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601609 MYERS & SONS CONSTRUCTION LP - INSURANCE CERTIFICATE
ACOROOa CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 5/20/2019 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 Uniondale-Alliant Ins Svc Inc 333 Earle Ovington Blvd Ste 700 CONTACT NAME: Laura MartinoPHONE FAX Nc.E:t), 516-414-8606 Uniondale NY 11553 ADDRESS: Laura. Martino alliant.com INSURE S AFFORDING COVERAGE NAIC p INSURER A: Berkshire Hathaway Specialty Insurance Company 22276 INSURED STERCON-04 Myers & Sons Construction, L.P. 4600 Northgate Blvd., Suite 100 INSURER B : Executive Risk Indemnity Inc 35181 INSURER C: Federal Insurance Company Can 20281 INSURERD: Sacramento, CA 95834 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:298114822 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 �ADDLSUBRi TYPE OF INSURANCE - I POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MM/DD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY OCCUR CLAIMS -MADE %( . _.� Contractual Li ab Y Y 54309707-01 6/1/2019 6/1/2020 EACH OCCURRENCE $2,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 X GEN'L MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 AGGREGATE LIMIT APPLIES PER: POLICY jE�T LOC OTHER: GENERAL AGGREGATE $ 4,000,000 $4,000,000 PRODUCTS - COMP/OP AGG $ C AUTOMOBILE LIABILITY ANY AUTO OWNED - SCHEDULED AUTOS ONLY AUTOS HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY Y Y (19)5430-97-19 6/1I2019 6/1/2020 COEa accidentMBINED SINGLE LIMIT $ 2,000,000 X X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ A UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE Y Y 47-XSF-303345-03 6/1/2019 6/1/2020 EACH OCCURRENCE $25,000,000 X AGGREGATE $ 25,000,000 DED I X I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFF ICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA Y 005 4309720 02 6/1/2019 6/1/2020 X STATUTE ERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 $ 1,000,000 E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Horsetooth & College Intersection Improvements City of Fort Collins and Colorado Department of Transportation are included as Additional Insured on a Primary and Non -Contributory basis as respects General Liability, Automobile Liability and Umbrella Liability as required by written contract. Waiver of Subrogation is included and applies in favor of the Additional Insureds as required by written contract. Thirty (30) Days Notice of Cancellation applies. l.tK I Irl%,A I t MULUCK LANt.;tLLA I IUN City of Fort Collins 215 North Mason St., 2nd Floor PO Box 580 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