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Home My WebLink About380591 J2 CONTRACTING COMPANY INC - INSURANCE CERTIFICATE (6)® ACORO �� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDYYY) 09/30/2019/Y 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 (970)506-3206 FAX (970)506-6846 AIC No Ext : A/C No E-MAIL JWmter@floodpeterson. com ADDRESS: PO BOX 578 INSURER(S) AFFORDING COVERAGE NAIC N 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 nnveew rMe r^COTICIr ATC MI IMRCO- CL1993031692 RFVI-ginN NIIMRFR- 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. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MWDDIYYYY MMIDD VYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX7 OCCUR PD Ded:2,500 DT-CO-325D6576-PHX-19 10/01/2019 10/01/2020 EACH OCCURRENCE $ 1,000,000 _7 DAMAGE TO RENTED PREMISES Ea occurrence $ 300.000 X MED EXP (Any one person) S 5,000 PERSONAL aADVINJURY $ 1.000,000 GEN'LAGGREGATE LIMIT APPLIES PER POLICY IX PRO ❑ LOC ECT OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG 5 2.000,000 S B AUTOMOBILE LIABILITY X ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NON-OWNEO AUTOS ONLY AUTOS ONLY X DOC 810-2L915661-19-26-G 10/01/2019 10/01/2020 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTYaccident) $ $ C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE CUP-9H721877-19-26 10/01/2019 10/01/2020 EACH OCCURRENCE $ 5,000,000 AGGREGATE S 5,000.000 DED X RETENTION $ 10,000 $ D WORKERS COMPENSATION AND EMPLOYERS' UABIUTY YIN ANY OFFICE MEMBER/PARTNEEDXECUTtVE (Mandatory in NH) EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 3114522 10/01l2019 10/01/2020 PER OTH- X STATUTE ER E.L. EACH ACCIDENT $ 1,000.000 E.L. DISEASE - EA EMPLOYEE g 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace In required) RE. Contractors License The City of Fort Collins is listed as an Additional Insured as respects General Liability. Insurance is primary and non-contributory. 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 Attn: Engineering Department ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins CO 80522-0580 (D1988-2015 AGUKU GUKPUKAI IUN. All rlgnts reserves. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD