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HomeMy WebLinkAbout105888 VALMONT INDUSTRIES - INSURANCE CERTIFICATE (2),4t�Ro® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 03/06/2019 I 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 Aon Risk Services Central, Inc. Omaha NE Office CONTACT NAME. (A//C..NNo. Ext): (402) 697-1400 jgAC. No.): (402) 697-1594 E-MAIL ADDRESS: 11213 Davenport Suite 201 Omaha NE 68154 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURERA: ACE American Insurance Company 22667 Valmont Industries, Inc. INSURER B: The Continental Insurance Company 35289 Attn: Megan Wagner One Valmont Plaza INSURER C: Evanston Insurance Company 35378 INSURER D: Omaha NE 68154-5215 USA INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570075278533 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE ADDL INSD BR WVD POLICY NUMBER P L MM/DD/YYYY LI Y X MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY HDOG 1 1 EACH OCCURRENCE $2 , 000 , 000 CLAIMS -MADE X❑ OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $1 , 000 , 000 MED EXP (Any one person) $10 , 000 PERSONAL &ADV INJURY $1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4 , 000 , 000 POLICY PRO ❑ LOC JECT PRODUCTS - COMP/OPAGG $4,000,000 OTHER. A AUTOMOBILE LIABILITY ISA H25274374 03/01/2019 03/01/2020 COMBINED SINGLE LIMIT Ea accident $2,000,000 BODILY INJURY ( Per person) X ANYAUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE (Per accident B X UMBRELLA LIAB I X OCCUR 5094882742 03/01/2019 03/01/2020 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $10,000,000 DIED I X RETENTION$10, 000 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR! PARTNER, EXECUTIVE Y❑ WLRC65889341 03/01/2019 03/01/2020 SPER TATUTE EORH X I E.L. EACH ACCIDENT $1, 000 , 000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A E.L. DISEASE -EA EMPLOYEE $1, 000, 000 If yes, describe under DESCRIPTiON OF OPERATIONS below E.L. DISEASE -POLICY UN11T Ql 000 000 C Archit&Eng Prof MKLv7PL0003567 03/01/2019 03/01/2020 Each Claim $10,000,000 Claims -Made coverage Aggregate $10,000,000 Retention $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is included as Additional Insured in accordance with the policy provisions of the General Liability and Auto Liability policies. The General Liability and Auto Liability evidenced herein is Primary and Non -Contributory to other insurance available to an Additional insured, but only in accordance with the policy's provisions. A waiver of Subrogation is granted in favor of Certificate Holder in accordance with the policy provisions of the General Liability, Auto Liability, and workers' Compensation policies. Umbrella policy follows form of underlying policies listed above. CERTIFICATE HOLDER CANCELLATION City of Fort Collins Financial Services; Purchasing Division 215 N. Mason Street 2nd Floor Po BOX 580 Fort Collinsq CO 80522 USA 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 `m C m a Q 2 O 2 co co un oo N 0 0 O Z N V t= N L) ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 10576471 LOC #: A ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMEDINSURED Aon Risk services Central, Inc. Valmont Industries, Inc. POLICY NUMBER See Certificate Number: 570075278533 CARRIER NAIC CODE See Certificate Number: 570075278533 EFFECTIVE DATE ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance schedule of Named Insureds valmont Industries, Inc. AgSense, LLC American Galvanizing Company, Inc. George industries, Inc. Industrial Galvanizers America Holdings, Inc. Industrial Galvanizers America, Inc. Kendar Industries, Inc. Kendar Industries, Inc. DBA Irrigation Components International Torrent Engineering and Equipment Company LLC Matco Services, Inc. PiRod, Inc. PiRod, Inc. dba Larson Camouflage United Galvanizing, Inc. valley Export, Inc. Valmont - Birmingham Galvanizing, Inc. Valmont - Columbia Galvanizing, Inc. valmont - Southeastern Galvanizing, Inc. valmont - Virginia Galvanizing, Inc. Valmont coatings, Inc. Valmont Composite Structures, Inc. Valmont International Corp. Valmont Newmark, Inc. Valmont Northwest, Inc. valmont service Centers, Inc. valmont Structures, Inc. Valmont west Coast Engineering Ltd. walpar, LLC (DE) Cascade Earth Sciences Ltd. (A&E Professional Liability & umbrella Only) The ACORD name and logo are registered marks of ACORD