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Home My WebLink About113752 BT CONSTRUCTION - INSURANCE CERTIFICATE (15)ACORD,. CERTIFICATE OF LIABILITY INSURANCE 10/1/2020 F DATE(MMIDDNYYY) 1 9/12/2019 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 pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED, 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 Lockton Companies CONTACT IN M n A/C E: A/C No 8110 E Union Avenue Suite 700 Denver CO 80237 E-MAIL ADDRESS (303)414-6000 INSURER A; The Phoenix Insurance Company 25623 INSURED BT Construction, Inc. 1312924 9885 Emporia Street Henderson, CO 80640 INSURER B: Travelers Propmy Cuualty Co of America 25674 INSURER C INSURER D INSURER E INSURER F COVERAGES RTCnN01 CERTIFICATE NUMBER: 1 52R9901 REVISION NUMBER: XXXXXXX 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. INSIR TYPE OF INSURANCE ADDL JIML&OLPOLICY SUBR NUMBER POLICY FF IPOLICY XPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY Y N DT-CO-4H983410-PHX-19 10/1/2019 10/1 /2020 EACH OCCURRENCE _ 1,000,000 CLAIMS -MADE 0 OCCUR DAMAGE PREMISE TO RENTED E c urrence 300,000 MED EXP (Any onePerson) 5,000 PERSONALS ACV INJURY E 1000 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ] J,CTPRO � LOC GENERAL AGGREGATE E 2,000,000 PRODUCTS - COMP/OP AGG E 2 OOO OOO E OTHER. B AUTOMOBILE LIABILITY Y N 810-6N339174-19-26-G 10/1/2019 10/l/2020 COMBINED SINGLE LIMIT E ] O00 O00 BODILY INJURY (Per person) E XJC]CJ{XXXOWNED ANY AUTO CHEDULED ONLY UTOS Ix BODILY INJURY Per acodam (ER EAUTOS PROPERTY AMAGEEAU (Per c i n XXXXXXXX HI D NON -OWNED O5 ONLY X AUTOS ONLY s XXX}p{XX B X UMBRELLALIAB X OCCUR N N CUP-81518965-19-26 10/1/2019 10/1/2020 EACH OCCURRENCE E 10 000 000 EXCESS LIAR CLAIMS -MADE AGGREGATE E 10 000 000 DED RETENTION E E XXXXXXX B WORKERS COMPENSATION AND EMPLOYERS'LIABILrrY YIN OMY FFICERAIEM ERFARTNE O ECUTIVE N❑ (MyiaunedaWy In NH) DESCRIIPTTIION OF OPERATIONS Below NIA N UB-6J84757A-19-26-G 10/1/2019 10/1/2020 PER OTH- X STATUTE E.L. EACH ACCIDENT E 1000 000 E.L. DISEASE - EA EMPLOYEE 1000 000 E.L. DISEASE POLICY LIMB 1000 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Project 64012 Magnolia Street Outfall-Altemative Analysis located in Fort Collins, CO. The City, its officers, agents and employees are included as Additional Insured as respects General Liability and Automobile Liability if required by written contract. If the Policy is cancelled by the issuing company during the policy term, for other than non-payment of premiuun, 30 days notice will be provided to the certificate holder named below, 10 days for non-payment of premium. I.CK 111-1l.A IC KULUCK I.AKI.CLLNIIVK JUC/1LLdUIl111eDLh SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 15289901 AUTHORIZED REPRESENTATIVE The City of Fort Collins 700 Wood Street PO Box 580 Fort Collins, CO 80522 ACORD 25 (2018/031 n 1988-20-20 ACOR CORP RATION. All rights reserved The ACORD name and logo are registered marks of ACORD