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HomeMy WebLinkAbout110280 ECI SITE CONSTRUCTION - INSURANCE CERTIFICATE (5)A4C" CERTIFICATE OF LIABILITY INSURANCE 77/6/2017 E(MM/DD/YYYY) 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 Dana Stewart, CIC, CISR Flood and Peterson PHONE EXt: No,(970)356-0123 aC No: (970)330-1867 tAtC.PO Box 578 ADDRESS: DStewart@floodpeterson.com INSURERS AFFORDING COVERAGE NAIC M Greeley _CO 80632 INSURERA:BITCO General Insurance Corp 20095 INSURED INSURERB:Travelers Property Casualty Company 25674 ECI Site Construction Management, Inc. INSURERCAGCS Marine Insurance Company 22837 PO BOX 2135 INSURER D : INSURER E Loveland CO 80539 INSURERF: COVERAGES CFRTIFICATF NI IMRFP-Master /BDR 2017-1R DGVlelnnl 0.n111aDC13. 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 ADDL SUBR' POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD/YYVV MM/DDNYYY LIMITS COMMERCIAL GENERAL LIABILITY j EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 300, 000 A CLAIMS -MADE X OCCUR X MED EXP (Any one person) $ 5,000 B1ktAOIw/CompOps;BlktWOS CLP 3 656 113 7/1/2017 7/1/2018 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY, -- I PE� LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 EMPBN $ 1,000,000 'OTHER: AUTOMOBILE LIABILITY EO aBINdEeD1SINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ A ANY AUTO ALL OS SCHEDULED AUTOS AUTOS CAP 3 656 114 7/1/2017 7/1/2018 BODILY INJURY Per accident) ( $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ Uninsured motorist combined $ 1,000,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 B EXCESS LIAB CLAIMS -MADE DIED X RETENTION$ 10,000 $ ZUP 9IM36516 17 NF 7/1/2017 7/1/2018 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A WC 3 656 112 7/1/2017 7/1/2018 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 11000,000 C Builders Risk MXI:98475715 7/1/2017 7/1/2018 I $5,000,000LImit DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) re: Poudre River Whitewater Park Certificate holders is included as Additional Insured as required by written contract but only as respects liability arising out of work performed by the named insured. The coverage is primary and non-contributory to any other valid and/or collectible insurance to the fullest extent the law allows. Waiver of subrogation applies per written contract. 30 Notice of Cancellation applies. t,r_M I11-11.,A I r nULUCrt I:ANGtLLA I IVN City of Fort Collins Matt Day PO 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 P Stehle, CISR/PSTEHL W.Wr_1? © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD ACC>R ® CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) �� 7/6/2017 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 NAME: Dana Stewart, CIC, CISR Flood and Peterson PHONE (970) 356-0123 FAX C No Ext: A/C No): (970)330-1867 PO Box 578 noDA'ess:DStewart@floodpeterson.com INSURERS AFFORDING COVERAGE NAIC # Greeley CO 80632 _ INSURERA:BITCO General Insurance Corp20095 INSURED INSURERB:Travelers Property Casualty Company 25674 ECI Site Construction Management, Inc. INSURERC:AGCS Marine Insurance Company 22837 PO Box 2135 INSURER 0 INSURER E : Loveland CO 80539 INSURERF: CnVFRAIi r`GRTIGIr`ATC IJI IRAD CD -Ma c*cr/RnV '7017_10 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 ADDLSUBR INSD - '- POLICY EFF WVQ POLICY NUMBER MM/DD/YYYY1 POLICY EXP (MM/DDNYYYI LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR B1ktAOIw/CompOps;BlktWOS Y CLP 3 656 113 7/1/2017 7/1/2018 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 FGENL AGGREGATE LIMIT APPLIES PER: POLICY � PRO- LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 EMPBN $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMEa aBINEDccidenSINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS Y CAP 3 656 114 7 /1/2017 7/1/2018 BODILY INJURY (Per accident) $ HIRED AUTOS X NON -OWNED AUTOS X PROPERTYnt DAMAGE Per accide $ Uninsured motorist combined $ 1,000, 000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE B EXCESS LIAB CLAIMS -MADE $ 5,000,000 DED X RETENTION$ 10,000 $ Y ZUP 91M36516 17 NF 7/1/2017 7/1/2018 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/ ECUTIVE OFFICER/MEMBER EXCLUDED? EXa (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A I Y I WC 3 656 112 7/1/2017 7/1/2018 X PER OTH- STATUTE I ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE- EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Builders Risk MXI98475715 7/1/2017 7/1/2018 700,000LImit DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Project #8263 - Southeast Community Park Certificate holders is included as Additional Insured on General Liability and Auto Liability as required by written contract but only as respects liability arising out of work performed by the named insured. The coverage is primary and non-contributory to any other valid and/or collectible insurance to the fullest extent the law allows. Waiver of subrogation applies per written contract. City of Fort Collins PO Box 580 Fort Collins, CO 80522 I.AIVI,CLLA I IUIV 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 P Stehle, CISR/PSTEHL P2.1.9�i © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD