HomeMy WebLinkAboutTHALLE CONSTRUCTION CO INC - INSURANCE CERTIFICATEP52Gg2&O2
ACaRDF CERTIFICATE OF LIABILITY INSURANCE
03% 9/20020 n
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: N the certificate holder Is an ADDITIONAL INSURED, the policy(les) 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.eertificate does not confer rights to the certificate holder in lieu of such endoreement s .
PRODUCER 1-9087566-1010
Construction Risk Partners
NT --
NAME: Robert Watson
PHONE ,646-625-7100 FAX Re: 646-625-7099
Campus View Plaid
&MAIL certsGconstructiouris
ADDRESS: kpartaere.COID
INSURERS AFFORDING COVERAGE
NAIC6
1230 Route 28, Suite 201
INSURERA: ARCH INS CO
11150
Branchburg, NJ 08676
INSURED
Tballe Construction Co., Inc.
INSURERS: NAVIGATORS INS CO
42307
INSURERC: AMIMCAN BAR A LIAR INS
26247
INSURER 0:
900 Highway 86 N
INSURER E :
1INSURER F:
Hillsborough, NC 2727e
COVERAGES CERTIFICATE. NUMBER: 58774620 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 TO WHICH THIS
.RESPECT
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.
R
T
LR
-ADDL
TYPE OF
BURR
POUCYNUMBER
POUCYEFF.:
MPOLICVEXP
- LIMBS
A
X
COMMERCULLGENERALUABLLRY
.CLAIMS -MADE OCCUR
IIPRG8899909
03/11/20
03/31/21
EACH OCCURRENCE
E 4,.000,000-
DAMAGE M RENTO
PREMISESE oc men
E 250,000
MED EXP (Any one person)
E 10,000
PERSONAL 4ADV INJURY
$ 4.000,000
GENL AGGREGATE UMIT APPLIES PER
POLICY a JECT [ LOC
GENERALAGGREGATE
E.8,000,000
PRODUCTS• COMP/OP AGG
1 8, 000, 000
$
OTHER:
A
AUTOMOOMELMMLrrY
11P=8899909"-" - - -
03/31/20
03/31/21
COM 1'SWNdED IN. LI I7
E 2,000,000
BODILY INJURY (Per person)
$
S
ANYAUTO
g
S
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED 8 NON-0WNED
AUTOS ONLY AUTOSONLV(Per
BODILY INJURY (Per mWent)
E
PROPERTY DAMAGE
noldent)
E
E
B
UMBRELLA LIAR
8
OCCUR
I820ZZC724286IV
03/31/20
03/31/21
EACH OCCURRENCE
E 3,000,000
8
OICESB LIAB
CLAIMS -MADE
AGGREGATE
E 3,000 000
DIED RETENTION
E
A
YERS'LIATION
AND KERSEMPLOYERS' ILIT
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETORIPARTNEWEXECUTIVE
OFFICERIMEMBEREXCLUDED4 IN
-
NIA
11WCIB899809 (ADS)
03/31/20
-
03/31/21
- .
8 P7gTUTE ERH
E.L. EACH ACCIDENT
E.1, 000. 000
E.L. DISEASE' -EA EMPLOYEE
-
E 1,000,000
(Mandatory In NH)
Ryyeess., describe odor
OESCRIPTION OF OPERATIONS below
E.L. DISEASE-- POLICY LIMIT
E 1,000,000
C
Excess Liability
ABC 0191868-04
03/31/10-
03/31/21
Occurrence
22,000,000
Aggregate
22,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD tOl, Addmonel Remarks Schedule, may be attached If more space Is required)
This certificate is for sample purposes only. An actualcertificate will be issued upon contract award.
Re: Halligan Water Supply Project
The City of FortColli'ns, its officers, agents and employees and The Consultant, its officers, agents and employees
shall be named additional insureds on a primary and non-contributory basis as required by written contract.
waiver of subrogation is applicable where required by written contract and allowed by law.
of Fort Collins Purchasing Division
N Mason Street, tad Floor
Collins, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED. IN
ACCORDANCE WITH THE POLICY PROVISIONS.
All richts reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
wady
58774620