HomeMy WebLinkAboutSUN CONSTRUCTION & DESIGN SERVICES INC - INSURANCE CERTIFICATE (4)AGORD,M CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDD/YYYY)
3/1/2020
2/25/2019
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 Lockton CompaniesCONTACT
8110 E Union Avenue
Suite 700
Denver CC 80237
PHONE FA
A/C No Ext : A/C No):
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAIC #
(303) 414-6000
INSURER A: Zurich American Insurance Company
16535
INSURED Sun Construction &Design Services, Inc.
1456061 dba Sun Construction & Facility Services, Inc.
1232 Boston Avenue
INSURER 8 : Travelers Property Casualty Co of America
25674
INSURER C
INSURER D :
Longmont, CC 80501
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 15754796 REVISION NUMBER- XXXXXXX
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
INSD
SUER
WVD
POLICY NUMBER
POLICY EFF
MM/D /YYYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE � OCCUR
N
N
GL00215310-01
3/1/2019
3/1/2020
EACH OCCURRENCE
1,000,000
_
PREMISES (ETO a RENTED
300,000
MED EXP An ore person)10,000
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICYa JEPROC ❑ LOC
OTHER
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
1
$
•
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SC
AUTOS ONLY AUTOSULED
NON-OWNED
AUTOS ONLY AUUOONLY
N
N
BAP0215311-01
3/1/2019
3/1/2020
COMBINED SINGLE LIMIT
Ea accident
$ 1 000000
X
BODILY INJURY (Per person)
$ XXXXXXX
BODILY INJURY (Per accident
$ XXXXXXX
X
Pe, TYDAMAGE
rr.,dt
$ XXXXXXX
$XXXXXXX
B
X
UMBRELLA LIAR
EXCESS LIAB
NOCCUR
CLAIMS -MADE
N
N
ZUP-31NO6103-18-NF
12/1/2018
3/1/2020
EACH OCCURRENCE
$ 10,000,000
AGGREGATE
$ 10,000,000
DIED I I RETENTION $
$ XXXXXXX
A
WORKERS COMPENSATION AND EMPLOYERS' LABILIITY YIN
ANY OFF ICER/MEM ER EXCLUDED? ECUTIVE FNJ
(Mandatory in NH)
it yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
N
WCO215309-01
3/1/2019
3/l/2020
X STATUTE OER
E.L. EACH ACCIDENT
$ 1,000,000
E.L DISEASE - EA EMPLOYEE
1,000,000
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)
LtKIIFIGAItNULUtK cANGtLLAIIUN Nee Attachments
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
15754796
AUTHORIZED REPRESENTATIVE
City of Fort Collins
PO Box 580
Fort Collins CC 80522-0580
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