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HomeMy WebLinkAboutJ2 CONTRACTING COMPANY INC - INSURANCE CERTIFICATEAC�RO® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/OD/19 ) D9/3D/20,g 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 CONTACT Jennifer Winter, CISR NAME: Flood and Peterson PHONE (g70)506-3206 FAX (970)506-6846 A/C No Exit;A/C NII, E-MAIL ADDRESS: JWinter@floodpetersoncom PO Box 578 INSURER(S) AFFORDING COVERAGE NAIC0 INSURERA: Phoenix Insurance Company 25623 Greeley CO 80632 INSURED INSURER B : Travelers Indemnity Company 25658 INSURER C : Travelers Property Casualty Company of America 25674 J2 Contracting Company, Inc. INSURER D : Pinnacol Assurance 41190 105 Coronado Court, Suite A101 INSURER E: INSURER F Fort Collins CO 80525 rOVFRAr;FS CERTIFICATE NUMBER' CL1993031692 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 MAYBE 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 rypE OF INSURANCEADDLIbUUKI INSD WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MWDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS -MADE I �Nl OCCUR PREMISES Ea occurrence $ 300,000 X MED EXP (Any one person) $ 5,000 PD Ded:2,500 PERSONAL B ADV INJURY $ 1.000,000 A Y DT-CO-325D6576-PHX-19 10/01/2019 10/01/2020 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY JECOT LOC PRODUCTS - COMPIOP AGG S 2,000,000 ff $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident S 1,000.000 X BODILY INJURY(Per person) $ ANYAUTO B OWNED SCHEDULED AUTOS ONLY AUTOS Y 810-2L915661-19-26-G 10/01/2019 10/01/2020 BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Par accident $ HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY X $ DOC X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 C EXCESS LIAB CLAIMS -MADE CUP-9H721877-19-26 10/01/2019 10/01/2020 DED I X1 RETENTION S 10,000 s D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NH) NIA 3114522 10/01/2019 10/01/2020 X1 STATUTE I EERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1,000,000 If yes describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddRlonal Remarks Schedule, may be attached if mare space Is required) RE: Fossil Creek Trail - Shields to College City of Fort Collins. its officers, agents, and employees, are listed as Additional Insureds as respects General Liability, including ongoing and Completed operations. and Auto Liability. A 30-day written notice of cancellation applies. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins CO 80522 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD