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HomeMy WebLinkAboutWALSH CONSTRUCTION INC - INSURANCE CERTIFICATEOP ID: SLS ,4coR0 CERTIFICATE OF LIABILITY INSURANCE DATE 07/24/2 Y019 07I24I29 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 Front Range Insurance Group 2002 Caribou Drive, Ste. 101 Fort Collins, CO 80525 AssuredPartners Colorado CONTACT NAME: PHONE FAX o A/C No: E-MAIL ADDRESS: PRODUCER CUSTOMERWALSH 4 INSURERS AFFORDING COVERAGE NAIC N INSURED Walsh Construction, Inc. INSURER A;PItnnacol Assurance 41190 8139 Open View Place Loveland, CO 80537 INSURER B: BKco General Insurance Corp INSURER c : Western World Insurance Group INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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 LTR TYPE OF INSURANCEY 5um POLICY NUMBER EFF MMIDCDIYYYY POLICY EXP MMIDD/YWV LIMA B C GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXI OCCUR X Pollution Liab X CLP 3 670 670 AHSECC12316-00 07/0112019 09/22/2018 07J01/2020 09/22/2019 EACH OCCURRENCE S 1,000,00 PREMISES Ea coda ence $ 300,00 MED EXP (Any one person) $ 10,00 PERSONAL B ACV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000r00 GEN'L AGGREGATE LIMIT APPLIES PER. POLICY X PRO LOC PRODUCTS - COMPIOP AGG $ 2,000,0011 $ 1,000,00 Pollution B AUTOMOBILE LLA9ILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CAP 3 670 671 0710112019 07/01/2020 COMBINED SINGLE LIMIT (Ea dent) $ 1,000,00 X BODILY INJURY (Per person) E BODILY INJURY (Per amident) $ PROPERTY DAMAGE (PER ACCIDENT) $ $ $ B X UMBRELLA UAB EXCESS LWB X OCCUR CLAIMS -MADE CUP 2 814 437 07/01/2019 EACH OCCURRENCE AGGREGATE 07/01/2020 � $ 3,000,00 $ 3,000,00 $ DEDUCTIBLE RETENTION S $ WORKERS COMPENSATION AND EMPLOYERS'LUIBILITV A ANY PROPRIETOR/PARTNER/EXECUTIVEY/N OFFICER/MEMBER EXCLUDED9 O (Mandatory In NH) If yes. describe under DESCRIPTION OF OPERATIONS below NIA 104361 05/01/2019 X VYC STATU- OTH- T RV IMIT R 05/01/2020 E.L. EACH ACCIDENT EL. DISEASE -EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ 1,000,00 $ 1,000,00 $ 1,000.00 B Inland Marine LP 3 670 670 07/01/2019 07/01/2020 Inst Floa 350,00 Leas/Rent 250,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace is required) City of Ft. Collins is included as an Additional Insured per conditions and forms shown on page 2 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