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Home My WebLink About601609 MYERS & SONS CONSTRUCTION LP - INSURANCE CERTIFICATE (4)00 DATE (MM/DD(YYYY) AC40RV CERTIFICATE OF LIABILITY INSURANCE 1111.� 1 5/31 /2018 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 have ADDITIONAL INSURED provisions or 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: Laura Martino Uniondale-Alliant Ins Svc Inc PHONE FAX 333 Earle Ovin ton Blvd Ste 700 WC, No. Ertl: 516-414-8606 lac. Uniondale NY 1g1553 ADDRESS: Laura. Martino@alliant.com INSURER A: Berkshire Hathaway Specialty Insurance Company 22276 INSURED STERCON-04 Myers & Sons Construction, L.P. 4600 Northgate Blvd., Suite 100 Sacramento, CA 95834 INSURERS: Executive Risk Indemnity Inc 35181 INSURER c : Federal Insurance Com an 20281 - INSURERD: Federal Insurance Com an 20281 INSURER E : INSURER F : r1nVFRArFC rFRTIFICATF NIIMRFR• ArirAAr77R RFVISInN NIIMRFR- 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 'ADDLI'SUBRi POLICY EFF - POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYW B X COMMERCIAL GENERAL LIABILITY 54309707 6/1/2018 6/1/2019 EACH OCCURRENCE $2,000,000 CLAIMS -MADE OCCUR $300,000 PREMSESOEaEoccu ence X MED EXP (Any one person) $10,000 Contractual Liab PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY � JET LOC PRODUCTS - COMP/OP AGG $4,000,000 $ OTHER: C AUTOMOBILE LIABILITY 54309706 6IW018 6/12019 COMBINED SINGLE LIMIT Ea accident $ 2,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS IX BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY A UMBRELLA LIAS X OCCUR 47-XSF-303345-02 611/2018 6/1/2019 EACH OCCURRENCE $ 25,000,000 X AGGREGATE $ 25,000,000 EXCESS LIAB CLAIMS -MADE DED I X I RETENTION $ S1 n riao $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE 54309703 6/1I2018 6/12019 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 OFF ICER/MEMB ER EXCLUDED? F—] (Mandatory in NH) NIA E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1.000,000 If yes, describe under DESCRIPTION OF OPERATIONS below i DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) Re. CM/CG Services for Horsetooth & College Intersection Improvements Contract No. 8627-MSC # 206 / Reconstructing Horsetooth and College Intersection with concrete Pavement and replacing a small bridge The City of Fort Collins, its officers, agents and employees shall be included as Additional Insured as respects Liability arising out of work performed by the Named Insured as required by a written contract. The insurance provided shall be primary and any other insurance maintained by the Additional Insured is excess and non-contributory. Waiver of Subrogation applies as required by contract. 30 days' notice of cancellation or non -renewal will be provided to Certificate Holder, except 10 days' notice for cancellation for non-payment of premium. rcoTlcirATc unl nco rANrFI I ATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins 300 LaPorte Avenue Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE G 1 V?Jtf-LUl0 AL UKIIJ L.UKVUKA I IUN. All rlgnis reservea. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD