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HomeMy WebLinkAboutW E O'NEIL CONSTRUCTION CO - INSURANCE CERTIFICATEA �® CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 03/25/2016 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 CONTACT Willis of Illinois, Inc. c/o 26 Century Blvd. P. O. sox 305191 PHONE FAX 877-945-7378 888-467-2378 1 EADDRESS,-MAIL certificates@willis.com Nashville, TN 37230-5191 INSURER(S)AFFORDINGOOVERAGE NAIC # INSURERA:Zurich American Insurance Company 16535-000 INSURED W.E. O'Neil Construction Co. INSURERB:Zurich American Insurance Company of Illi 27855-002 37885-001 1245 W. Washington INSURERC:XL Specialty Insurance Company Chicago, IL 60607 INSURERD:Zurich American Insurance Company of Illi 27855-000 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 24230928 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 TYPE OF INSURANCE DDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY y GL0297889316 3/31/2016 3/31/2017 EACHOCCURRENCE $ 11000,000 CLAIMS -MADE X OCCUR f�AMp�E?Qpa occurence) PREMISES (t $ 3 0 0 0 0 0 MED EXP (Any one person) $ 10,000 PERSONAL BADVINJURY $ 11000,000 GEN'L AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO-- JECTLOC PRODUCTS - COMP/OP AGG $ 2 000000 $ OTHER: B AUTOMOBILE LIABILITY BAP297889516 3/31/2016 3/31/2017 COMBINED SINGLE LIMIT (Ea accident) $ 2 000,000 BODILY INJURY(Per person) $ X ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIREDAUTOS AUTOS PROPERTYDAMAGE (Peraccident) $ Comp. Ded:��NON-OWNED Coll. Ded: X 1000 1000 $ C X UMBRELLALIAB Xd OCCUR US00065058LI16A 3/31/2016 13/31/2017 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 51000,000 EXCESS LIAB CLAIMS -MADE DED 1[ RETENTION$ 10,000 $ D WORKERS COMPENSATION WC297889216 (AOS) 3/31/2016 I3/31/2017 X � STATUTE I PR A AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEF N/A WC353310316 (CA/CO) 3/31/2016 3/31/2017 E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED' (Mandatoryin NH, f yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additonal Remarks Schedule, may be attached if more space is required) Re: Contractor's License The cancellation endorsements attached to this certificate of insurance apply only if a 30 day notice of cancellation is required by written agreement in a contract with the insured. The following are Additional Insureds on a Non-contributory basis as respects General Liability where required by written contract with respect to work performed by the Named Insured: City of Fort Collins. 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 City of Fort Collins P.O. Box 580 Fort Collins, CO 80522-0580 Coll:4873747 Tpl:2040632 Cert:24230928©1988-2014ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD