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HomeMy WebLinkAboutECI SITE CONSTRUCTION MANAGEMENT INC - INSURANCE CERTIFICATE (2)ACOR T C CCO CERTIFICATE OF LIABILITY INSURANCE DATE(MlI/DDNYYY) 612s20i0 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFOR ATION 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 'CERTIFICA1f E'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 IMA, Inc. - Colorado Division 1705 17th Street, Suite 100 Denver CO 80202 NAME, IMA Denver team PHONE FAX - 303-5344567 ____(A/C, No ADDRESS: DenAccduntrechs imaco .com INSURE S AFFORDING COVERAGE .NAIC0 INSURERA: BITCO General Insurance Corporation 20095 INSURED SF0000059586 ECI Site Construction Management, Inc. 2526.14th Street SE INSURERS: Travelare Casualty InsCcofAmerica - :19046 INsuREec: BITCO National Insurance&mpany 20109 INSURER D Loveland CO 80537 ,IE: NSNSURER F.:. . ..IURER 'GUVEHAGES CERTIFICATF NIIMIRFR• R7,=70" RFVISVIM 111,11HUIRCR• 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, TERMJOR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATEMAY tit itsun EXCLUSIONS IONS OPERTAIN, THE POLICIES. LIMITS SHOWN MAY INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, —SR - - OWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TN .LTA TYPE OF INSURANCE A I D SUB WVD .POLICY NUMBFA POLICY EFF. MM4JD/YY 'POLICY EXP. 111M4)DIYYY. -LIMITS A X COMMERCIAL GENERAL LIA89UTY CLAIMS -MADE OCCUR I CLP3695370 - - - - 7/1/2020 7/1/2021 EACH OCCURRENCE $1. 00,000 PREMISES Ea occurrence $%000 X PDDed:.$2.000 MED£XP(Any Ole person) $5,000 PERSONAL B ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 1 POLICY � JPERC a LOC GENERAL AGGREGATE $2,000.000 PRODUCTS-COMP/OPAGG $2,000.000 OTHER: A AUTOMOBILE LiABILm- CAIP3695371 7112020 7/1/2021 EaMaBadeDISINGLELIMIT $1,000.000 X BODILY INJURY (Per. person) $' ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS I BODILVTNJURV Pm.accidenll. - - ( $. X HIRED X NON -OWNED AUTOS ONLY -- AUTOS ONLY PROPERTY I PeDAMAGE ram $ $ B X UMBRELLAUAB X. OCCUR ZUP61 9905A20NF '7112020 7112021 EACH OCCURRENCE $4,000.000 AGGREGATE $4,060,000 EXCESS UAB CLAIMS -MADE I DIEDY` I.RETENTION S.In nnn $ I I I A WORKERS COMPENSATION AND EMPLOYERS' UABUJTY YIN ANYPROPRIETORIPARTNERIEXECUTIVE OFFICERtMEMBEREXCLUDEDT N!A WC369 372 7/12020 7/12021 X . !STATUTE 'ERH E.L. EACH ACCIDENT $.1,000,600 E.L. DISEASE -EAEMPLOYEE $.1,000;000 (Mandatory In NH) . . II yes,describeunder E.L. DISEASE- POLICY. LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below C Excess Second L er Llebil Layer Liability CUP28j8003 7/12020 7W2021 Each occurrence - $1,000,000 L. Aggregate $1,000,000 . . _. .i.. OESCRIPTON OF OPERATIONS LOCATIONS r VEHICLES (ACORD 101, Additional Remarae Schedule, may, be �Ier:heE 8 mote space Isre requldj Certificate Holder is included as Additional Insured on the General, Automobile and Umbrella Liability Policies if required by written' contract or agreement and with respectto work performed by Insured subject to the policy terms an and conditions. A Waiver of Subrogation is provided in favor of Certificate Holder on the General, Automobile, Umbrella and Workers Compensation Liability Policies if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. This Insurance is Primary and Non -Contributory on the General. Liability Policy subject to the policy terms and conditions. See. Attached... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE MTH THE POLICY PROVISIONS. PO Box 580 Fort Collins CO 80522 AUTHORIZED REPRESENTATIVE USA / L/ 01988-2015 ACORD ACORD 25 (2616/03) The ACORD! name and logo are -registered marks of ACORD. 2' of 5 3896 ` AGENCY CUSTOMER ID: SF0000059586 LOC #: Ago ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY IMA, Inc. - Colorado Division NAMED INSURED ECI Site Construction Management, Inc. 2526 14th Street SE Loveland CO 80537 POLICY NUMBER CARRIER NAIC CODE - .. - EFFECTII/E DATE:. THIS ADDITIONAL.REMARKS'FORM IS A SCHEDULE TO as: 07101120-07/01121 Insurer:: Travelers Pr, Any One Project Limit; $500,000 Templfransit FORM, Co. of America i Deductible The ACORD © 2008 ACORD and logo are registered marks of ACORD All rights reserved. 3' of 5 3896