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Home My WebLink About504618 CONCRETE EXPRESS - INSURANCE CERTIFICATE (3)P52UJ028(W2 ACOR0 CERTIFICATE OF LIABILITY INSURANCE of a�o"6 ' 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(les) 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 1-303-534-4567 IMA, Inc. - Colorado Division CONTACT NAME: PHONE FAX C No: 1705 17th Street E DRESS: DenAccountTechs0imacorp.com INSURERS AFFORDING COVERAGE NAIC IT Suite 100 INSURER A: TRAVELERS PROP CAS CO OF AMER 25674 Denver, CO 80202 INSURED INSURER B: TRAVELERS IND CO OF AMER 25666 Concrete Exprese, Inc. INSURER C: INDIAN HARBOR INS CO(ENVIROMEWAL INS) 36940 INSURER D: 2027 West Colfax Avenue INSURER E : INSURERF: Denver, CO 80204 COVERAGES CERTIFICATE NUMBER: 45910321 REVISION NUMBER: THIS IS TO CERTIFY THAT THE.POLICIES OF INSURANCE LISTED BELOW HAVE BEEN :SSUCD 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 INSURANCEmaima ADDL SUBR POLICY NUMBER POLICY EFF MMIOD POLICY EXP MMD LIMITS A E COMMERCIAL GENERAL LIABILITY VTC2JCO5644B02ATIL15 05/01/15 05/01/16 EACH OCCURRENCE S 1,000,000 CLAIMS-MADEOCCUR TO OAPREMISES RENTccaED rtence f 300,000 MED EXP (Any are petsnn) f 5,000 PERSONAL S ADV INJURY S 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC GENERAL AGGREGATE S 2.000,000 GENT PRODUCTS-COMP/OP AGG $ 2.000,000 S OTHER: A AUTOMOBILE LIABILITY VTC2JCAP5644BO31TIL15 05/01/15 05/01/16 COMBINED SINGLE LIMIT Ea ao ident f 1,000,000 BODILY INJURY (Per persal) S E ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Pw accident) S E N..WNED HIRED AUTOS H AUTOS PROPERTY DAMAGE Pw accident f $ A E UMBRELLA LIAB N OCCUR 2UP51M3099915NP 05/01/15 05/01/16 EACH OCCURRENCE S 10,000,000 AGGREGATE S 10, 000, 000 EXCESS LIAB CLAIMS -MADE DED E RETENTIONS 10,000 f B WORMERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVEE OFFICERJMEMBER EXCLUDED? O N I A VTC2EU85644B05515 05/01/15 05/01/16 E STATUTE ER E.L. EACH ACCIDENT S 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1,000,000 (Mandatwy in NH) If yes desalbe undw DESCRIPTION OF OPERATIONS baba I I I I I E.L. DISEASE - POLICY LIMIT I S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, AddlUonal Remarks Schedule, maybe attached H more space Is required) City of Fort Collins is included as Additional Insured on the General, Automobile, and Umbrella Liability Policies if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. A Waiver of Subrogation is provided in favor of Additional Insureds on the General, Automobile Liability ani Workers Compensation Policies if required by written contract or agreement and with respect to work performed pe by Insure subject to the policy terms and conditions. This Insurance is Primary and Non -Contributory on the General Liability Policy subject to the policy terms and conditions. RE: RFP: 8214 CM/GC Services for the Lincoln Project. City of Fort Collins Financial Services Purchasing Division N. Mason St. 2nd Floor Box 580 t Collins, CO 80522 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. / W ®1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD alexmtz 45910321