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