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HomeMy WebLinkAboutFLATIRON CONSTRUCTORS INC - INSURANCE CERTIFICATE (2)Client#: 337 FLATINTERMTN ACORD. CERTIFICATE OF LIABILITY INSURANCE °0611612020 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 NOTjCONSTITUTE 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 policy(ies) must be endorsed. If SUBROGATION IS WAIVED; subject to the terms and conditions of the policy, certain policies my require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). CT PRODUCER NAME: TSIB Inc. Turner Surety & Ins. Brokerage PRONE 201 267-7500 201-267-7532 AIC'No Eat): (AIC, No : . Mack Cali Centre II ADDRESS, flatironcerts@tsibinc.com 650 From Road, Suite 295 INSURE S AFFORDING COVERAGE NAICtl Paramus, NJ 07652 INSURER A:ZurkhamericanlnsumceCoapeny -ZUR 16535 INSURED INSURER B : AIIW VJMW Assura,w Co 10690 Flatiron Constructors, Inc. INSURERC: Berkl.yI'ii' oeeanryny 32603 385 Interiocken Crescent .Suite 900 .INSURER D : Broomfield, CO 80021 INSURER E: INSURER F rMVFRAriF_q CFRTIFICATF MI IMRFP- RFVI-glnN NIIMRFR- THIS IS TO CERTIFY _THAT THE POLICIES OF INSURANCES LISTED INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE 'FOR THE POLICY PERIOD IOR 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. VTR TYPE OF INSURANCE INSSIR SU D POLICY NUMBER MW OD EFF. -MPO D EXP MI LIMITS A )( COMMERCIAL GENERAL LIABILITY Y Y 6LOS01970712 06A540210 06/01/2021 EACHOCCURRENCE s3,000,000 CLAIMS -MADE OCCUR PREMISES EaEoocurtence s3000OO X MED EXP (Any one person) $1 O 000 Al: UGL 1175 PERSONAL & ADV INJURY s3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY �.JECT LOC GENERAL AGGREGATE $ 6 00O 000 PRODUCTS - COMP/OP AGG $6,000,000 $ OTHER: A AUTOMOBILE LIABILITY Y Y 9AP563970812 -6611512010 06/01/2021 COMBINED Ea accidentSINGLE LIMIT 3,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ $ B X UMBRELLA LIAB X OCCUR Y Y 03084113 6/15/2020 06/01/2021 EACH OCCURRENCE $5 OOO OOO AGGREGATE $S 000 000 EXCESS LIAR CLAIMS -MADE LIED X .RETENTION $1O 000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORMARTNERIEXECUTIVE Y I N OFFICER/MEMBER EXCLUDED? a (Mandatory In NH) N/A Y WC6542462011 6/15/2020 06/0112021 X PER OTH- E.L. EACH ACCIDENT $1 O 10 000 E.L. DISEASE - EA EMPLOYEE $1 OOO 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 1 $1,000,000 C Professional N Y PCAD950097580619 0610112019 0710112020 $1,000,000 per Claim Liability $1,000,000 Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addltlonal Remarks Schedule, may be attached N more space Is required) Evidence of Insurance Project Description: Lincoln Code: 8214 The following are Additional insureds as if required by written contract and coverage applies Insured for the Additional Insureds. The following are to the extent they meet the definition of an insuredin Corridor Project Location: Fort Collins, Colorado Project respects General Liability and Umbrella Liability only only as respects ongoing operations performed by the Additional Insureds on the Automobile Liability only the policy, which provides in pertinent part that an (See Attached Descriptions) The City of Fort Collins Purchasing Division 215 North Mason Street 2nd Floor Fort Collins, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2014101) 1 1 of 2 The ACORD name #S1881731M188158 01988-2014 ACORD CORPORATION. All rights reserved. logo are registered marks of ACORD SGK DESCRIPTIONS (Continued ftom Page 1) insured includes anyone liable for the conduct of an Additional Insureds: City of Fort Collins and its elea agents and employees individually and collectively conditions and exclusions of the policies apply. Thii in effect and may or may not be in compliance with o General Liability coverage is Primary and Non -Conti Liability, Automobile Liability and Workers Compem of the Additional Insureds but only if required by wr currently in effect will be renewed on the applicable and conditions unless cancelled.' The following cai Non -Payment of premium - If policy shown; Ten (10) misrepresentation; Non -Payment of Premium; other other Notices of Cancellation Thirty (30) Days apply. Insured but only to the extent of that liability. ed and appointed officials, directors, officers, nd as required by Contract. All coverages, terms, Certificate of Insurance represents coverage currently ny written contract andlor written agreement The butory per the policy terms and conditions. The General ation Policies include a Waiver of Subrogation in favor ten contract and/or written agreement: Policies .xpiration Dates as required with the current terns cellation conditions always apply: Ten (10) Days for Days for Workers' Compensation for fraud; material reasons approved by the Commissioner of Insurance. All RA 25.3 (2014101) 2 of 2 #S788173/M188158 Additional Insured — Auto Contractors iatic — Owners, Lessees Or ZURICH Policy No. Eff. Date of Pol. Exp. Date of Pot. Eff Date of End. Producer No. AWL Prem Retum Pram. GLO5939707-12 06/15/2020 06/01/2021 25554000 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured` FLATIRON CONSTRUCTION CORP. Address (including ZIP Code): This endorsement modifies insurance provided 'under the: Commercial General Liability Coverage Part A. Section 11— Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured on this policy under a written contract or written agreement. Such person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting c in the performance of your ongoing oper hazard", which is the subject of the written However, the insurance afforded to such a 1. Only applies to the extent permitted by 2. Will not be broader than that which yl such additional insured. B. With respect to the insurance afforded to tt This insurance does not apply to: your behalf, or "your work" as included in the "products -completed operations tt or written agreement. 31 insured: N; and are required by the written contract or written agreement to provide for additional insureds, the following additional exclusion applies: "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services including` a. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports; surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities.. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or, monitoring of others by that insured, if the "occurrence" which caused the "bodily injury' or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. U-GL-1175-F CW (04/13) Pagel of 2 Includes mpyrighted material of Insurance Services Office, Inc., with its permission. C. The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV — Commercial General Liability Conditions: The additional insured must see to it that: 1. We are notified as soon as practicable of an "occurrence" or offense that may result in a claim; 2. We receive written notice of a claim or "suit' as soon as practicable; and 3. A request for defense and indemnity of the claim or "suit' will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non-contributory. D. For the purposes of the coverage provided by this endorsement: 1. The following is added to the Other Insurance Condition of Section IV — Commercial General Liability Conditions: Primary and Noncontributory insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV— Commercial General Liability Conditions: This insurance is excess over. Any of the other insurance, whether primary; excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. E. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. F. With respect to the insurance afforded to the additional insureds under this endorsement, the following is added to Section III — Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the written contract or written agreement referenced in Paragraph A. of this endorsement; or 2. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms and conditions of this policy remain unchanged. U-GL-1175-F CW (04113) Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission.