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HomeMy WebLinkAbout120140 VARSITY CONTRACTORS INC - INSURANCE CERTIFICATE (7)ACOR"� CERTIFICATE OF LIABILITY INSURANCE GATE IMM/DD/YYYYI 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 CONTACT NAME: Sherry Allen SilverStone Group PHONE FAx 1ACc Ne. Em: 402-964-5644 1 Ira, No):_ 11516 Miracle Hills Drive Suite 100 E-MAIL : sallen@ssgi.com INSURE S AFFORDING COVERAGE NAIC al Omaha NE 68154 INSURER A: Travelers Property Casualty Co. of America 36161 INSURED INSURER B : Varsity Contractors Inc dba Varsity Facility Services INSURER C: 3605 Ocean Ranch Blvd, Ste 200 INSURERD: INSURER E: Oceanside CA 92056 INSURER F COVERAGES CERTIFICATE NUMBER:2039875776 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. LTR INSR TYPE OF INSURANCE iADDL SUBR POLICY NUMBER MO DDY MM/DDIVEFF POLICY EYYY XP LIMITS A X COMMERCIAL GENERAL LIABILITY TC2J-GLSA17618754-TIL19 9/1/2019 9/1/2020 EACH OCCURRENCE $1.000,000 CLAIMS -MADE FxI OCCUR -DAMAOM RENTED PREMISES Ea occurrence $500,000 MED EXP (Any one person) $ 5,000 PERSONAL It ADV INJURY $1.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY ❑ JECOT- LOC PRODUCTS - COMP/OP AGG $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY TC2J-CAP1761 B742-TIL19 9/1/2019 9/1/2020 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Par accident) $ PROPERTY DAMAGE Per sod $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ A X UMBRELLA LIAS X OCCUR ZUP-21N26024-19-NF 9/1/2019 9/112020 EACH OCCURRENCE $19,000,000 AGGREGATE S 19,000.000 EXCESS LIAR CLAIMS -MADE DIED I X RETENTIONS $ A A WORKERS COMPENSATION AND EMPLOYERS•LIABILITY YIN ANYPROPRIETOR/PARTNEMEXECUTIVE UB-3N210059.19-51-R UB-3N596333-19-51-K 9/1/2019 9/1/2019 9/1/2020 9/1/2020 X PER STATUTE I ER E.L EACH ACCIDENT $ 1,000.000 OFFICER/MEMBER EXCLUDED? El (Mandatory in NH) NIA E.L. DISEASE -EA EMPLOYEE $1,000,000 It yes describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000.000 A Leased/Rented 660-BE647897-TIL19 9/1/2019 9/1/2020 Leasectmerded Equip $75,000 Equipment DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached It more space is required) Additional Insured in favor of City of Fort Collins, its officers, agents and employees with respects to General Liability 8 Auto Liability coverages as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins; Doug Clapp - Senior Buyer P.O. BOX 580 AUTHORIZEDRE NTATIVE COFort Collins C80522 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD