDT. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 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 USI Colorado, LLC Construction NAMEACT Client Manager PHONEo $00 873-8500 A/c No): 303-831-5295 A C N Ext P.O. BOX 7050 E-MAIL den.contractors@usi.com ADDRESS: Englewood, CO 80155 800 873-8500 INSURER(S) AFFORDING COVERAGE NAIC# INSURER AArchAh 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 • Trawlers Property Cos. Co. of Amedes 25674 INSURER C: INSURER D 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 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 'ADDL TYPE OF INSURANCE INSR SUBR WVD POLICY NUMBER ZAGLB9220102 POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYY _— _..___.__... LIMITS EEACHq�OECCTURRENCE A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR X X 10/01/2018 ---_ 10/01/2019 $1 000000 PR MISES Ea occur ence $1 OO 000 MED EXP (Any one person) $1 O 000 PERSONAL & ADV INJURY $1 000,000 r.L AGGREGATE LIMIT APPLIES PER: POLICY I JECOT LOC OTHER: GENERAL AGGREGATE s2,000,000 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 MBNED Eaacciden SINGLE LIMIT 110001000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB EXCESS LIAR 1 X OCCUR CLAIMS -MADE X X ZUP15RO315318NF 0/01/201810/01/201 EACHOCCURRENCE $25000000 AGGREGATE s25,000,000 DED X RETENTION $O $ A WORKERS COMPENSATION AND 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 0/01/201810/01/201 oTH- X PER IER E.L. EACH ACCIDENT $1 000 000 E.L. DISEASE - EA EMPLOYEE $1 000 000 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) RE: Contractor License. City of Fort Collins P.O. Box 580 Fort Collins, CO 80522 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S23985830/M23976976 BHRZP