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HomeMy WebLinkAbout564493 G ORR CONSTRUCTION LTD - INSURANCE CERTIFICATE (2)ACORO0 AC� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) F4/18/2016 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 Ewing -Leavitt Insurance Agency 4025 St. Cloud Dr. Suite 100 Loveland CO 80538 CONTACT Renee McReynolds NAME: y AONNo Ext. (970) 679-7344 FAXAICNo: (866)425.6180 AIL ADDRESS: renee-mcreynolds@leavitt.com INSURERS AFFORDING COVERAGE NAIC q INSURERA:Cincinnati Specialty UW 13037 INSURED C- , 0 L C ? Jj`il G. Orr Construction Ltd J 201 Commerce Drive Fort Collins CO 80524 INSURER B :United Fire & Casualty 13021 INSURERC:Pinnacol Assurance 41190 INSURER D : INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER:16-17 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MMIDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE � OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 100 , 000 x MED EXP (Any one person) $ EXCLUDED Blkt Waiver of Subrog CSU0069302 4/15/2016 4/15/2017 x Blkt Addl Insureds PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 x PRO - POLICY PRO ❑ LOC PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) B ANY AUTO $ BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS 60475733 4/15/2016 4/15/2017 X PROPERTY DAMAGE Per accident $ HIRED AUTOS x NON -OWNED AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB _ C � CLAIMS -MADE AGGREGATE $ $ DED RETENTION $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER E.L. EACH ACCIDENT $ 100,000 000 ANY PROPRIETOR/PARTNER/EXECUTIVE C OFFICER/MEMBER EXCLUDED? ❑ N/A - - - --- (Mandatory in NH) 4187053 10/21/2015 11/1/2016 E.L. DISEASE - EA EMPLOYEE $ 100.000 If yes, describe under E.L. DISEASE - POLICY LIMIT _-- $ 500,000 DESCRIPTION OF OPERATIONS below B Contractors Equipment 60475733 4/15/2016 4/15/2017 $50,000Limit Leased//Rented Equipment DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder will be given 30 day written notice should the insurance be cancelled or non -renewed; however 10 day notice will apply in the event of non-payment of premium. Certificate holder, its officers, agents and employees are named as additional insureds as respects general liability. l,t_K I It-11-A I t NL)LUtK UANUILLLA I IUN City of Fort Collins P 0 Box 580 Fort Collins, CO 80522 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 McReynolds/RESTEI�7'h ACORD 25 (2014/01) INS025 (201401) ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD