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HomeMy WebLinkAbout442066 MARTIN / MARTIN INC - INSURANCE CERTIFICATE (2)Client#: 90463 MARTMARTI DATE (MM/DD/YYYY) ACORD,. CERTIFICATE OF LIABILITY INSURANCE 5/13/2019 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Carly Underwood Greyling Ins. Brokerage/EPIC PHONE 770.552.4225 866.550.4082 3780 Mansell Road, Suite 370 ENAIi Ext No ADDRESS: carly.underwood@greyling.com Alpharetta, GA 30022 INSURER(S) AFFORDING COVERAGE NAIC N INSURER A: Travelers Indemnity Company 25658 INSURED IUC11pro a . Starr SurDIUS Lines Insurance COMDanv 13604 Martin/Martin, Inc. 12499 West Colfax Ave. Lakewood, CO 80215 INSURER C : INSURER E : COVERAGES CERTIFICATE NUMRER- 19.20 REVISION NUMRER- 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 CONTRACTOR 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. LTRR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM POLICYEFF YY POLICYYY LIMITS A A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I OCCUR 6805N824330 (AOS) 6805N829614 (CA) 6/01/2019 6/01/2019 06/01/2020 06/01/202 EACH OCCURRENCE $ 1 000 000 PREMISES Ea occurrence $1 000 000 MED EXP (Any one person) $5000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 7 JECOT FX LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY BA51N831173 6/01/2019 06/01/202 T Ea andem SINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ A X UMBRELLALIAB EXCESS UAB X OCCUR CLAIMS -MADE CUPSN831959 6/01/2019 06/01/2020 EACH OCCURRENCE $5000000 AGGREGATE $5 000 000 DED I X RETENTION $1 O 000 $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? � (Mandatory In NH) H yes, describe under DESCRIPTION OF OPERATIONS below NIA UBSN826009 6/01/2019 06/01/202 X PER orH- E.L. EACH ACCIDENT $1 000 000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1 00O 000 B Professional Liability SLSLPR026207319 6/01/2019 06/01/202 Per Claim $2,000,000 Aggregate $3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: 7638 Parking Structures Specifications and Drawings. City of Fort Collins is Additional Insured with respect to General and Auto Liability per the attached endorsements as required by written contract. 30 Days Notice of Cancellation with 10 Days Notice for Non -Payment of Premium in accordance wi ialla City of Fort Collins PO Box 580 Fort Collins, CO 80522-0000 t,ANI:CLLA I IUN 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.