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HomeMy WebLinkAboutGH PHIPPS WYOMING INC - INSURANCE CERTIFICATE (2)Client#: 1082464 GERALH o Y ACORD CERTIFICATE OF LIABILITY INSURANCE DATE 9,105/ ; YYY) /0512019 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 TACT NAME: Client Manager USI Insurance Services, LLC PHONE g00 873-8500 IT, c No, E:t): (A C No): 303-831-5295 P.O. Box 7050 EMAIL ADDRESS: den.contractors@usi.com Englewood, CO 80155 INSURERS) AFFORDING COVERAGE NAIC If 800 873-8500 INSURER A: Arch Insurance Cwnpnr 111150 INSURED INSURER R - Tn eews Pnpartr caa. Co. of America 25674 GH Phipps Wyoming, Inc. 1482 Commerce Drive, Unit Laramie, WY 82073 INSURER D: _ INSURER E 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. II ISR LTR TYPE OF INSURANCE ADDL INSR SUBIR WVD POLICY NUMBER POLICY EFF i POLICY EXP (MMgDNYYY)_JlMID_D_fY UWTS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I XI OCCUR ZAGLB9220103 0/01 /2019I 10/01 /2020 EEACH� OCCURRENCE $1 000 000 PREMISEaocMcumence ES $100000 MED EXP (Any one person) $1 O 000 PERSONAL& ADV INJURY $1 000,000 GENL AGGREGATE LIMIT APPLIES PER: PRO - POLICY L^I JECT —I LOC OTHER: GENERAL AGGREGATE s21000,000 PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY ZACAT9242203 0/01/2019 10/01/202 COaBINEED SINGLE LIMccide B 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per xcideM $ B X UMBRELLA LIAO EXCESS LIAR X OCCUR CLAIMS -MADE ZUP15R0315319F 0/01/2019 10/0112020 EACH OCCURRENCE $25000000 AGGREGATE s25,000,000 DED X RETENTION$O $ A _ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? N (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS balow N/A ZAWC19389303 0/01/2019'10/01/202 X PERI IoTH- EL EACH ACCIDENT $1 OOO OOO E.L DISEASE - EA EMPLOYEE $1 O00 OOO E.L. DISEASE -POLICY LIMIT $1,000 000 DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES (ACORD 101. Additional Remarks Schedule, maybe attached if more space Is required) RE: Contractor License #B-475. 2Ua:N]4Ja:1 City of Fort Collins 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016;03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S26507660/M26506212 FXDZP