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Home My WebLink About365691 BRYAN CONSTRUCTION INC - INSURANCE CERTIFICATE (15)ACORD,. CERTIFICATE OF LIABILITY INSURANCE 2/1/2019 DATE(MM/DD/YYYY) 4/25/2018 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 Lockton Companies 8110 E. Union Avenue Suite 700 Denver CO 80237 (303) 414-6000 CONTACT PHONE FAX A/C No Ext : A/C No): EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC a INSURER A: Liberty Mutual Fire Insurance Company 23035 INSURED Bryan Construction, Inc. 1410792 7025 Campus Drive Colorado Springs, CO 80920-3164 INSURER B : Liberty Insurance CO oration 42404 INSURER C : Pinnacol Assurance Company 41190 INSURER D : Ironshore Indemnity Inc. 23647 INSURER E : INSURER F : r^nvGoenGe CCRTICICATG 1di IMR9=P- IAO')IAIQ RFVIRIr1N NIIMRFR• XXXXXXX 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 L SI TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Y N I B2-Z91-467265-038 4/30/2018 4/30/2019 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence 3OO OOO MED EXP (Any oneperson) 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER. POLICY JERCOT- LOC OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY N N AS2-Z91-467265-028 4/30/2018 4/30/2019 CEOMaBINEDtSINGLE LIMIT $ 1 000 000 X BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXX PROPERTY DAMAGE Per accident $ XXXXXXX $ XXXXXXX B D UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE N N TH7-Z91-467265-048 003559100 4/30/2018 4/30/2018 4/30/2019 4/30/2019 EACH OCCURRENCE $ 25,000,000 X AGGREGATE $ 25,000,000 DED I I RETENTION $ $ XXXXXXX L WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE � OFFICER/MEMBER EXCLUDED? (Mandatory in NH) , yes, describe under DESCRIPTION OF OPERATIONS below N / A N 2310880 2/1/2018 2/1/2019 X STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE 1,000,000 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) The certificate holder is listed as additional insured in regards to the 7136 Lincoln Center Addition and Renovations project. l.Cr%I Ir'iw%i C nVLI.lCR V/1t1IVGt_6MI Rall OCG flUa�ririr�rit3 14021439 City of Fort Collins 300 Laporte Avenue Fort Collins CO 80522 RECEIVED APR 3 0 2018 "'itv Manager's Office 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 ( barley /� 9VI0140�1 n1 8120�CORD CORPO ATION_ All rights reserved ACORD 25 (2016/031 The ACORD name and logo are registered marks of ACORD