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HomeMy WebLinkAbout541139 GH PHIPPS CONSTRUCTION COMPANY - INSURANCE CERTIFICATE (3)Client#: 1082464 GERALH ACORDT, CERTIFICATE OF LIABILITY INSURANCE D9/24/2/DD/YYYY) /24/2015 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 USI Colorado, LLC Construction P.O. Box 7050 Englewood, CO 80155 800 873-8500 CONTACT NAME: PHONE Ex: 800 873-8500 IFAX AINo: 1-E-MAIL ADDRESS, den.contractors@usi.biz INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Arch Insurance Company 11150 INSURED INSURER B : St Paul Fire and Marine Insuran 24767 Gerald H. Phipps, Inc. INSURERC: ACE American Insurance Company 22667 dba GH Phipps Construction Company 5995 Greenwood Plaza Blvd, Suite 100 Greenwood Village, CO 80111 INSURER D INSURERE: INSURER F : COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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. LTRR TYPE OF INSURANCE ND RLSUBR WVD POLICY NUMBER MM/DDY EFF MWDIDNYYP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR X X ZAGLB9203300 0/01 /2015 10/01/2016 EACH OCCURRENCE $1 000 000 RAMAGE S Ea occurrence REMISE $1 OO OOO MED EXP (Any one person) $10 000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY I=I JET FI LOC GENERAL AGGREGATE $2 000 OOO PRODUCTS - COMP/OP AGG s2,000,000 $ OTHER: A I AUTOMOBILE LIABILITY X X ZACAT9226000 0/01/2015 10/01/201 COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ I B X UMBRELLA LIAR X OCCUR X X ZUP15R031531 0/01 /2015 10/01/2016 EACH OCCURRENCE s25,000,000 AGGREGATE s25,000,000 EXCESS LIAR CLAIMS -MADE DED i X RETENTION $1 O OOO $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? � N / A X ZAWC19355600 10/01/201510/01/201 X PER OTH- E.L. EACH ACCIDENT $1 000 000 E.L. DISEASE - EA EMPLOYEE - $1 000 000 (Mandatory in NH) tt yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT s1 000,000 C Pollution CPYG27165850002 0/01/2014 10/01/2016 Each Occur $5,000,000 Liability Aggregate $5,000,000 Deductible $25,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) As required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and exclusions: the City of Fort Collins its officers, agents and employees are included as Additional Insured for work, acts or omissions under the General Liability on a primary and non-contributory basis and Additional Insured under Automobile Liability but only with respect to liability arising out of the Named Insured's work performed on behalf of the certificate holder. t r-rl i irildi i C MULUll City of Fort Collins Attn: Tracy Oschner PO 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 ACORD 25 (2014/01) 1 of 1 #S16270580/M16268758 ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD MDKZP