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HomeMy WebLinkAboutBRB CONTRACTORS INC - INSURANCE CERTIFICATE (7)A� o® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIODNYYY) 3/26/2020 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 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 polioy(ies) must 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 HUB International 9200 Ward Parkway Suite 500 C11T IT NAME: Certificate Department PHONE - FAX - . 816-70IR 4600 A/C No): 816.203 4425 ADDE-MRESS: HUB-KC.Certihcates HUBlntemaiional.com INSURE S AFFORDING COVERAGE NAIC# Kansas City MO 64114 INSURER A; Travelers Prop Cas Co Of Amer 25674 INSURED INSURER B : Amensure.Mutual Ins CO 23396 BRB Contractors, Inc. 3805 NW 25th Street INSURERC: Columbia Casual Co. CNA 31127 INSURER D : Amerisure Partners Ins.Co 11050 Topeka KS 66618 iNSL RER E : Amerisure.Insurance.Com an 19488 INSURER F.: . Cr1VFRAf:FS CFRTIFICATF NIIMRFR- rf;ln1nR39 .REVISION NUMBIFR- 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. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD POLICY EXP' MMIODNYYY LIMITS _ D X COMMERCIALGENERALLUU$ILRY GL20753590805 4/12020 4/i/2027 EACH OCCURRENCE. $1,000,0D0. CLAIMS -MADE � OCCUR TO ENTED PREMISES Ea occurrence $1,000,000 MED EXP (Any one person $10.000 PERSONAL & ADV INJURY $.1,000,000 GEN'L AGGREGATE LIMIT APPLIESPER: GENERAL AGGREGATE $2,660,000 POLICY [K] JECT LOC - PRODUCTS-COMP/OP AGG $2,060,000 - $ - - - - OTHER: E AUTOMOBILE LIABILRY CA20753501001 - VITM0 4/12021 Ee BINED SINGLE LIMIT $1 .. - 00 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE f Per acciden $ NON -OWNED HIRED AUTOS AUTOS $ B X UMBRELLA LIAB X OCCUR CU21142540662 4/12020 4/12021 EACH OCCURRENCE $5,000,000. AGGREGATE $5.000.000 EXCESS LIAB CLAIMS -MADE DIED I X .RETENTION$ - $ _ I _ -__ _ g WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOWPARTNEWEXECUTIVE OFFICEPJMEM13ER EXCLUDED? ❑N NIA WC2075349082 4/12020 4/1/2021 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000.000 (Mandatory In NH) E.L. DISEASE- EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT.1 $1,000,000. H yyes, describe under DESCRIPTION OF OPERATIONS below I A Instailabon/Builder Risk QT6307644B708TIL20 4I12020 4112027 Conliact AmountlDed See Below2,500 C 'CoritWors E&O/Polluton C2076178830 4/72020 4/7/2021 Ea. Claim/Agg-Ded $2M/S2M-25,000 A Excess Liability 2rid Layer ZUP61N258BA20NF 41WO20 4/12021 Umit 5,000,000 .DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES_ (ACORD 101, Additional Remarks Schedule, may be attached lf more space Is required) `Excess Liability 3rd Layer, SE20EXCZ04VJSIV, Navigators Specialty Insurance Company (36056), 04/01/2020-04/01/2021, Limit: $10,000,000 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE. WILL BE DELIVERED IN James O'Neill, CPPO, FNIGP, City of Fort Collins, Director ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing & Risk Mgt AUTHORIZED REPRESENTATIVE. 215 North Mason St:, 2nd Floor Fort Collins CO 80524 lAfIA10001,E ©1983-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD