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HomeMy WebLinkAbout601609 MYERS & SONS CONSTRUCTION LP - INSURANCE CERTIFICATE (3)ACORO`� 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 CONTACT Laura Martino UnlOnda a -A lent Ins Svc Inc _NAME: _ PHONE FAX 333 Earle Ovington Blvd Ste 700 516-414-8606 A/c No: _ ADDRESS: Laura.Martino@alliant.com Uniondale NY 11553 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Berkshire Hathaway Specialty Insurance Company 22276 INSURED STERCON-04 INSURERS: Executive Risk Indemnity Inc 35181 Myers & Sons Construction, L.P. 4600 Northgate Blvd., Suite 100 INSURER C: Federal Insurance Company Can 20281 INSURER0: Sacramento, CA 95834 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:92333215 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 ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP IY MM/DDYYY LIMITS B X COMMERCIAL GENERAL LIABILITY Y Y 54309707-01 6/1/2019 6/1/2020 EACH OCCURRENCE $2,000,000 CLAIMS -MADE � OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 X MED EXP (Any one person) Contractual Liab $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY I JE Q LOC PRODUCTS -COMP/OP AGG $ 4,OD0,000 OTHER: $ C AUTOMOBILE LIABILITY Y Y 19 5430-97-19 ( ) 6/1/2019 6/1/2020 COMBINED SINGLE LIMIT Ea accident $ 2 000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY A UMBRELLA LIAB X OCCUR Y Y 47-XSF-303345-03 6/1/2019 6/1/2020 EACH OCCURRENCE $25,000,000 X AGGREGATE $ 25,000,000 EXCESS LIAB CLAIMS -MADE DED I X RETENTION $ &in nnn $ 1 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N Y 005 4309720 02 6/1/2019 6/1/2020 X STATUTE ERH- ANYPROPRIETOR/PARTNER/EXECUTIVE 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 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: CM/CG Services for Horsetooth & College Intersection Improvements Contract No. 8627-MSC # 206 / Reconstructing Horsetooth and College Intersection with concrete Pavement and replacing a small bridge The City of Fort Collins, its officers, agents and employees shall be included as Additional Insured as respects Liability arising out of work performed by the Named Insured as required by a written contract. The insurance provided shall be primary and any other insurance maintained by the Additional Insured is excess and non-contributory. Waiver of Subrogation applies as required by contract. 30 days' notice of cancellation or non -renewal will be provided to Certificate Holder, except 10 days' notice for cancellation for non-payment of premium. CERTIFICATE HOLDER CANCELLATION 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