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HomeMy WebLinkAboutH W HOUSTON CONSTRUCTION CO - INSURANCE CERTIFICATE (3)CERTIFICATE OF LIABILITY INSURANCE DATE03/ 3/20116 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 have ADDITIONAL INSURED provisions or 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 Aon Risk Insurance Services west, Inc. Albuquerque NM Office CONTACT NAME: PHONE (505) 889-6700 FAX (505) 884-7831 (A/C. No. Ext): IAIC. No.): E-MAIL ADDRESS: 6501 Americas Parkway NE Suite 650 INSURERS) AFFORDING COVERAGE NAIC # Albuquerque NM 87110 USA INSURED INSURER A: Hartford Ins CO of the Midwest 37478 INSURERB: Hartford Accident & Indemnity Company 223S7 H w Houston Construction Co P 0 Box 1463 Pueblo CO 81002 USA INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570061346060 RLVISIUN 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE ADD INSD UBR WVD POLICY NUMBER POLICY MM/DD/Y1 I XP MM/DD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY 4UENQT 4 4 EACH OCCURRENCE $1,000,000 CLAIMS -MADE ❑X OCCUR AMA N PREMISES Ea occurrence $300,000 MED EXP (Any one person) $ 5 , 000 PERSONAL &ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $ 2 , 000 , 000 POLICY ❑X PEP X❑ LOC OTHER: A AUTOMOBILE LIABILITY 34UENQT9426 04/01/2015 07/31/2016 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY ( Per person) ANY AUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS JXX PROPERTY DAMAGE HIRED AUTOS X NON -OWNED ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE AGGREGATE EXCESS LAB CLAIMS -MADE DED RETENTION WORKERS COMPENSATION AND EMPLOYERS'LIABILITY i, I N ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N I A PER STATUTE ORH E.L. EACH ACCIDENT E.L. DISEASE -EA EMPLOYEE E.L. DISEASE -POLICY LIMIT If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Contractors License CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ft. Collins AUTHORIZED REPRESENTATIVE PO Box 580 Ft Collins CO 80522-0580 USA 0 rD O ID 0 0 0 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD