HomeMy WebLinkAboutSUN CONSTRUCTION & DESIGN SERVICES INC - INSURANCE CERTIFICATE (2)ACORD,M CERTIFICATE OF LIABILITY INSURANCE
3/1/2019
DATE(MM/DD/YYYY)
1 11 /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 rights to the certificate holder in lieu of such endorsement(s).
PRODUCER Lockton Companies
8110 E Union Avenue
Suite 700
Denver CO 80237
CONTACT
NAME:
FAX
AIC No Ext : A/C No):
E-MAIL
ADDRESS:
IN RER S AFFORDING COVERAGE
NAIC #
(303) 414-6000
INSURER A : Zurich American Insurance Company
16535
INSURED Sun Construction &Design Services, Inc.
INSURER B : Travelers Property Casualty Co of America
25674
1456061 dba Sun Construction & Facility Services, Inc.
1232 Boston Avenue
INSURER C :
Longmont, CO 80501
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 15754796 REVISION NUMBER: XXXXXXX
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 INSURANCE
ADDL
INSD
SUBR
WVD
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
1MM/DD/YYYYl
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE � OCCUR
N
N
GL00215310-00
12/1/2018
3/1/2019
EACH OCCURRENCE
1,000,000
DAMAGE
REM PREMISES (ETO RENTED
occur ence
300 000
MED EXP (Any oneperson)10
000
PERSONAL & ADV INJURY
$ 1,000,000
GENT AGGREGATE LIMIT APPLIES PER.
POLICY PE� LOC
OTHER.
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
AUTOS ONLY X AUUTOS ONLY
N
N
BAP0215311-00
12/1/2018
3/1/2019
Ea COMBINEDSINGLELIMIT
$ 1 000 000
BODILY INJURY (Per person)
$ XXXXXXX
Ix
BODILY INJURY Per accident
(
$ XXXXXXX
PROPERTYr ideDAMAGE
$ XXXXXXX
$ XXXXXXX
B
X.
UMBRELLA LIAB
EXCESS LIAR
X
OCCUR
CLAIMS -MADE
N
N
ZUP-31NO6103-18-NF
12/1/2018
3/1/2020
EACH OCCURRENCE
$ 10,000,000
AGGREGATE
$ 10,000,000
DED RETENTION $
$ XXXXXXX
A
WORKERS COMPENSATION
AND EMPLOYERS' LABILIITY Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? F
(Mandatory in NH)
if
Dyes, describe under ESCRIPTION OF OPERATIONS below
N I A
N
WCO215309-00
12/1/2018
3/1/2019
PR
X STATUTE OER
E.L. EACH ACCIDENT
$ 1 000 000
E.L. DISEASE - EA EMPLOYEE
1,000,000
E.L. DISEASE - POLICY LIMIT
I OOO OOO
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
CERTIFICATE HOLDER CANCELLATION Nee Attachments
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
15754796 AUTHORIZED REPRESENTATIVE
City of Fort Collins
PO Box 580
Fort Collins CO 80522-0580
ACORD 25 12016/031 1 988-2OY5 ACORb CORIPRATION. All riahts reserved
The ACORD name and logo are registered marks of ACORD