HomeMy WebLinkAbout120140 VARSITY CONTRACTORS INC - INSURANCE CERTIFICATE (8)ACO ®
CERTIFICATE OF LIABILITY INSURANCE
DAT Oi 02/20�)
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 TIR CERCATE OF INSURANCE DOES NOT CONSTITUTE 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 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
CONTACT
NAME:
Aon Risk Services central, Inc.
Chicago IL office
200 East Randolph
Chicago IL 60601 USA
ON (g66) 283-7122 FAX (800) 363-0105
(AC. No. Erzt): AIC. No.:
EMAIL
ADDRESS`
INSURERS) AFFORDING COVERAGE
NAIC 1!
INSURED
INSURER A: Zurich American Ins Co
16535
INSURER8: American Zurich ins Co -
40142
varsity contractors Inc.
dba varsity Facility services
3605 ocean Ranch Blvd, suite 200
INSURER.C: Travelers Property Cas co of America
25674
INSURER D:
Oceanside CA 92056 USA
INSURER E:.
.INSURER F:.
Cl
ERTIFICATE NUMBER: 570081301726
REVISION NUMtlER:
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 HE IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES..LIMITSSHOWN MAY HAVE BEEN -REDUCED BY PAID CLAIMS. Limits shown are as requested
INSR LTR
TYPE OF INSURANCE
( p
V/VD
POLICY NUMBER
POLICYEFF
RIM/DD -
OLK;yEXP
M
UNITS
X
CO_MMERCAL GENERAL LIABILITY
-
GLO -
EACHOCCURRENCE
$2,000, 000
CLAIMS -MADE �X OCCUR
PREMISES Ea ccctxrencel
$500,000
MED EXP (Anyone person)
$10 , 000
PERSONAL N ADV INJURY
$2,000,000
GENL AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
---
$4,000,006
PRODUCTS - COMP/OPAGG
$4,000,000
X POLICY ❑�E T ❑ LOC
OTHER:
A
AUTOMOBILE LIABILITY
BAP 6510032-30
04/01/2020
04/01/2021
COMBINED SINGLE LIMIT
(Ea accident)
$5,000,000
BODILY INJURY ( Per person)
X ANYAUTO
BODILY INJURY (Per accident)
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIREDAUTOS NON -OWNED
ONLY AUTOS ONLY
PROPERTY DAMAGE
Per accident
- -
-
O
X
UMBRELLALIAB
- -
EXCESS LIAR
X
OCCUR
-
CLAIMS -MADE
ZUP21P245002ONF
SIR applies per policy terns
04 01/2020
&conditions
04/01/2021
EACH OCCURRENCE _
$10,000,000
AGGREGATE
-
$10,000,000
DED % RETENTION
B"
WORKERS COMPENSATION AND
EMPLOYERS' UABD.fiY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y�
N
wC651003030
04 01 2020
04 O1 2021
X
PER STATUTE
ER
E.L EACH ACCIDENT _ _
$1, 000, 000
OFFICERIMEMBER EXCLUDED?
(Mandatory In NH).
N / A
E-L. DISEASE -EA EMPLOYEE
$1, 000-; 000
BESCRI TIONunder
'DESCRIPTION un OPERATIONS below
E.L.DISEASE-POLICYLIMIT
$1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addltlerml Remarks,Schedule, rosy be attached N timre space Is required)
City of Fort Collins, its officers, agents and employees are included as Additional insured in accordance with the policy
provisions of the General Liability and Automobile Liability policies.
CERTIFICATE HOLDER CANCELLATION
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 AUTHORIZED REPRESENTATIVE
DOUg Clapp - Senior Buyer
P.O. BOX 580
a e�%LKA71GeJILt(�YL' �
Fort Collins co 80522 USA
019M2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD