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HomeMy WebLinkAboutBRB CONTRACTORS INC - INSURANCE CERTIFICATE (5)ACORN® �,. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 3/27/2019 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 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 TRUSS 9200 Ward Parkway Suite 500 Kansas City MO 64114 CONTACT NAME: Certificate Department PHONE (A/C alc No : 816-708-4600 ADDRESS: Certificates@TrussAdvantage.com INSURERS AFFORDING COVERAGE NAIC# INSURER A: Travelers Property Casualty 25674 INSURED Contractors, Inc.et 3805 NW 25th Street 380 INSURERS: Amerisure Mutual Ins Co 23396 INSURER C : Columbia Casual Co. CNA 31127 INSURER D: Amerisure Partners Ins Co 11050 Topeka KS 66618 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 916498326 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. IN SR LTR I TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS D X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR GL20753590701 4/1/2019 4/1/2020 EACH OCCURRENCE $ 1.000,000 DAMAGE( RENTED PREMISESSEa occurrence) $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,D00 GEN'L AGGREGATE LIMIT APPLIES PER, POLICY jRO- ECT LOC OTHER GENERAL AGGREGATE $ 2.000,000 PRODUCTS -COMP/OP AGG $ 2,000,000 $ D AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS CA20753500902 4/1/2019 4/1/2020 COMBINED SINGLE LIMIT Ea accident)____ $ 1 000 000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE ZUP41M0096118NF 4/1/2019 4/1/2020 EACH OCCURRENCE $ 20,000,000 AGGREGATE $ 20,000,000 DED I X I RETENTION $ _ _ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N❑ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC20753490702 4/1/2019 4/1/2020 X I PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,D00 E.L. DISEASE - EA EMPLOYEE $ 1,000,D00 F I. DISFASF. - POLICY LIMIT $ 1,nn0,DOn A C Installation/Builder Risk Contractors E&O/Pollution QT6307644B708TIL18 CE02076176830 4l1/2019 4/1/2019 4/1/2020 4/1,2020 Contract Amount/Ded 'See Below/2,500 Ea. Claim/Agg-Ded $21052M-25,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN James O'Neill, CPPO, FNIGP, City of Fort Collins, Director ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing & Risk Mgt 215 North Mason St., 2nd Floor AUTHORIZED REPRESENTATIVE Fort Collins CO 80524 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD