Loading...
HomeMy WebLinkAboutK.E.C.I. COLORADO INC - INSURANCE CERTIFICATE (2)ACORD, CERTIFICATE OF LIABILITY INSURANCE F DATE(MM/DD/VYYY) In/2020 1 9/17/2019 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER Lockton Companies 8110 E Union Avenue Suite 700 Denver CO 80237 CONTCT O&RREA A/c Ext : FAX No E-MAILU_ ADDRESS: INSURERISI AFFORDING (303) 414-6000 INSURER A: The Charter Oak Fire Insurance Company 25615 INSURED K.E.C.LColorado, Inc. 1050899 5750 W. Airport Rd. Sedalia, CO 80135 INSURER B: 1'heIravelerslndernnityCompmyofConnecticut 25682 INSURER C : Pinnacol Assurance I D ; travelers Progeny Casualty Co ofAmerira 25674 RER E INSURER F : rnVFReaFR KFCC0 01 CFRTIFICATF NIIM1RF1i I?AIQRl l RFVIQIr1W MIIaaRFR• YYYYYYY 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. INSR LTR TYPE OF INSURANCE AN DDL SUBR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FRIOCCUR Limited Jobsite Y N D'I'C06C647481C0F19 1/1/2019 l/l/2020 EACH OCCURRENCE 1,000,000 DAMIAGE TO RENTEDSZS (Es 300OOO X MED EXP (Any oneperson) 5,000 Pollution PERSONAL $ADV INJURY $ 1 OOO OOO GEN'L AGGREGATE LIMIT APPLIES PER. POLICY JECT LOC OTHER. GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY ANYAUTO AUTOS ONLY SCHEDULED AU OS ONLY X AUUTOS ONLY Ix Y N DT8103LO6983ITCT19 1/1/2019 1/1/2020 COMBINEDBIIdISINGLE LIMITEa $ 1 000 000 BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXX PROPERTYtDAMAGE $ XXXXXXX $ XXXXXXX D X I UMBRELLALIAB EXCESS LIAB X OCCUR CLAIMS -MADE N N CUPOJ4047221926G 1/1/2019 l/l/2020 EACH OCCURRENCE s 5 000.000 AGGREGATE $ 5,000,000 DIED I X I RETENTION $ 10,000 $ XXXXXXX C ANDEMPLOYERS•LIABIRKERS ON Y/N ANY PROPMETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? IMaadilory In NMI It yes, descno, under DESCRIPTION OF OPERATIONS WM NIA N 4048534 10/1/2019 10/l/2020 OTH- X STATUTE rR EL EACH ACCIDENT is 500000 E.L DISEASE - EA EMPLOYEE Is 500,000 E.L DISEASE - POLICY LIMIT is 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more specs is required) RE: 7519 Lemay Ave Bridge Expansion Joint. The City, its officers, agents and employees are additional insured as respects General and Auto Liability if required by written contract per policy terns and conditions. Ten(10) Day Notice of Cancellation will be provided to the City for non-payment. GtKI IHIOAI It HULUtK CANOhLLAI IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 12439811 AUTHORIZED REPRESENTATIVE City of Fort Collins Purchasingg Department PO Box 280 Ft Collins CO 80522 ACORD 25 (2016/03) 1988-210115 ACORD CORM RATION. All rights reserved The ACORO name and logo are registered marks of ACORD