HomeMy WebLinkAbout345127 NARANJO CIVIL CONTRACTORS INC - INSURANCE CERTIFICATEAC"Rf> CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DDIYYYY)
05/24/2019
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
CONTACT Jennifer Winter, CISR
NAME:
Flood and Peterson
A%CONNo Ex : (970) 506 3206 Fvc No : (970) 506-6846
E-MAIL JWinter@floodpeterson.com
ADDRESS:
PO Box 578
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A: Phoenix Insurance Company
25623
Greeley CO 80632
INSURED
INSURER B: Travelers Property Casualty Company of America
25674
INSURER C : Pinnacol Assurance
41190
H & L Concrete, Inc.
INSURER D :
dba Naranjo Civil Constructors, Inc.
INSURER E :
627 27th Street
INSURER F :
Garden City CO 80631
COVERAGES CERTIFICATE NUMBER: CL1952429287 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
ADDLSUBIR
INSD
WVD
POLICY NUMBER
POLICY EFF
MMIDDIYYYY
POLICY EXP
MMIDD/YYYY
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE X OCCUR
N
PREMISES Ea occurrence
$ 300,000
X
MED EXP (Any one person)
$ 10,000
PD Ded:500
PERSONAL & ADV INJURY
$ 1,000,000
A
DTC01J14711APHX19
06/01/2019
06/01/2020
GEN'LAGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
POLICY � PRO ❑ LOC
JECT
PRODUCTS - COMP/OPAGG
$ 2.000,000
$
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
BODILY INJURY (Per person)
$
X ANYAUTO
B
OWNED SCHEDULED
AUTOS ONLY AUTOS
8103L4620021926G
06/01/2019
06/01/2020
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
X HIRED H NON -OWNED
AUTOS ONLY AUTOS ONLY
$
X DOC
X
UMBRELLA LIAB
X
OCCUR
EACH OCCURRENCE
$ 8,000,000
AGGREGATE
$ 8,000,000
B
EXCESS LIAB
CLAIMS -MADE
CUP1J2532431926
06/01/2019
06/01/2020
DED I X RETENTION $ 10,000
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
N/A
1452910
06/01/2019
06/01/2020
/� STATUTE ORH
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
1,000,000
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: 8727 Harmony and Strauss Cabin Intersection Improvements
City of Fort Collins, its officers, agents, and employees, are listed as Additional Insureds as respects General Liability, including ongoing and completed
operations, and Auto Liability. Insurance is primary and non-contributory. A 30-day written notice of cancellation applies.
l.H1Y l,.CLLH11Vry
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 580
AUTHORIZED REPRESENTATIVE
Fort Collins CO 80522
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