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Home My WebLink AboutHAMILTON CONSTRUCTION CO - INSURANCE CERTIFICATE (4)P526W28W2 ACVA U� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY) 01/12/2016 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 LIC #OB29370 1-415-356-3989 CONTACT NAME: Teri Koehler Edgewood Partners Insurance Center (EPIC) _ PHONE FAX - 415-356-3965 jAIC, No): 415-284-9947 [Branch ID 14100] E-MAILD SS: teri.koehlereepicbrokers.com 135 Main Street, 21st Floor INSURER(S) AFFORDING COVERAGE NAIC II INSURER A: TRAVELERS PROPERTY CAS CO OF AMER 25674 San Francisco, CA 94105 INSURED INSURER B: ALLIED WORLD ASSDR CO US INC 19489 Bamilton Construction Co. INSURER C : STEADFAST INS CO 26387 INSURER D: P.O. Box 659 INSURER E : INSURER F: Springfield , OR 97477 COVERAGES CERTIFICATE NUMBER: 45891324 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 WI1H 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 OF INSURANCE ADDLITYPE INSO �� POLICY NUMBER MM/DDY EFF MM/ DPOLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY X VTC2JC09494A972TIL16 01/01/16 01/01/17 EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE OCCUR DAMAGE(RENTED PREMISESS Ea occurrence) $ 300, 000 MED EXP (Any one person) $ 10,000 PERSONAL BADVINJURY f 2,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE i 4,000,000 GENT POLICY JECT LOC PRODUCTS - COMP/OP AGG i 4,000,000 $ OTHER: A AUTOMOBILE LIABILITY X VTJCAP9494A984TIL16 01/01/16 01/01/17 COMBINED SINGLE LIMIT Ea accident $ 2,000,000 BODILY INJURY (Per person) >: X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) i PROPERTY DAMAGE Per accident NON -OWNED X HIRED AUTOSf AUTOS Ix $ B UMBRELLA LIAB I X OCCUR 03080364 01/01/16 01/01/17 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 X EXCESS LIAR CLAIMS -MADE DED 17 RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N / A E.L. DISEASE - EA EMPLOYE i (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ C Professional Liability EOCS54305403 01/01/16 01/01/17 Per Wrongful Act 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Re: RFP 8214 CN/GC Services for the Lincoln Corridor Project City of Fort Collins, its officers, agents and employees are named as Additional Insured as respects General Liability and Automobile Liability per endorsements attached. Coverage is Primary and non-contributory. City of Fort Collins Purchasing Division Financial Services 215 N. Mason St., 2nd Floor PO Box 580 Fort Collins, CO 80522 ACORD 25 (2014101) socegueda 45891324 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 USA 01988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD v u. O C'4 P526(N)28(")2 Policy Number- VTC2JC09494A972TI167.6 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON(S) OR ORGANIZATION(S): Any person or organization that you agree in a "written contract requiring insurance" to include as an additional insured. PROJECT/LOCATION OF COVERED OPERATIONS: Ali your projects and locations within the "coverage territory" . WHO IS AN INSURED - (Section II) is amended to include the person or organization shown in the Schedule above, but: a) Only with respect to liability for "bodily injury", "property damage" or "personal injury"; and b) If, and only to the extent that, the injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" on or for the project, or at the location, shown in the Schedule. The person or organization does not qualify as an additional insured with respect to the independent acts or omissions of such person or organization. 2. The insurance provided to the additional insured by this endorsement is limited as follows: a) This endorsement shall not increase the limits of insurance described in Section III - Limits Of Insurance. b) The insurance provided to the additional insured does not apply to "bodily injury", "property damage" or "personal injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services, including: CG Tip 00 (:, 2011 The Travelers Indemnity Company. All right reserved. M v u, O N