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HomeMy WebLinkAbout150588 WALSH CONSTRUCTION INC - INSURANCE CERTIFICATE (24)WALSCON-01 CERTIFICA THIS CERTIFICATE IS ISSUED AS A MATTER OF INI CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGA' REPRESENTATIVE OR OF LIABILITY INSURANCE I CATvm oe1YVYY) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES ITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED, 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 Ileu of such endorsementfel. PRODUCER AssuredPartners dba Front Range Ins Group 2002 Caribou Drive, #101 P.O. Box 270550 Fort Collins, CO 80525 INSURED Walsh Construction, Inc. 8139 Open View Place Loveland, CO 80537 COVERAGES CERTIFICATE NUMBER: RFVISI[)N NI IMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM -------------------- jLISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD OR CONDITION OF ANY CONTRACTOR -OTHER-DOCUMENTV NTH 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. INSR TYPE OF INSURANCE ADOL SUBR POLICY NUMBER -POLICY EFF. .POLICY EXPJML LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1XI OCCUR X CLP 3 695 I 912 7/1/2020 7/1/2021 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000 MED EXP An One erson $ 5,000 PERSONAL B ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY j �{ LOC GENERAL AGGREGATE S. 2,000,000 PRODUCTS - COMPIOP AGG $ 2,000,000 OTHER:I I$ A AUTOMOBILELIABWTY COMBINED SINGLE LIMIT (Ea accident)X $ 1,000,000 BODILY -INJURY Per erson $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS SSWNEp CAP 3 695 913 7/1/2620 7/1/2021 BODILY INJURY Per accident $. Per acpdeTra AMAGE $ AUTOS ONLY AUTOS ONLY $ A X uMeRELJA LIAR X OCCUR EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 3,000,000 EXCESS LIAR CLAIMS -MADE CUP 818 011 7/1/2020 7/1/2021 DED X RETENTION$ 10,000 B WORKERS COMPENSA`n0N AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN Wp� ERR�MEMgEp E%CLUDED7 (ManOdatory In NH) If yyes, deswbe under DESCRIPTION.OF OPERATIONS belm NIA i04361 I 5/1/2020 5/1/2021 X SPTEARTUTr OTH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 $ C Pollution Liability EVP1001939-01 9/22/2019 9/22/2020 Occ/Agg 1,000,000 A Leased/Rented Equip CLP 3 695 5 912 711/2020 7/1/2021 Limit 260,000 OESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional If required by written contract, the following endorsements apply Remarks Schedule, may be aeachad X more space la *uimd) on a blanket basis: General Liability GL3084 - Additional Insured -Ongoing and Completed Operati ns, Primary/Non-Contributory and waiver of subrogation Auto Liability AP0401 -Additional Insured, Primary/Non-Contributory and waiver of subrogation SEE ATTACHED ACORD 101 SHUULD.ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. - Attn: Purchasing P.O. Box 580 Fort Collins, CO 80522 AUTHoRaw REPRESENTATIVE ACORD 25 (2016103) I ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: WALSCON-01 LOC #: 1 C3JWAGNER A ORV� ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED ssuredPartners dba Front Range Ins Group 9 P Walsh Construction, Inc. 8139 Open View Place Loveland, CO 80537 POLICY NUMBER SEE PAGE 1 CARRIER NAIC CODE SEE PAGE 1 SEE P 1 &FEdmED4*: SEE PAGE 1 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 26. FORM TITLE: Certificate of.Uabiiity Insurance Description of Operations/LocationsNehicles: Workers Compensation 359b-Waiver of Subrogation City of Ft. Collins is included as an Additional Insured per blanket conditions and forms shown above. ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD