HomeMy WebLinkAboutFRANSEN-PITTMAN CONSTRUCTION CO INC - INSURANCE CERTIFICATEC I ient#: 33434
FRACONPC
ACORD, CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIODNY-YY)
7/26/2019
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 any rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
Holmes Murphy -Colorado
7600 East Orchard Rd, Ste 230 South
Greenwood Village, CO 80111
INSURED
Fransen-Pittman Construction Co., Inc.
9563 South Kingston Court, Ste 200
Englewood, CO 80112
720-458-5770
.com
INSURER A: Valley Forge Insurance Company
INSURER B : The Continental Insurance Company
INSURER C : Plnnarol Assurance Company
INSURER D : Atlantic Specialty Insurance Company
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 CONTRACTOR 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
ADOL
INSR
SUB
MND
POLICYNUMBER
POLICY EFF
MM/DDNYYY
POLICY EXP
MMMDNYYY
OMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE � OCCUR
PD Ded: $5,000
6050176991
D810112019
08/0112020
EACH
$1,000,000
q�OCCURRENCE
PREMISES EaE�rrrence
$500 000
X
MED EXP (Any one person)
$15 000
PERSONAL B ADV INJURY
$1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRO -
POLICY ECT 7 LOC
OTHER:
GENERAL AGGREGATE
$2000,000
PRODUCTS-COMP/OP AGG
$2,000000
$
B
AUTOMOBILE LIABILITY
X ANY AUTO
OWNEDOSUTOS CHEDULED
AUTOS NLY A
HIRED X NON -OWNED
X AUTOS ONLY AUTOS ONLY
6050177008
8/0112019
08/01/202C
EeM�BBINEDSINGLELIMIT
1,000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Par socident
$
B
X
t1M8RELU LIAB
EXCESS LU1B
X
OCCUR
CLAIMS -MADE
6050777011
8/01/2019
08/01/202
EACH OCCURRENCE
s20,000,000
AGGREGATE
$20 000 000
DED I X I RETENTION $1 O 000
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERIEXECUTNE YIN
OFFICERIMEMBER EXCLUDED9 7
(Mandatory in NH)
If Yes describe under
DESCRIPTION OF OPERATIONS below__T
NIA
4046117
8/01/2019
08101/202
X PER A LITE ER
E.L. EACH ACCIDENT
$500000
E.L. DISEASE - EA EMPLOYEE
$500000
E.L. DISEASE - POLICY LIMIT
1 $500,000
D Blkt Builder Risk
7100373080001
8/01/2019
08/01/202
$20,000,000 Jobsite
$7,500,000 Frame
$1,000,000 Tem !Transit
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
City of Fort Collins
PO Box 580
Fort Collins. CO 80522-0580
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
M
U 19BB-ZU15 AGUKU L:UKYUKA I IUN. All ngnrs reserve0.
ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD
1iCdR41 Q7/MdR2nA9 VALL2