HomeMy WebLinkAboutBOSCO CONSTRUCTORS INC - INSURANCE CERTIFICATE (9)A�R" CERTIFICATE OF LIABILITY INSURANCE
IY
FDATE(MWDD8YYY)
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 endorsements .
PRODUCER
Commercial Risk Solutions
6600 E Hampden Ave Ste 200
Denver CO 80224
CONTACT
NAME: Katie Smothers _ ___
PHONE FAX
AIC No Exr : 303-996-7801 arc No : 303-757-7719
E-MAIL , ksmothers crsdenver.com
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A : Continental Insurance Co.
35289
INSURED BOSCO-1
Bosco Constructors, Inc.
1860 Blake Street, Suite 170
INSURER S : National Fire Ins Co/Hartford
29478
INSURER Pinnacoi Assurance
41190
INSURER D : Transportation Insurance Co.
20494
Denver CO 80202
INSURERE:
INSURER F :
COVERAGES CERTIFICATE NUMBER: 1994n?440A RFVISIAN N1IMRFR-
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
I TYPE OF INSURANCEADDLSUBR
POLICY NUMBER
POLICY EFF
MM/DDNYYY
POLICY EXP
I MMIDD/YYYY
_
LIMITS
D
X
COMMERCIAL GENERAL LIA131LITY
CLAIMS -MADE I X OCCUR
^�
5088584079
121l/2017
12/1/2018
EACH OCCURRENCE
$1,000,000
_
DAMAGE TORENTED
PREMISES Ea occurrence
$ 500.000
MED EXP (Any oneperson)
$15.000
PERSONAL & ADV INJURY
$1,000.000
GEN'L
AGGREGATE LIMIT APPLIES PER:
POLICY PRO JECT 7 LOC
OTHER:
GENERAL AGGREGATE
$ 2.000,000
PRODUCTS - COMPIOP AGG
$ 2,000,000
$
8
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
5088584082
1211/2017
12/1/2018
COMBINED SINGLE LIMIT
Ea accident)
$1.000.000
X
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident )
$
X
PROPERTY DAMAGE
Per accident
------
$
A
X
UMBRELLA LIAB
EXCESS LIAR
X
OCCUR
CLAIMS MADE
5088584065
12/1/2017
12/1/2018
EACH OCCURRENCE
$ 7,000,000
AGGREGATE
$ 7,000.000
i
DED I X I RETENTION$ io.om
$
C
'
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANYPROPRIETOR/PARTNERIEXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPF RATIONS below
NIA
I
I
2226180
4/1/201B
4/1/2019
X ' PER OTH-
STATUTE ER
_
E.L. EACH ACCIDENT
$1.000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE -POLICY LIMIT
$ 1.DOO,DDD
D
Leased and Rented Equipment
ACV+Special Forml90% Coinsurance
5088584079
12/1/2017
i
12/1/2018
Limit / Ded
350,00011,000
DESCRIPTION OF OPERATIONS? LOCATIONS ? VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Re: WaterANastewater Treatment and Site Infrastructure, Design/Construction Contractor #7220. All policy terms, conditions and exclusions apply.
\+Crl 1 lr'l%,A l t nVLUrri
City of Fort Collins Financial Services Purchasing Division
215 N Mason Street 2nd Floor
Ft. 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
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