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HomeMy WebLinkAbout365691 BRYAN CONSTRUCITON INC - INSURANCE CERTIFICATEACOROa CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 4/30/2019 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 Alliant Insurance Services, Inc. 6312 S Fiddlers Green Circle Ste 550E CONTACT NAME: PHONE FAX TONE., : • 303-824-1440 A/c No): ADDRESS: INSURERS AFFORDING COVERAGE NAIC# Greenwood Village CO 80111 INSURER A: Liberty Mutual Fire Ins. Co. 23035 INSURED FEDECON-08 Bryan Construction, Inc. 7025 Campus Drive INSURERB: Allied World Assurance Company U.S. Inc 19489 INSURERC: Continental Casualty Company 20443 INSURERD: Aspen American Insurance Company 43460 Colorado Springs, CO 80920 INSURER E : XL Insurance America, Inc. 24554 INSURER F : COVERAGES CERTIFICATE NUMBER: 1643308828 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. ILT R TYPE OF INSURANCE LTR ADDL SUBR POLICY NUMBER POLICY EFF MMIDMIDD/YYYY POLICY EXP MM/DDlYYYY LIMITS A X COMMERCIALGENERAL LIABILITY Y Y TB2-Z91-467265-039 4/30/2019 4/30/2020 EACH OCCURRENCE $1,000,000 CLAIMS -MADE a OCCUR $ 10,000 DAMAGE ToRENTED PREMISES Ea occurrence) MED EXP (Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY jECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER $ A AUTOMOBILE LIABILITY Y Y AS2-Z91-467265-029 4/30/2019 4/30/2020 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS $ BODILY INJURY (Per accident) X PROPERTY DAMAGE Per accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY E X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE Y Y CXOOCE919 US00090933LI19A 4/30/2019 4/30/2019 4/30/2020 4/30/2020 EACH OCCURRENCE $25,000,000 X AGGREGATE $ 25,000,000 DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N Y EL2-Z91-467265-019 2/1/2019 2/1/2020 ER X STATUTE EOT RH -.. ANYPROPRIETOR/PARTNER/EXECUTIVE N E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A E.L. DISEASE - EA EMPLOYEE -- $ 1,000,000 (Mandatory in NH) If yes describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Leased/Rented Equipment N N 6083322755 4/30/2019 4/30/2020 Per Item: $250K Max Per Occ: $250K B Contractors Prof/Poll Liability 10310-3684 iI 4/30/2019 4/30/2020 Prof. Each Act: $5M Poll. Each Occ.: $5M Prof. Agg: $10M Poll. Agg.: $5M DESCRIPTION OF OPERATIONS / LOCATIONS I 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. City of Fort Collins 300 Laporte Avenue 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 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD