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HomeMy WebLinkAboutGAMMA CONSTRUCTION COMPANY - INSURANCE CERTIFICATE (3)AC"R"DATE `.///__ CERTIFICATE OF LIABILITY INSURANCE (MM/DD) 12,22,2015015 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 Tucker Agency, Ltd. P O Box 2285 Ft. Worth TX 76113 CONTACT Roberta Erb NAME: PHONE (817)336-8520 A/CNo:(FA 817)336-6501 EA -MAIL .roberta@tuckeragency.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:Zurich American Insurance Co. INSURED Gamma Construction Company P 0 BOX 22047 Houston, TX 77227 INSURERB:TraVelers Property & Cas. Co. INSURER C INSURERD: INSURERE: INSURER F : COVERAGES CFRTIFICATF NIIMRFR:15/16 All Lines 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 LTRWVD TYPE OF INSURANCE ADDL UBR POLICY NUMBER LICY EFF MM/DDlYYYY POLICY EXP MM! D/YYYY LIMITS A GENERAL LIABILITY OMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR tX—X]MCU Included X X LO 3981716-13 12/31/2015 12/31/2016 EACH OCCURRENCE $ 1,000,000 DAMAGE T RENTED PREMISES Ea occurrence $ 300 000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 X Contractual GENERAL AGGREGATE $ 2,000,000 GE N'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS X X BAP 3981717-13 12/31/2015 12/31/2016 Ee aBINEDtSINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ B X UMBRELLA LAB EXCESS LAB X OCCUR CLAIMS -MADE X X UP-91M48632-15-NF 12/31/2015 12/31/2016 EACH OCCURRENCE $ 25,000,000 AGGREGATE $ 25,000,000 DED RETENTION $ 10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y!N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A X C 3981718-13 12/31/2015 12/31/2016 X WC ORYLIMT OH- S E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT I $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Re: Contractors License #A-84 UtK I IFIC:A I It HULUtK V1MI1`Il11=L L-M I IVIY City of Fort Collins P 0 Box 580 Fort Collins, CO 80522-0580 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 (2010/05) INS025 (201005) 01 — Tracy Tucker/RE V 19t3t3-Zu1U ACUKU GU111-UKA I IUN. All rlgnis reservea. The ACORD name and logo are registered marks of ACORD