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HomeMy WebLinkAboutVERTICAL LIMIT CONSTRUCTION LLC - INSURANCE CERTIFICATE (3)R CERTIFICATE OF LIABILITY INSURANCE OATE(MM/00NYY ) 10/232019. THIS CERTIFICATE ISISSUED 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 NGT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,.AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder W 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 th'e policy, certain policies may require an endorsement. A statement on ..,this certificate does not confer ri hts to,the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dais Braun Arthur J. GailagherRiskManagementServices, Inc. PRONE FAX 4000 Midlantic Dr, Suite 200 856-675-1318' .... 'WC.No:856-482-16fS8 _ _.. -. Mt. Laurel NJ 08054 ADDRESS: Cher Hill.BSO.CertM AJG.com INSURED Vertical Limit Construction, LLC 1150 First Avenue, Suite 600 King of Prussia, PA 19406 Insurance i"NVCRAP=Q - CCGY-IFI1I NIIMR9:0-7,11117Aoe RFVICtAN NIIIMRFR- 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 ANYREQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE EXCLUSIONS AND CONDITIONS OF SUCH:POLICIES. LIMITS SHOWN - AFFORDED BY THE'POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE�TERMS, MAY HAVE BEEN REDUCED 13Y PAIL)CLAIMS.. . ... INSR. LS TYPE OF INSURANCE _- A BR W D ROLICY - NUMBER POLICY EFF MMlD Y MIDDI LIMITS - A X COMMERCIAL GENERAL LIABILITY T82-631-5, 0650-048 11/30/2018 111302019 _EACH OCCURRENCE $2,000,006 CLAIMS -MADE O OCCUR PREMISES Ea occurrenlool $300,000 MED EXP (Any one person) $5,000 PERSONAL B ADV INJURY $2,000,600 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4.000,000 I POCKY JPECT 1 1­7I LOC I PRODUCTS -COMPIOPAGG $4,000,000 $ OTHER: I A Automomt.EU isarry AS2-631-510650-03B 111 -0BINEeDSINGLELIMIT dnt $2;000.000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) S - PROPERTY DAMAGE Per accident $ HIRED NON -OWNED .AUTOS ONLY AUTOS ONLY - $ D UMBRELLALIAB X OCCUR P-001-000 73672-01 11/302018 11/302019 EACH OCCURRENCE $5;000,000 X -AGGREGATE $5,000,600 EXCESS UAB CLAIMS -MADE .DED. X. RETENTION $.2r,-.nn n..,- ..._-_ _.._.- $ __.. ._. ..-_ .. __.. .__. _ :. .. .. .. _...- 9- WORKERS COMPENSATION - - - -- AND EMPLOYERS' LIABILITY Y 1 N ANYPROPRIETORfPARTNER/EXECUTIVE OFRCER/MEMBEREXCLUDED7 (Mandatory. In NH)It NIA WC6$31- 10650.018 - 111302018 11/302019 X 37A7U7E 'ERH . E.L. EACH ACCIDENT $1,000,000 EL DISEASE-EAEMPLOVEE $1;000,000 yes. describe: DESCRIPTION OF OPERATIONS below � E.L. DISEASE -POLICY LIMIT § 1,000,0D0 C E Excess Liability Cyber 1000324565-01 EON'G25605457003 11/302018 11/302018 itl302019 111302019 Each Occurrence: A gate Single- $10,000,000 $10,000,000 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Rennarke Schedule, may be, attached If more opera Is required) Property Policy Policy # 13UUMBK0148 Policy Period: 11130118- 11/30/19 Carrier: Hartford -Fire Insurance Company Leased/Rented Equipment: Limit; $1,500,000 Deductible: $5,000 BPP Umitl0eductible:.$8,265;000/$5,000 See Attached... r11=07ICl/`ATC Ur%I nCC I CAIJf%t:l I ATIr%M SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins' 281 N College Ave; PO Box 580 Fort Collins CO.80526 AUTHORIZED REPRESENTATIVE %) 19tW-ZUTO.AGVMU GVHVVKAI1VN. All rlgnts'reservea. ACORD 25 (2016103) The ACORD na a and logo are:registered marks of ACORD 2' of 3 3572 AGENCY CUSTOMER ID: QUALOSA-01 _ LOC #: <4 o d ADDITIONAL REMARKS SCHEDULE' Page 1 of 1 ,ADENCY - Arthur J. Gallagher Risk Management Services, Inc. NAMED INSURED Vertical Limit Construction, LLC 1150 First Avenue,.Suite 600 King of; Prussia , PA 19406 POLICY NUMBER CARRIER . NAIGCODE - EFFECTIVE DATE: .. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORMTITLE: CERTIFICATE OF LIABILITY INSURANCE Contractors Pollution Liability and Errors & Omissions Policy Policy # 0311-0596 Policy Period: 1 U30/2018 - 11/30/2019 Carrier: Allied World Assurance Company, Ltd. Occurrence/Aggregate: $51010I10MM Hartford Fire Insurance Company" Inland MarinePolicy , Eff Date: 11/30/18 - Exp.Date: 11/30H9 Policy# 13UUMBKO148 InstaAation Operations LIMIT: $5,000,000/ DEDUCTIBLE: $5,0 0 In Transit- LIMIT: $1,000,000/ DEDUCTIBLE: $5,000 In Temporary Storage - LIMIT: $15,000,000/`DEDUCTIBLE: $5,p00 City of Fort Collins is named as an additional insured with 'respect to the above General Liability Policy, if required by a written contract executed prior to services 101 (2008101) 0 20M ACORD CORPORATION. All rights reserved. The ACORD na and logo are; registered marks of ACORD 3` of 3 3572