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HomeMy WebLinkAbout157655 WATTLE & DAUB CONTRACTORS INC - INSURANCE CERTIFICATE (7)ACC>R" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDlYYYY) 1/20/2016 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 CCOOMNT CT Laura Maes Denver Agency PHONE (303) 892-6900 FAX AIC No): 210 University Blvd, Suite 600 E-MAIL laura@denvera en com ADDRESS: 9 Ly Denver CO 80206-4661 INSURED Wattle & Daub Contractors, Inc. 8 Gibbs Rd. NAIC # Cc :Phoenix Insurance Co 125623 D: Laramie WY 82070 INSURER F r_r)VFRAr;F_R CI=RTICIrATC KII IIUID11=0.9n1 C r_. /AT /n70 As 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 ADD L SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER M MM/DDNYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR EACH OCCURRENCE DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 $ 50,000 MED EXP (Any one person) $ 5,000 VCGP050191 1/1/2016 1/1/2017 PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: [X] PRO- GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OPAGG $ 2,000,000 POLICY JECT LOC Employee Benefits $ 1,000,000 OTHER: AUTOMOBILE LIABILITY ANY AUTO ALL OS SCHEDULED AUTOS AUTOS BA-1281YO79-16-SEL 1/1/2016 1/1/2017 Ee aBINED SINGLE LIMIT ccidenB $ 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY Per accident ( ) $ NON -OWNED HIRED AUTOS Ix AUTOS X PROPERTY DAMAGE Per accident $ Uninsured motorist combined $ 1,000,000 UMBRELLA LIAR IOCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DIEDRETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) ❑ If yes, describe under DESCRIPTION OF OPERATIONS below NIA 4093011 1/1/2016 1/1/2017 I PER I _ X STATUTE I I OR E.L. EACH ACCIDENT $ 1 OOO OOO E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1 000 000 7! DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is included as Additional Insured regarding General Liability. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O. Box 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80524 AUTHORIZED REPRESENTATIVE C McKeever, CIC/LAURA U 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INCn9S,o Anil