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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 �L'w1MA+t C 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD