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HomeMy WebLinkAbout680291 AMERICAN CONTRACTING LLC - INSURANCE CERTIFICATEACORN® CERTIFICATE OF LIABILITY INSURANCE °A��r1fD0ryrm 04/13/2020 THIS CERTIFICATEIS 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 NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND *HE CERTIFICATE HOLDER. IMPORTANT: N the "certificate holder is an -ADDITIONAL INSURED, the policy(ies)-must have ADDIMONACINSURED provisions or be "endorsed. H 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 - _ _ _ - NCONTACT AME: _ _ Kairen GBOrg6_ CISR Flood and Peterson PHONE (720)977=6026 A� Nc: (970)330-1867 ADDRESS: s: KGeorge@FloodPeterson.com PO Box 578 INSURER AFFORDING COVERAGE NAICIf Greeley CO 80632 INSURER A: Westfield Insurance INSURED INSURER 9: Pinnacol ASSu2n-ce American Contracting, LLC INSURERC: 3131 S. College, Suite B INSURER.D:. INSURER EFort [INSURER Collins CO 80625 F.: COVERAGES CERTIFICATE NUMBER:. CANCELLED REVISION NUMBER:. 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, TERM OR CONDITION OF ANY CONTRACT OR 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. TYPE OF INSURANCE POLICY NUMBER POLICY EFF MWODN POLICY EXP MWDDNY OMITS COMMERCIALGENERALUABILITY EACH OCCURRENCE $. 1,000,000 rA CLAIMS -MADE ® OCCUR PREMISES Edcccdirrence $ 500,000 MED EXP we ,son $ 5,00D PERSONAL BAD4114JURY $. 1,000,000 Y TRA7902690 - CANCELLED 10/01/2019 04/15/2020 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE 5. 2,0W'000 POLICY ® PRO- JECT 7 LOC PRODUCTS - COMP/OPAGG $ 2,000,000 Stop Gap Wyoming $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident s 1,000,000 BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED y TRA7902690-CANCELLED 10/01/2019 04/15/2020 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS - PROPERTY DAMAGE $ - -- HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Per accWanI If UMBRELLA LIAR OCCUR EACH OCCURRENCE $2,000,000 AGGREGATE $ 2,000,000 A EXCESS LIAR CLAIMS -MADE TRA7902690 - CANCELLED 10/01/2019 04/15/2020 DED I . ,RETENTION.$. 0 1 1 1$ WORKERS COMPENSATION - _ - - - -_ -- - PER' OTH- ANDEMPLOYERS'LIABILITY Y/N STATUTE. ER-. - E.L. EACH ACCIDENT $ 1,0001000 B ANY PROPRIETORMARTNERIEXECUTNE El N/A -4177579 02/01/2020 02/01/2020 E.L. DISEASE - EA EMPLOYEE $ 1,000,00o OFFICER/MEMBEREXCLUDED? ) (Mandatory in NH) If Yes. dasodEo under DESCRIPTION OF OPERATIONS below. - E.L. DISEASE - POLICY LIMIT $ 1,000,000 Leased/Rented Equipment A TRA7902690 - CANCELLED 10/01/2019 04/15/2020 $25,000 Limit $1,000 Ded. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additimgl Remarks Schedule, may be attached If more space is required) Re: Fire Protection and Alarm System Expansion Certificate holder is included as Additional Insured for General Liability and Automobile Liability as required by written contract with respects to liability arising out of work performed by the named insured. CFRTIFICATF Nnt nm CANCFt 1 ATnN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE OEUVEREOIN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Purchase Dept. AUTHORIZED REPRESENTATIVE PO Box 580 Fort Collinsns CO 80524 01988-2615 ACORD CORPORATION. All rights reserved.. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD