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HomeMy WebLinkAbout101027 HENSEL PHELPS CONSTRUCTION CO - INSURANCE CERTIFICATE (4)DATE (MM/DD/YYYY) A� " CERTIFICATE OF LIABILITY INSURANCE 12/3/2015 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 CONTACT NAME: Kelly weUrillr Flood and Peterson PHCNN E (970) 356-0123 FAX No: (970)330-1867 PO Box 578 ADDRE SS: KUrwiller@floodpeterson.con INSURERS AFFORDING COVERAGE NAIC N Greeley CO 80632 INSURERA:Zurich American Insurance Company 16535 INSURED INSURERB:AMerican Guarantee and Liability 26247 Hensel Phelps Construction Co. INSURERC: Plains District INSURERD: P O Box 0 INSURERE: Greeley CO 80632 INSURERF: COVERAGES CERTIFICATE NUMBER:CL15111307145 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR T(Ic 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 TYPE OF INSURANCE LTR ADDL SUBR POLICY NUMBER POLICY EFF MWDDNYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE XI OCCUR GL0369726411 1/1/2016 1/1/2017 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY [ 7X jECT 7 LOC OTHER: GENERAL AGGREGATE $ 4,000,000 PRODUCTS -COMP/OP AGG $ 4,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED - AUTOS AUTOS X HIRED AUTOS X NON -OWNED AUTOS BAP36972611 1/1/2016 1/1/2017 COMBINED SINGLE LIMIT Ea accident $ 2,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ B X UMBRELLA LIAR EXCESS LIAR X OCCUR , CLAIMS -MADE AUC928038414 1/1/2016 1/1/2017 EACH OCCURRENCE $ 25, 000, 000 I AGGREGATE $ 25, 000, 000 DED I IRETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? � A (Mandatory in NH) If yes, describe under oeaCRIP ION OF OPERATIONS below N/A WC369726512 1/1/2016 1/1/2017 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 11000,000 E.L. DISEASE- EA EMPLOYE $ 11000,000 I E.L. DISEASE- POLICY LIMIT 1 $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION City of Fort Collins Attn: Licensing Division P.O. 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 Keiser, CISR/NKEISE J' � 07A!�� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)