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HomeMy WebLinkAbout541003 ECI SITE CONSTRUCTION MANAGEMENT INC - INSURANCE CERTIFICATE (2)1?5260112;002 ��-+�-y»�� l...f,.JA CERTIFICATE OF LIABILITY INSURANCE FATE (MMIDDNYYY) /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 1-303-534-4567 IMA, Inc. - Colorado Division CONTACT NAME: PHONE FAX A/C No : E-MAIL denaccounttechogimacorp.coml ADDRESS: 1705 17th St Ste 100 INSURERS AFFORDING COVERAGE NAIC B INSURER A: BITUMINOUS CAS CORP 20095 Denver, CO 80202 INSURED INSURERS: TRAVELERS CAB INS CO OF AMER 19046 ECI Site Construction Management, Inc. INSURER CTRAVELERS PROP CAS CO OF AMER 25674 INSURER0: 2526 14th Street SE INSURER E : 1 INSURERF: Loveland, CO 80539 COVERAGES CERTIFICATE NUMBER: 56552692 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 LTRWVD OF INSURANCE L ADITYPE INSO SU POLICY NUMBER MMIDDPOLICY EFF M M` D EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLP3669966 07/01/18 07/01/19 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE 7 OCCUR DAMAGE TOA99TIff PREMISES Ea occurrence) $ 50,000 X MED EXP (Any one person) $ 5,000 PD Dad; $2, 000 PERSONAL SADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY C� PRO ❑ LOC JECT PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY CAP3683027 07/01/19 07/01/20 COMBINED SINGLE LIMIT E accident) $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS 1AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Paraccident $ X HIRED X NON -OWNED ONLY AUTOS ONLY $ B X UMBRELLA LIAB X OCCUR ZUP61M9905A39NF 07/01/19 07/01/20 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 51000,000 EXCESS LIAR CLAIMS -MADE DED I X I RETENTION $ 10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNERIEXECUTIVE [ij] OFFICERIMEMBEREXCLUDED7 (Mandatory In NH) N )A WC3683025 07/01/19 07/01/20 X STATUTE ERH_ E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Installation Floater QT6606,T776196TIL19 07/01/19 07/01/20 Any One Project $ 15,000,000 Temp/Transit 5001000 Deductible 1,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) City of Fort Collins is included as Additional Insured on the General, Automobile, and Excess Liability Policies if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. A waiver of Subrogation is provided in favor of Additional Insured on the General, Automobile, Excess Liability, and Workers, Compensation Policies if required by written contract or agreement and with respect to work performed by Insured suject to the policy terms and conditions. This Insurance is Primary and Non -Contributory on the General Liability Policy subject to the policy terms and conditions. CFRTIFICATF HOt nFR CANCELLATION RE; Poudre River Whitewater Park. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Matt Day PO BOX 580 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80522 /.60 USA 111 / ACORD 25 (2016/03) 2018spm60 56552692 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD