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Home My WebLink AboutBRB CONTRACTORS INC - INSURANCE CERTIFICATE (8)ACC)RV`� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 3/23/2018 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 endorsement(s). PRODUCER TRUSS 4551 W. 107th St Suite 300 NAME: CONTACT Certificate Department PHONE E,l. 913-341-8998 FnAic No): 913-341-2923 E-MAIL ADDRESS: Certificates TrussAdvanta e.com INSURERS AFFORDING COVERAGE NAIC # Overland Park KS 66207 INSURER A : Travelers Property Casualty 25674 INSURED INSURER B : Amerisure Insurance Company 19488 BRB Contractors, Inc. 3805 NW 25th Street Topeka KS 66618 INSURER C: Amerisure Mutual Ins Co 23396 INSURERD: Columbia Casual Co. (CNA) 31127 INSURER E : INSURER F : A I-- CC CCATICICATE NUMBER: 1763568rnR REVISION NUMBER: vTHIS 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM DDYIYYYY MMIDDfYYYY LIMITS B X COMMERCIAL GENERAL LIABILITY GL20753590701 4/1/2018 4/1/2019 EACH OCCURRENCE $ 1,000,D00 CLAIMS -MADE ExI OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $1,000,000 MED EXP (Any one person) S 10,0D0 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000.000 POLICY JE� 71 LOC OTHER: C AUTOMOBILE LIABILITY CA20753500902 4/1/2018 4/1/2019 COMBINED SINGLE LIMIT Ea accident $ 1 000 DOO BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB X OCCUR ZUR41 M0096118NF 4/1/2018 4/1/2019 EACH OCCURRENCE $ 20,000,000 AGGREGATE $ 2D,000,000 EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ _ $ C 'WORKERS COMPENSATION WC20753490702 4/12018 4/1/2019 X STEERH ATUTE E.L. EACH ACCIDENT $ 1,000,000 AND EMPLOYERS' LIABILITY Y i N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE-- POLICYLIMIT $ 1,000,000 i If yes, describe under 1 DESCRIPTION OF OPERATIONS below A Installation/Builder Risk D Contractors E&O/Pollution QT5307544B708TIL18 CE0207617a830 4/12018 4/72018 4/1/2019 4/72019 Contract AmoUnt/Ded 'See Below/2,500 LimitlDed (Per Claim) 2,000,DDO/25,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) II I t MULUtK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN James O'Neill, CPPO, FNIGP, City of Fort Collins, Director ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing & Risk Mgt 215 North Mason St., 2nd Floor AUTHORIZED REPRESENTATIVE Fort Collins CO 80524 w IV00-G1/ 1% M\+V—y.•w •.-�+�•��-�• ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD