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HomeMy WebLinkAboutWANER CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATE (4)P526W29IX)2 $ A DATE(MM/DDIYYYY) A CERTIFICATE OF LIABILITY INSURANCE 03/02/2016 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 1-303-534-4567 CONTACT NAME: INA, Inc. - Colorado Division I PRONE FAX 1705 17th Street ADDREss: de=CCOUnttOCJW61MBCOrP.CCM Suite 100 INSURERS AFFORDING COVERAGE NAK: 0 Denver, CO 80202 INSURERA: VALLEY FORGE INS CO(CHA Insurance) 20508 INSURED INSURERS: CONTINENTAL INS CO (CNA) 35289 Waner Construction Company, inc. INSURER C READING PA CAS CO OF READIPA (CNA) 20427 8950 Barron Blvd, Unit 103 INSURERD: PINNACOL ASSUR 41190 INSURERE: TRAVELERS PROP CAS CO OF AMER 25674 Highlands Ranch, CO 80129 1 INSURER F: rr\1/C0AGCQ rCRTICIrATF NIIURrD- &9225917 RFVISInN NIJURFR- 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 OF INSURANCE ADDLITYPE INSO SUER WVD POLICY NUMBER MMIOD EFF MPWDO EJIP LIMITS A X COMMERCIAL GENERAL LIABILITY 2092449501 03/01/16 03/01/17 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE I LX 1 OCCUR __ DAMAGE TO RED PREMISES Ea oaurrence S 300,000 X MED EXP (Any one person) $ 5,000 PD Ded: $2, 000 PERSONAL SADVINJURY $ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2, 000, 000 POLICY II JE T I -XI LOC PRODUCTS - COMPIOP AGG S 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY 2092449595 03/01/16 03/01/17 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) S = ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS PROPERTY DAMAGE Per accident) $ S C X UMBRELLA LIAB X OCCUR 2092449578 03/01/16 03/01/17 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 EXCESS LWB CLAIMS -MADE DED X RETENTIONS 10,000 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE a OFFICER/MEMBER EXCLUDED? (Mandatory In NH) N 1 A 4107186 03/01/16 03/01/17 TH X SSTATUTE ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEd S 500,000 E.L. DISEASE - POLICY LIMIT $ 500, 000 H yes, descdbe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If mom space is required) Certificate Holder is included as Additional Insured on the General Liability Policy if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. GtK 111-IGA It HULUtK City of Fort Collins PO Box 580 Fort Collins, CO 80522-0000 ACORD 25 (2014/01) ashmcclain 46225917 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 / ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD P5290028002 SUPPLEMENT TO CERTIFICATE OF INSURANCE 03/0 A/2016 NAME OF INSURED:waner Construction Company, Inc. Additional Description of Operations/Remarks from Page 1: Additional Information: Builders Risk Coverage: Policy #QT6608F328010TIL16 Eff. Dates: 03/01/2016-03/01/2017 Insurer E: See Above SPC Form/ RC $5,000,000 Frame Limit; $10,000,000 Any One Location Limit; $20,000,000 Any One Location Non Combustible Limit; $250,000 Temporary Location/Transit Limit; $5,000 Deductible $1,000,000 Flood and Earthquake Sub Limit; $25,000 Deductible SUPP (05/04)