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HomeMy WebLinkAboutMCDAVID CONSTRUCTION INC - INSURANCE CERTIFICATE (5)ACORD CERTIFICATE OF LIABILITY INSURANCE �,�• DATE (MMIDDlYYYY) 12/22/2015 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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 endorsements . PRODUCER LeBaron & Carroll, LLC 1350 E. Southern Avenue Mesa AZ 85204 CONTACT NAME: Janice Volpe, CIC, CISR PHONE (480) 834-9315 X (480)844-9866 AIC No Ex AIC No E-MAIL ADDRESS: e ADDRESS: @landc. com INSURER(S) AFFORDING COVERAGE NAICi INSURERA De ositors Insurance Company 42587 INSURED McDavid Construction, Inc. 2239 E. Rose Garden Loop Phoenix AZ 85204 INSURERB AMCO Insurance Company 19100 INSURERCNationwide Mutual Insurance Company 23787 INSURER D:Co erPoint General Insurance Co. 13043 INSURERS: 1 INSURERF: COVERAGES CERTIFICATE NUMBER:2015/2016 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 WffH 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 INSURANCE INSD WVD POLICY NUMBER POLICY EFF MMIDD/Y POLICY EXP MMIDDIYYYY LIMITS A X I COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX OCCUR ACP3016959762 12/18/2015 12/10/2016 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL BADVINJURY $ 1,000,0o0 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JERCT LOC OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED 1HIREDAUTOS AUTOS ACP3016959762 12/18/2015 12/18/2016 UM-MdeM GL LIMI CE,X $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE ACP3016959762 12/18/2015 12/19/2016 EACH OCCURRENCE $ 21000,000 AGGREGATE $ 21000,000 DED RETENTION$ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIEWRIPARTNER/EXECUTIVE OFFICERMEMBER EXCLUDED? (Mandatory In NH) If yyees, describe under DESCRIPTION OF Of ERAIIONS below NIA 1017576 9/1/2015 9/1/2016 PER$ X STATUTE ERH E. L. EACH ACCIDENT $ 1,000,000 E.L DISEASE - EA EMPLOYEE $ 1,000,000 GL. DISEASE- POLICY LIMIT $ 1 000 OCO C Leased/Rented Equipment ACP3016959762 12/18/2015 12/18/2016 Limit $50,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space Is required) !`CAT7CIf ATC wni r1GR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins PO Box 580 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80526 AUTHORIZED REPRESENTATIVE ���■ S Perkinson/JANICE ACORD 25 (2014/01) INS025 (201401) O 1988-2014 ACORD CORPORATION. An rights reserved. The ACORD name and logo are registered marks of ACORD