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HomeMy WebLinkAbout541003 ECI SITE CONSTRUCTION MANAGEMENT INC - INSURANCE CERTIFICATE (4)A�� �® CERTIFICATE OF LIABILITY INSURANCE 7�2i2015Yrr' 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 policy(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 Flood and Peterson PO Box 578 Greeley CO 80632 CONTNAME: Sandy Schifferns, CIC PHONE (97O)266 -7107 FAX AC No: 970)506-6845 AIC AL A RIES:sschifferns@floodpeterson.com D INSURERS AFFORDING COVERAGE NAIC # INSURERA:BITCO General Insurance Corp 20095 INSURED ECI Site Construction Management, Inc. Po BOX 2135 Loveland CO 80539 INSURERB:Travelers Insurance Company INSURERC:A c- Allianz Global Corporate & INSURER D INSURER E INSURERF: COVERAGES CERTIFICATE NUMBER:CL157204131 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. INSR LTR TYPE OF INSURANCE IN DR WVD POLICY NUMBER MMIDDfYYYY MM DDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 A I CLAIMS -MADE 71 OCCUR CLP3623411 7/1/2015 /1/2016 MED EXP(Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 X B1ktAOIw/CompOps ; B1ktWOS GENERAL AGGREGATE $ 2 , 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY DtSINGLE LIMIT (Ea COMBINED 1,000,000 X BODILY INJURY (Per person) $ A ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS CAP3622718 /1/2015 /1/2016 X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ Uninsured motorist combined $ 1,000,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5f000,000 B EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ 0 $ ZUP91M3651615NF /1/2015 7/1/2016 A WORKERS COMPENSATION I WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A WC3623408 /1/2015 /1/2016 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under E.L. DISEASE - POLICY LIMIT $ 1 000 000 DESCRIPTION OF OPERATIONS below C Builders Risk :L I98475715 /1/2015 /1/2016 $5,000,000Limit $1,000 Dedl DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Job No. 7664 Fossil Creek Trail Underpass Certificate holders is included as Additional Insured on General Liability and Auto Liability as required by written contract but only as respects liability arising out of work performed by the named insured. The coverage is primary and non-contributory to any other valid and/or collectible insurance to the fullest extent the law allows. Waiver of subrogation applies. UrM 1 IrI%,A I r- 11ULUtf< UANULLLA I IUN City of Fort Collins P 0 Box 580 Fort 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. AUTHORIZED REPRESENTATIVE S Schifferns, CIC/SSC "�"`"' ACORD 25 (2010/05) INS025 nninnsi ni ©1988-2010 ACORD CORPORATION. All rights reserved. The Arnpr) nomn nnrl Innn — ronicfcrnrl mnrkc of arnpr1 �® CERTIFICATE OF LIABILITY INSURANCE 7�2i2015' 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 policy(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 Flood and Peterson PO Box 578 Greeley CO 80632 CONTACT Sandy Schifferns, CIC PHONE (970)266-7107 qC No: (970)506-6845 ADDRESS,sschifferns@floodpeterson.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:BITCO General Insurance Corp 20095 INSURED ECI Site Construction Management, Inc. Po Box 2135 Loveland CO 80539 INSURER B Travelers Insurance Company INSURERC.Ac- Allianz Global Corporate & INSURERD:Toklo Marine Specialty Ins Co INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBERCL157204132 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. INTR TYPE OF INSURANCE DL INSR WVD POLICY NUMBER MM/DD/YYYY LICY EFF POLICY M DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence 300 000 $ r A CLAIMS -MADE 17 OCCUR CLP3623411 /1/2015 /1/2016 MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 X B1ktAOIw/CompOps;BlktWOS GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X1 POLICY PRO- F—]LOC $ AUTOMOBILE LIABILITY Ee aBcideDtSINGLE LIMIT 1,000,000 X BODILY INJURY (Per person) $ A ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS CAP3622718 /1/2015 /1/2016 X PROPERTY DAMAGE Per accident $ HIRED AUTOS X NON -OWNED AUTOS Uninsured motorist combined $ 1,000,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 HIDED AGGREGATE $ 5,000,000 B EXCESS LIAB CLAIMS -MADE X IRETENTION$ 0 $ ZUP91M3651615NF /1/2015 /1/2016 A WORKERS COMPENSATION WC STATU- I OTH- TOY LIMITS AND EMPLOYERS' LIABILITY Y / N E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) ❑ N / A WC3623408 /1/2015 /1/2016 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Builders Risk t4X198475715 /1/2015 /1/2016 $5„000,000 $1,000 Dedl D Professional Liability PPK1360228 /1/2015 /1/2016 $1,000,000eackperil $10,000 Dedl DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Re: 8031 CM/GC Services for Old Town Square Renovations City of Fort Collins and the Downtown Development Authority are included as Additional Insureds on General Liability and Auto Liability as required by written contract but only as respects liability arising out of work performed by the named insured. The coverage is primary and non-contributory to any other valid and/or collectible insurance to the fullest extent the law allows. Waiver of subrogation applies. The insurance evidenced by this Certificate will not reduce coverage or limits and will not be cancelled, except after thirty (30) days written notice has been received by the City of Fort Collins. k,rK I WIL A l t MULUtK UANUt_LLA I IUN (970)667-0745 City of Fort Collins Purchasing Division 215 N Mason Street Fort Collins, CO 80524 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 Schifferns , CIC/SSC -`� ACORD 25 (2010105) INS095 mmnns� ni © 1988-2010 ACORD CORPORATION. All rights reserved. The Arr)pn name and 1— am —if. —A —1— of A(,r)pn