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HomeMy WebLinkAbout541139 GH PHIPPS CONSTRUCTION COMPANY - INSURANCE CERTIFICATEClient#: 1082464 GERALH ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 9/05/2019 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 CONTACT NAME: Client Manager USI Insurance Services, LLC ac° No Ext:800 873-8500 FAX A/C Ne; 303-831-5295 P.O. BOX 7050 EMAIL den.contmetors@usi.com Englewood, CO 80155 800 873-8500 INSURER(S) AFFORDING COVERAGE NAICN INSURER A: Arch Insurance Cmpeny 11150 INSURED Gerald H. Phipps, Inc. INSURER B : Trawlers Property Cas. Co. of Anwka 125674 dba GH Phipps Construction Company INSURER C : 5995 Greenwood Plaza Blvd, Suite 1DO INSURERD: Greenwood Village, CO 80111 INSURER E: INSURER F : UOVEHAGES CERTIFICATE NUMRER- cGvlclnal All MAl:cc. 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. TLTL RR TYPE OF INSURANCE AIDDL NSR SWVD UER POLICY NUMBER MM/OID/YYEYYY MM/Do x LIMITS A XI COMMERCIAL GENERAL LIABILITY CLAIMS MADE O OCCUR X X ZAGLB9220103 0/01/201910101/202' EACHOCCURRENCE$1000000 PREMISES EaENToccurrence) $100 000 MED EXP (Any one person) $1 O DOO PERSONAL &ADV INJURY S1 DOODOO GEN'L AGGREGATE OMIT APPLIES PER: POLICY O ECT a LOC I OTHER: GENERAL AGGREGATE s2,000000 PRODUCTS - COMP/OP AGG s2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO �UINE ONLY 77 a SULED X. AUTOS ONLY X NON -OWNED SONLOV I X X ZACAT9242203 1010112019 iniii2o2cCOMBINED SINGLE LIMIT a accident) 1,000,000 BODILY INJURY (Par person) S BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accidPERT nt $ $ j3 X UMBRELLA LIAB X OCCUR EXCESS LIAB CLAIMS -MADE DIED X� RETENTION$0 X X ZUP15R0315319F 0/01 /2019 10/0112020 EACH OCCURRENCE s25 000 000 AGGREGATE s25.000 000 $ A WORKERS COMPENSATION AND EMPLOYERS' UABILITV ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes. describe under DESCRIPTION OF OPERATIONS below N/A X ZAWC19389303 0/01/2019 10/01/202 X PER OTH rR E.L.EACH ACCIDENT $1 OOO OOO E.L. DISEASE - EA EMPLOYEE $1 OOO 0OO E.L. DISEASE - POLICY LIMIT I s1 ODO 000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Contractor License. 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 �, l t ACORD 25 (2016/03) 1 Of 1 #S26507279/M26506142 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD FXDZP