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HomeMy WebLinkAbout537598 BELAIR SITEWORK SERVICES - INSURANCE CERTIFICATE (2)I ® AC"R" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 03/30/2018 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 Certificates Department NAME: Kraus -Anderson Insurance A CNo Ext : (952)707-8200 FAX No): (952)890-0535 420 Gateway Boulevard E-MAIL SS: certificates@kainsurance.com ADDRE INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Zurich American Ins Cc 16535 Burnsville MN 55337-2790 INSURED INSURER B : Navigators Insurance Co 42307 INSURER C : Belair Builders, Inc. INSURER D : dba Belair Sitework Services, dba Belair Excavating INSURER E : 2200 Old Highway 8 NW INSURER F New Brighton MN 55112 COVERAGES CERTIFICATE NUMBER: 18-19 Certificate 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 CONTRACTOR 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. INSIR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY POLICY Y EXP MMIDDIYYYY) LIMITS A x COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR XCU Coverage Y GLO0507910 04/01/2018 04/01/2019 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 500,000 X MED EXP (Any one person) $ 10,000 X Contractual Liability PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY JECT PRO LOC OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Y BAP 0507912 04/01/2018 04/01/2019 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ B UMBRELLA LIAB EXCESS LIAB x OCCUR CLAIMS -MADE CH18EXC7265531V 04/01/2018 04/01/2019 EACH OCCURRENCE $ 10,000,000 X AGGREGATE $ 10,000,000 DED I x RETENTION $ 0 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) If yes describe under DESCRIPTION OF OPERATIONS below N / A WC 0507913 04/01/2018 04/01/2019 PER OTH- x STATUTE ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The Certificate Holder is an Additional Insured under the Commercial General Liability and Auto Liability when required by written contract. rFRTIFIrATF Hint nFR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins Director of Purchasing and Risk Management ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 AUTHORIZED REPRESENTATIVE For Collins CO 80522 1'— {G © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD