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HomeMy WebLinkAbout150588 WALSH CONSTRUCTION INC - INSURANCE CERTIFICATE (22)OP ID: JW1 ,d►coRo CERTIFICATE OF LIABILITY INSURANCE DATE F/09//2 Y01 07099 9 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 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 CONTACT Front Range Insurance Group PHONE FAx 2002 Caribou Drive, Ste. 101 A/c No Ext : A/C No): Fort Collins, CO 80525 E-MAIL Assured Partners Colorado ADDRESS: PRODUCER r_ucTnnnFR In s- WALSH-4 INSURERS) AFFORDING COVERAGE NAIC # INSURED Walsh Construction, Inc. INSURER A: Pinnacoi Assurance 41190 8139 Open View Place Loveland, CO 80537 INSURER B : ettco General Insurance Corp INSURER C : Western World Insurance Group INSURER D : INSURER E : INSURER F COVERAGES CFRTIFICATF NIIMRFR- RGVICInN MI IIU1I 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. IINSLTR R TYPE OF INSURANCE DL POLICY NUMBER MM IDDNYYY) (MMIDDrrlrYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I —XI OCCUR X CLP 3 670 670 07/01/2019 07/01/2020 PREMISES Ea occurrence $ 300,00 MED EXP (Any one person) $ 10,00 Ci X Pollution Liab AHSECC12316-00 09/22/2018 09/22/2019 PERSONAL & ADV INJURY $ 1,000,00 GENERALAGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS -_COMP/OP AGG $ 2,000,00 POLICY X jECTPRO LOC $ 1,000,00 Pollution B AUTOMOBILE X LIABILITY ANY AUTO CAP 3 670 671 07/01/2019 07/01/2020 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIREDAUTOS PROPERTY DAMAGE (PER ACCIDENT) $ NON -OWNED AUTOS $ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,00 AGGREGATE $ 3,000,00 B EXCESS LIAB CLAIMS -MADE CUP 2 814 437 07/01/2019 07/01/2020 DEDUCTIBLE $ $ RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? 71 N / A 4104361 05/01/2019 05/01/2020 1 X WC STATU- OTH- TORY LIMITSI ER E.L.EACH ACCIDENT $ 1,000,00 E L. DISEASE - EA EMPLOYEE $ 1,000,00 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,00 B Inland Marine CLP 3 670 670 07/01/2018 07/01/2019 Floa 350,00 �Inst Leas/Rent 250,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule. if more space is required) City of Ft. Collins is included as an Additional Insured per conditions and forms shown on page 2 1 G rtULUMM CITYOFF City of Fort Collins Attn: Purchasing P.O. Box 580 Fort Collins, CO 80522 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 © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD No Text