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HomeMy WebLinkAbout601609 MYERS & SONS CONSTRUCTION LP - INSURANCE CERTIFICATE (6)ACC>R& CERTIFICATE OF LIABILITY INSURANCE ATE(MM/DD/YYYY) r5/31 /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 IFAX A/C No : E-MAILfAIC,No, ADDRESS: Laura. MartinD 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 INSURERB: Executive Risk Indemnity Inc 35181 INSURER c :Federal Insurance Company 20281 INSURERD: Federal Insurance Company 20281 Sacramento, CA 95834 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1951419247 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 LTR OF INSURANCE ADDLSUBITYPE INSD WVD POLICY NUMBER POLICY EFF MM/DD1YYYY POLICY EXP MM/DD LIMITS B X COMMERCIAL GENERALLIABILITY 54309707 6/1/2018 6/1/2019 EACH OCCURRENCE $2,000,000 CLAIMS -MADE � OCCUR DAMAGES(RENTED PREMISES Ea occurrence $ 300,000 X MED EXP (Any one person) Contractual Liab $10,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICYFX] JET LOC PRODUCTS -COMP/OPAGG $4,000,000 $ OTHER: C AUTOMOBILE LIABILITY 54309706 6/1/2018 611/2019 COEaMBINED ..dent SINGLE LIMIT e $ 2 000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X HIRED N NON -OWNED AUTOS ONLY AUTOS ONLY A UMBRELLA LIAB OCCUR 47-XSF-303345-02 6/1/2018 6/1/2019 EACH OCCURRENCE $ 25,000,000 X N AGGREGATE $ 25,000,000 EXCESS LIAB CLAIMS -MADE DED I X I RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N 54309703 6/1/2018 6/1/2019 X PER OTH- STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT - $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Service Agreement — Work Order Type / 8267 CMGC Services for Horsetooth & College Intersection Improvements The City of Fort Collins is included as Additional Insured as respects Liability arising out of work performed by the Named Insured as required by 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. CERTIFICATE HOLDER CANCELLATION City of Fort Collins Attn: Purchasing Department 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD