Loading...
HomeMy WebLinkAbout564493 G ORR CONSTRUCTION LTD - INSURANCE CERTIFICATEF�10/18/2018 TE (MM/DD/YYYY) A� " CERTIFICATE OF LIABILITY INSURANCE 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 endorsements . PRODUCER CONTACT NAME: Renee McReynolds Ewing -Leavitt Insurance Agency, Inc. PHONE (g70) 679-7344 aC No: (866)425-6180 4090 Clydesdale Parkway ADDRESS:renee-mcreynolds@leavitt.com Suite 101 INSURERS AFFORDING COVERAGE NAIC N Loveland CO 80538 _ INSURERA:Cincinnati Insurance Co 10677 INSURED INSURER B :Pinnacol Assurance 41190 G Orr Construction Ltd INSURER C : 201 Commerce Drive INSURER D : _ Unit #1 INSURER E : Fort Collins CO 80524 INSURERF: rnva0Ar_0c /`CDTICIrATC IVI IRARC0•1 R-1 9 nnrlata RFVICIOKI NI IMRFR- 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 L7R TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY E LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE X❑ OCCUR PREM SESOE. occu......e RETED $ 500,000 x MED EXP (Any one person) $ 10,000 Blanket WOS ENP0433109 4/15/2018 4/15/2019 x Blanket Addl Insureds PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 , 000 , 000 PRODUCTS - COMP/OP AGG $ 2 , 000 , 000 POLICY17XJECT LOC $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ A X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED R HIRED AUTOS R AUTOS ENP0433109 4/15/2018 4/15/2019 BODILY INJURY (Per accident) $ PROPERTYDAMAGE PROaccident) (Per $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ H AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YINE.L. R STATUTE DER" TA EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYE $ 100,000 B OFFICER/MEMBER EXCLUDED? ,'(Mandatory in NH) N/A 4187053 11/1/2018 11/1/2019 E.L. DISEASE - POLICY LIMIT I $ 500 000 If yes, describe under DESCRIPTION OF OPERATIONS below A Contractors' Equipment ENP0433109 4/15/2018 4/15/2019 Limit$50,000 Leased/Rented Equipment DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder will be given 30 day written notice should the insurance be cancelled or non -renewed; however 10 day notice will apply in the event of non-payment of premium. Certificate holder, its officers, agents and employees are named as additional insureds as respects general liability. City of Fort Collins P 0 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 R McReynolds/RESTED ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INCn9�+ onnn