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HomeMy WebLinkAboutVERTICAL LIMIT CONSTRUCTION LLC - INSURANCE CERTIFICATE (2)AC� ® DATE (MM/DD/YYYY) �. CERTIFICATE OF LIABILITY INSURANCE 4/24/2019 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 ondorsement(s). PRODUCER CONTACT NAME:_,_-_DaISy Braull Arthur J. Gallagher Risk Management Services, Inc. PHONE 856-675-1318 FAX No): 856-482 1888 4000 Midlantic Dr, Suite 200 E-rotalNo.L Mt. Laurel NJ 08054 ADDREss: Cher HiII.BSD.CertM AJG.com INSURED Vertical Limit Construction, LLC 1150 First Avenue, Suite 600 King of Prussia, PA 19406 INSURER(S) AFFORDING COVERAGE `. NAIL # INSURER A: Liberty Mutual Fire Insurance CompanyGompany 23035 QUALUSA-01 INSURER 8: First Liberty Insurance Corporation 33588 INSURERc: Liberty Insurance Underwriters Inc I 19917— INSURER E nnVFRArFS rFRTIFICATF NIIMRFR• 9Q9AQ37Q7 RFVISION Nt1MRFR: 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 TYPE OF INSURANCE POLICY NUMBER POLICYXP LTR M/ D/YYYY MMI/pD YYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR T62-631-510650-048 11/30/2018 11/30/2019 EACH OCCURRENCE �P��MI TO Ro T�rO n e) $2,000,000 S_300 000 — _ I MED EXP (A ty oneperson) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GEWL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 - --` POLICY , X E T X7 LOC "--- ----- PRODUCTS . COMP/OP AGG ------ —__ $ 4,000,000 $ OTHER: A AUTOMOBILE LIABILITY A52-631-510650-038 11/30/201$ 11/30/2019 C cgdgnSINGLELIMIT _(Ea a_ccidentZ— $2,000,000 _ BODILY INJURY (Per person) $' X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTYDAMAOE $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY C UMBRELLAUA13 X EXCESS LIAB L:I CCUR LAIMS-MADE 1000324565-01 11/30/2018 11/30/2019 EACH OCCURRENCE $5,000,D00 AGGREGATE $ 5,000,000 DED�ETENTION $ gr nnn — $ E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN i ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER;MEMBEREXCLUDED? (Mandatory In NH) NIA I 70650-018 11/30/2018 11/30/2019 I iX PER TH- E.L. EACH ACCID_ ENT _ $1.000,000 E.L. DISEASE - EA EMPLOYEE $1,0D0,DD0 Oyes. describe under DESCRIPTION OF OPERATIONS below I -"-- E.L. DISEASE -POLICY LIMIT �— $ 1.000,000 C ; Excess Liability 1000324565-01 11/30/2018 11/30/2019 Each Occurrence Aggregate 1 $10,000,000 $10,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACCORD 101, Additional Remarks Schedule, may be attached If more space is required) City of Fort Collins is named as an additional insured with respect to the above General Liability Policy, if required by a written contract executed priorto services performed. L;EH I It-IL;A I E MULUtH L;AN1L,1I I IUN City of Fort Collins 281 N College AVe;PO Box 580 Fort Collins CO 80526 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 - --� V_� I_c) ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2' of 2 7752