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
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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