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HomeMy WebLinkAboutFCI CONSTRUCTORS, INC - INSURANCE CERTIFICATEClient#: 1082345 FCICON ACORD.,. CERTIFICATE OF LIABILITY INSURANCE DATE CERTIFICATE 9/30/200/2019 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 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 NAME, Client Manager USI Insurance Services, LLC PHONE ac No EXt : 800 873-SSDO Ne , 303-831-5295 P.O. Box 7050 E-MAIL ADDRESS: den.contractors@usi.com Englewood, CO 80155 INSURER(S) AFFORDING COVERAGE NAIL # 800 873-8500 INSURER A: Arch Insuranm Cmmpmy 11150 INSURED INSURER B - Cor,timmal InsunnaaCamP,ny 135289 FCI Constructors, Inc. PO Box 1767 Grand Junction, CO 81502 I INSURER C : AWW Awn kuunnea Cry 14.34ou 1 INSURER D : 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. LIAR TYPE OF INSURANCE ISpL SWV`D POLICY NUMBER MM/DD//YYYY � MPb/LDD/YYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE O OCCUR X X ZAGLB9220003 0/01/2019 10/01/2020 EEAACCHp�OEC7CURgRE14CE s2000O00 PREMISES EaEoNcaur ante $1 OO OOO MED EXP (Any one parson) $1 O 000 PERSONAL & ADV INJURY s2 000 ON GEN'L AGGREGATE LIMIT APPLIES PER: PRO­ X POLICY 51JECT LOC OTHER: GENERAL AGGREGATE s4,000,000 PRODUCTS - COMP/OP AGO s4 000,000 S A AUTOMOBILE LIABILITY X ANY AUTO OWNED AUTOS SCHEDULED AUTOS ONLY X HIRED ONLY X NON -OWNED AUTOS ONLY X X ZACAT9242103 0/01/2019 11101/2021 COMBINED SINGLE LIMIT Ea act den 2 000 OOO BODILY INJURY (Per person) $ BODILY INJURY (Per accident)accident)$ PROPERTY DAMAGE Per accident S B X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE X X 6079434568 0/01/2019 10/01/2020 EACH OCCURRENCE $10000 000 AGGREGATE $10000 000 DED I X. RETENTION$10000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N® OFFICER/MEMBER EXCLUDED? (Mandatory In NH) It yas, describe under DESCRIPTION OF OPERATIONS below N/A X ZAWCi19389203 _ CXOOE1619 10/01/2019110101/2020 X PER OTH- E.L EACH ACCIDENT $1 000 000 EL DISEASE - EA EMPLOYEE $1 000 000 EL DISEASE - POLICY LIMIT _ $1 000,000 C Excess Liability X X 1010112019 10/01/202 $15,000,000 Ea Occur $15,000,000 Aggregate DESCRIPTION OF OPERATIONS, LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) Re: Contractors License IaNICI City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Dolynn Coldiron ACCORDANCE WITH THE POLICY PROVISIONS. 281 N. College Ave. Fort Collins, CO 80522-0580 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S26729624/M26719244 P V RZP