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Home My WebLink About365691 BRYAN CONSTRUCTION INC - INSURANCE CERTIFICATE (12)ACORD, CERTIFICATE OF LIABILITY INSURANCE 4/30/2019 DATE(MM/DD/YYYY) 1 /29/2019 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 A/C No Ezt : A/C No : 8110 E. Union Avenue Suite 700 Denver CO 80237 E-MAIL ADDRESS: INSURER AFFORDING COVERAGE NAIC u (303) 414-6000 INSURER A: Liberty Mutual Fire Insurance Company 23035 INSURED Bryan Construction, Inc. 1410792 7025 Campus Drive Colorado Springs, CO 80920-3164 INSURER B : Liberty Insurance Corporation 42404 INSURER C : Pinnacol Assurance Company 41190 .INSURER D : Ironshore Inderr it Inc. 123647 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 14021439 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 III POLICY NUMBER POLICY EFF MM/D /YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY }r N FB2-Z91-467265-038 4/30/2018 4/30/2019 EACH OCCURRENCE 1 AOO 000 CLAIMS -MADE 7 OCCUR PREMISESa oNcur once 300,000 MED EXP Any oneperson)S OOO PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER, POLICY❑ PE ❑ LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER A AUTOMOBILE LIABILITY N N AS2-Z91-467265-028 4/30/2018 4/30/2019 nI INGLE OMIT Ea aaad.S $ 1 000,000 X BODILY INJURY (Per person) $ XXXXXXX ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOS BODILY INJURY (Per accident $ �{�(}��{XXX PROPERTY acccid accident) $ XXXXXXX AUTOS ONLY NON-OWNED ONL� $XXXXXXX E3 UMBRELLA LAB X OCCUR N N 'I H7-Z91-467265-048 4/30/2018 4/30/2019 EACH OCCURRENCE $ 25,000,000 D EXCESS LIAB CLAIMS -MADE 003559100 4/30/2018 4/30/2019 x AGGREGATE $ 25,000,000 DIED I I RETENTION $ $ j{}{}(}{xxx L WORKERS COMPENSATION AND EMPLO ERS' L ABILIITY YIN OFFICER/MEM ER/EXCLUDED?ECUTIVE � (Mandatory in NH) If yes, describe untler D DESCRIPTION OF OPERATIONS below N/A N 2310880 2/l/2019 2/1/2020 X STATUTE O R EL EACH ACCIDENT !� /1 $ 1 VOO V00 E L DISEASE - EA EMPLOYEE 1 000 000 E.L. DISEASE - POLICY LIMI T 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The certificate holder is listed as additional insured in regards to the 7136 Lincoln Center Addition and Renovations project. laK I IFIGA I It: NULLItH. GANC:tLLA I IUN See Attacnments SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 14021439 AUTHORIZED REPRESENTATIVE City of Fort Collins 300 Laporte Avenue Fort Collins CO 80522 ACORD 25 (2016/03) 1 988-2OY5 Ali CORP RATION. All rights reserved The ACORD name and logo are registered marks of ACORD