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HomeMy WebLinkAbout442066 MARTIN / MARTIN INC - INSURANCE CERTIFICATE (3)Client#: 90463 MARTMARTI ACORDT. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/VYYY) 1 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 Greyling Ins. Brokerage/EPIC 3780 Mansell Road, Suite 370 NAME: CONTACT Carly Underwood _ PHONE 770.552.4225 A/C No Ext : No : 866.550.4082 ADAPtlDRESS: carly.underwood@greyling.com Alpharetta, GA 30022 INSURER(S) AFFORDING COVERAGE NAIC0 INSURER A: Travelers Indemnity Company 25658 INSURED INSURER s : Starr Surplus Lines Insurance Company 13604 Martin/Martin, Inc. 12499 West Colfax Ave. INSURER C Lakewood, CO 80215 INsuRERD: INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 19-20 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 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MMIDD LIMITS A A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 6805N824330 (AIDS) 6805N829614 (CA) 6/01/2019 6/01/2019 06/0112020 06/01/202 EEAACMHgGOECTCURRENCE $1 000 000 c�u ence PREMISES Eaoan.) $1 000000 MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY II JECT � LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY BASN831173 6/01/2019 06/01/202 Ea accideo SINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ A JX UMBRELLA LIAB EXCESS LIAB Xd OCCUR CLAJMS40DE CUP5N831959 /01/2019 0610112020 EACH OCCURRENCE $5 00O 000 AGGREGATE $5 000 000 DIED I X I RETENTION $1 O 000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY N ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? 7 (Mandatory In NH) tf yes, describe under DESCRIPTION OF OPERATIONS below N/A UB5N826009 _ SLSLPR026207319 6/01/2019 06/01/202 X PER OTH- E.L. EACH ACCIDENT $1 00O 000 E.L. DISEASE - EA EMPLOYEE $1 000 000 E.L. DISEASE - POLICY LIMIT $1,000,000 B Professional Liability 6/01/2019 06/01/202 , Per Claim $2,000,000 Aggregate $3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Fort Collins - 2015 Parking Garage Repairs; M/M Project No. 15.0231.S01. Proof of Insurance. 30 Days Notice of Cancellation with 10 Days Notice for Non -Payment of Premium in accordance with the policy provisions. City of Fort Collins 300 West Laporte, Building B Fort Collins, CO 80521-0000 1111,9191 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 /REEPRE_S`ENTATIV E ��� © 1988-2015 ACORD CORPORATION. All rights reserved.