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HomeMy WebLinkAbout564493 G ORR CONSTRUCTION LTD - INSURANCE CERTIFICATE (3)A16*_CC3 " CERTIFICATE OF LIABILITY INSURANCE DATE (MWDD/YYYY) 3/12/2018 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 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 Ewing -Leavitt Insurance Agency, Inc. 4090 Clydesdale Parkway Suite 101 Loveland CO 80538 CONTACT Renee McReynolds NAME: y PHONE (970) 679-7344 FAXNo: (866)425-6180 E-MAILs:renee-mcreynolds@leavitt.com ADDRES INSURERS AFFORDING COVERAGE NAIC # INSURERA:Cincinnati Insurance Co 10677 INSURED G Orr Construction Ltd, DBA: Reliance Construction 201 Commerce Drive Unit #1 Fort Collins CO 80524 INSURER B :Pinnacol Assurance 41190 INSURERC: INSURERD: INSURERE: INSURERF: COVERAGES CERTIFICATE NUMBER:18-19 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 ADDLTYPE INSD SUER WVD POLICY NUMBER PIOLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE � OCCUR ENTEante PR M SES Ea or $ 500,000 x MED EXP (Any one person) $ 10,000 incl Blkt WOS ENP0433109 4/15/2018 4/15/2019 x incl Blkt Addl Insureds PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY - I PRO- JECT F LOC PI PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO A ALLOWNED OSCHEDULED ENP0433109 4/15/2018 4/15/2019 BODILY INJURY (Per accident) $ AUAUTOS PROPERTY DAMAGE Per accident $ NON -OWNED x x HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ LCLAIMS-MADE AGGREGATE $ EXCESS LIAB DED RETENTION $ WORKERS COMPENSATION x PER OTH- STATUTE ER AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECU I IVE E.L. EACH ACCIDENT $ 100,000 B OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) NIA 4187053 11/1/2017 11/1/2018 E.L. DISEASE - EA EMPLOYEq $ 100,000 E.L. DISEASE - POLICY LIMIT 1 $ 500,000 If es, describe under DESCRIPTION OF OPERATIONS below A Contractors' Equipment EN 00433109 4/15/2018 4/15/2019 $50,000 Leased/Rented Equip DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder will be given 30 day written notice should the insurance be cancelled or non -renewed; however 10 day notice will apply in the event of non-payment of premium. Certificate holder, its officers, agents and employees are named as additional insureds as respects general liability. City of Fort Collins P O Box 580 Fort Collins, CO 80522 L:AIVL,tLLA I IL)N 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 R McReynolds/RESTEI le_�ow_l ACORD 25 (2014/01) INRn7F nnlnnn © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD