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HomeMy WebLinkAbout541003 ECI SITE CONSTRUCTION MANAGEMENT INC - INSURANCE CERTIFICATE (3)P526a128M2 ACOR 11� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 06/25/2019 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 IRA, Inc. - Colorado Division CONTACT NAME: PHONE FAX A/C No): EMAIL denaccounttechsQimaeorp.com ADDRESS: 1705 17th St Ste 100 INSURERllAFFORDING COVERAGE NAIC N INSURERA: BITUMINOUS CAS CORP 20095 Denver, CO 80202 INSURED INSURER B: TRAVELERS CAS 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 : INSURERF: Loveland, CO 80539 rnVCRAr CC rCRTICICATC NIIMRF:R• 56553391 RFVISIAN NIIMRFR- 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 AO L SUB POLICY NUMBER MM DD/YPOLICY EFF LICY EXP MM DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLP3683027 07/01/19 07/01/20 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE I —XI OCCUR PREMISES Ea occurrence) $ 50,000 X MED EXP (Any one person) $ 5,000 PD Ded: $2, 000 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY � PRO - POLICY a LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY CAP3683027 07/01/19 07/01/20 COMBINED SINGLE LIMIT Ea accident, 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO X OWNED SCHEDULED AUTOS ONLY AUTOS HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ S 8 X UMBRELLA LIAB I X OCCUR ZUP61M9905A19NF 07/01/19 07/01/20 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5, 000, 000 EXCESS LIAR CLAIMS -MADE DIED X RETENTION$ 10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A NC3683025 07/01/19 07/01/20 X I STATUTE ERH E.L. EACH ACCIDENT --- $ 11000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 f yes, describe under DESCRIPTION OF OPERATIONS below C Installation Floater OT6606J776196TIL19 07/01/19 07/01/20 Any One Limit $ 15,000,000 Temp/Transit 500,000 Deductible �1'000 DESCRIPTION OF OPERATIONS / LOCATIONS 1 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. ULK 111-IUA I It MULUtK VAPILCLLA I JUN 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 / /,W USA LLL / ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2018spm60 56553391 Z L1