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HomeMy WebLinkAboutGH PHIPPS CONSTRUCTION COMPANY - INSURANCE CERTIFICATEClient#: 1082464 GERALH MM ACORD_ CERTIFICATE OF LIABILITY INSURANCE DATEi Do 9ros/2ol VY) 2019 s 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 US[ Insurance Services, LLC aCNI Ed,800873-8500 P.O. Box 7050 E-MaL No: 303-831-5295 ADDRFss: den.contractors@usi.com Englewood, CO 80155 INSURER(S) AFFORDING COVERAGE NAIL# 800 873-8500 INSURER A : Arch Insurance company 11150 INSURED Gerald H. Phipps, Inc. dba GH Phipps Construction Company 5995 Greenwood Plaza Blvd, Suite 100 Greenwood Village, CO 80111 B : Travelers Property Cu Co. of Amedoe 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. L RR TYPE OF INSURANCE INSR 'WVD POLICY NUMBER (DDLSUBR MMMI31YYYY) MMIDDY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE O OCCUR X X ZAGLB9220103 0/01/201910/01/2020 EACH OCCURRENCE 111000000 pp�,�p�,E T PREMISES Ea occurreED RENT nce $100000 MED EXP (Any oneperson) $1 O 000 PERSONAL B ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 51 ECOT ^ LOC OTHER: GENERAL AGGREGATE E2,000,000 PRODUCTS - COMP/OP AGG s2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED UTO ONLY AUTOS X HIRED AUTOS ONLY X NON -OWNED AUTOS ONLY X X ZACAT9242203 0101 /2019 10/011202 COMBINED SINGLE LIMIT Ea accidem 1,00Q000 BODILY INJURY (Par person) $ BODILY BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per iderri $ $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE X X ZUPI SR0315319F 1010112019 1010112020 EACH OCCURRENCE $25 000 000 AGGREGATE $25 OOO OOO DED I X RETENTION $0 $ A WORKERS COMPENSATION AND EMPLOYERS' LJABILITY ANY PROPRIETOR/PARTNERIEXECLITIVE YIN N OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) If yes. tleuribe under DESCRIPTION OF OPERATIONS below N/A X ZAWC19389303 10101/201910/01/202 X PER oTH- E.L. EACH ACCIDENT $1 000 000 —� E.L DISEASE - EA EMPLOYEE $1 000 000 E.L DISEASE - POLICY U 51,000,000 DESCRIPTION OF OPERATIONS. LOCATIONS VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is required) As required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and exclusions: the City of Fort Collins its officers, agents and employees are included as Additional Insured for work, acts or omissions under the General Liability on a primary and non-contributory basis and Additional Insured under Automobile Liability but only with respect to liability arising out of the Named Insured's work performed on behalf of the certificate holder. City of Fort Collins Attn: Tracy Oschner 281 N. College Ave. Fort Collins, CO 80524 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 `,.. ft ACORD 25 (2016/03) 1 of 1 #S26507281/M26506142 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD FXDZP