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HomeMy WebLinkAbout601609 MYERS & SONS CONSTRUCTION LP - INSURANCE CERTIFICATE (5)AC40�hr A-,,. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 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 Uniondale-Alliant Ins Svc Inc 333 Earle Ovington Blvd Ste 700 Uniondale NY 11553 CONTACT NAME: Laura Martino PHONE . 516�14-8606 FAX No: EMAIL ADDRESS: Laura. Martino alliant.com INSURERS AFFORDING COVERAGE NAIC INSURER A: Berkshire Hathaway Specialty Insurance Company 22276 INSURED STERCON-04 Myers & Sons Construction, L.P. 4600 Northgate Blvd., Suite 100 Sacramento, CA 95834 INSURER B : Executive Risk Indemnity Inc 35181 INsuRERc: Federal Insurance Company 20281 INSURER D : Federal Insurance Company20281 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1354806642 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. - POLICY -- LTR - — -- INSR TYPE OF INSURANCE mqn SUER POLICY NUMBER MMIDD/YYYY MM DD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY 54309707 6/1/2018 6/1/2019 EACH OCCURRENCE $2,000,000 CLAIMS -MADE FX I OCCUR DAMAGE TO RENTED PREMISES Ea occurrence) $ 300,000 X MED EXP (Any one person) $ 10,000 Contractual Liab PERSONAL & ADV INJURY $ 2,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 GEN'L PRODUCTS - COMP/OP AGG $4,000,000 POLICY "' JECOT- LOC $ OTHER: C AUTOMOBILE LIABILITY 54309706 6/1/2018 6/1/2019 COMBINED SINGLE LIMIT Ea accident $ 2 000 000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X HIRED EXNON-OWNED AUTOS ONLY AUTOS ONLY A UMBRELLA LIAB X OCCUR 47-XSF303345-02 6/1/2018 6/1/2019 EACH OCCURRENCE $ 25,000,000 X AGGREGATE $25,000,0D0 EXCESS LIAB CLAIMS -MADE DED X RETENTION $ si n nnn $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE 54309703 6/1/2018 6/1/2019 X STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ (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 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Horsetooth & College Intersection Improvements City of Fort Collins and Colorado Department of Transportation are included as Additional Insured on a Primary and Non -Contributory basis as respects General Liability, Automobile Liability and Umbrella Liability as required by written contract. Waiver of Subrogation is included and applies in favor of the Additional Insureds as required by written contract. Thirty (30) Days Notice of Cancellation applies. LIr_m I Ir'R.A 1 C r7VLUCR 1 I 11 City of Fort Collins 215 North Mason St., 2nd Floor 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 U 1988-1U15 ACUKU CUKPUKA I IUN. All rlgnts reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD