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HomeMy WebLinkAbout101027 HENSEL PHELPS CONSTRUCTION CO - INSURANCE CERTIFICATE (3)ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE( ) /./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 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 CONTACT NAME: Rebekkah McGuire A/CONE No Ext: (970)356-0123 A/C NO; (970)330-1867 Flood and Peterson E-MAIL RMcGuire@F1oodPeterson.com ADDRESS: PO Box 578 INSURERS) AFFORDING COVERAGE NAIC # INSURERA:Zurich American Insurance Company 16535 Greeley CO 80632 INSURED INSURERS: American Guarantee and Liability Insure 26247 INSURER C: Steadfast Insurance Company 26387 Hensel Phelps Construction Co. INSURERD:XL Insurance America, Inc. 24554 Plains District INSURERE: 12121 Grant Street; Suite 410 INSURERF: Thornton CO 80241 COVERAGES CERTIFICATE NUMBER:CL18102225649 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 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 SUBR POLICY NUMBER E MM DDYYYY MM/DD YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 5,000,000 A CLAIMS -MADE �X OCCUR DAMAGE TRENTED PREM SESOEa o c."erce $ 300,000 MED EXP (Any one person) $ GL0369726414 1/1/2019 1/1/2020 PERSONAL BADVINJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 10,000,000 POLICY Fx—] JE� LOC PRODUCTS - COMP/OPAGG $ 10,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 5,000,000 BODILY INJURY (Per person) $ A X ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS SAP369726114 1/1/2019 1/1/2020 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED X HIREDAUTOS X AUTOS B X UMBRELLA LIAB X OCCUR AUC928038417 1/1/2019 1/1/2020 EACH OCCURRENCE $ 50, 000, 000 AGGREGATE $ 50,000,000 D EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ US00068961LI19A 1/1/2019 1/1/2020 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE �I�N �N/A OFFICER/MEMBER EXCLUDED? L 1 (Mandatoryin NH) aC369726515 li1i 201S 1/ij2020 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 EL DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below C Prof E: s Sional and Pollution EOC937461715 1/1/2019 1/1/2020 Each Occurrence $50,000,000 Liability Aggregate $50, 000, 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Elizabeth 1864 LLC; MFCH AI, LLC; MFCH NC, LLC; Mcwhinney Real Estate Services, Inc. Sage Old Town FC Investor LLC; Sage Old Town FC Promote LLC; Sage Client 207, LLC; Sage Hospitality Resources, LLC, Sage Hotel Capital LLC, and their respective asset managers, managers, members, principals, officers, directors, shareholders, employees, agents, lenders, successors, assigns, volunteers and any affiliated parent or subsidiary companies are additional insureds. CERTIFICATE HOLDER CANCELLATION j30l6l83@henselphelps.com City of Fort Collins 215 N Mason St. 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 Keiser, CISR/NKEISE %A&j&sv All rights reserved ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD LNS0251sn1