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HomeMy WebLinkAbout541003 ECI SITE CONSTRUCTION MANAGEMENT INC - INSURANCE CERTIFICATE (5)NS 11lf, rriirfl.� ® DATE (YMIDDIYYYY) ,d►corry CERTIFICATE OF LIABILITY INSURANCE 06/28/2018 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 1-303-534-4567 CONTACT NAME: IMA, Inc. - Colorado Division PHONE FAX IAIC. No. LW* _ IAIC. Not: 1705 17th Street AADDDRRE s: denaccounttechWimacorp.ccm Suite 100 INSURER(S)AFFORDING COVERAGE NAIL/ Denver, CO 80202 INSURER A: BITDKMUS CAS CORP 20095 INSURED INSURER a: TRAVRIMM CAS INS CO OF AIf1Qt 19046 ECI Site Construction management, Inc. INSURER C TRAVSLMW PROP CAS OD OF Allot 25674 2526 14th Street SE INSURERD: INSURER E: Loveland, CO 80539 INSURER F: COVERAGES CERTIFICATE NUMBER: 53245594 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. IL.M TYPE OF INSURANCE ADDL SUER POLICY NUMBER MOLICOY EFF POLICY U�,S LTR A X COMMERCIAL GENERAL LIABILITY CLP3669966 07/01/18 07/01/19 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE IXI OCCUR -bA-MAGE TO -RENTED PREMISES Ea occurrence) $ 50,000 X MED EXP (Any one person) $ 5,000 PD Ded: $2, 000 PERSONAL 4 ADV INJURY 5 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: _ POLICY JEC7 ] LOC PRODUCTS -COMPIOPAGG $ 2,000,000 $ OTHER. A AUTOMOBILE LIABILITY CAP3669305 07/01/18 07/01/19 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS lX $ BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident X HIRED X NON -OWNED _._. _ AUTOS ONLY AUTOS ONLY $ $ B UMBRELLA LIAB X OCCUR ZQP61M9905A78NF 07/01/18 07/01/19 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 X EXCESS LIAB CLAIMS -MADE DED X RETENTION$ 10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YiN ANYPROPRIETORIPARTNER/FXECUTIVE OFFICER/MEMBEREXCLUDEDT (Mandatory In NH) NIA WC3669965 07/01/18 07/01/19 X STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 C lInstallation Floater QT6606J776196TIL18 07/01/18 07/01/19 lAny One Project 15,000,000 Temp/Transit 500,000 Deductible 1,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more spa" Is required) City of Fort Collins is included as Additional Insured on the General, Automobile, and Excess Liability Policies if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. A waiver of Subrogation is provided in favor of Additional Insured on the General, Automobile, Excess Liability, and workers, Compensation Policies if required by written contract or agreement and with respect to work performed by Insured suject to the policy terms and conditions. This Insurance is Primary and Non -Contributory on the General Liability Policy subject to the policy terms and conditions. l,tKI lrI6A I 11ULUCK 6AKL,GLLAI IVK RE: Poudre River Whitewater Park. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Matt Day PO BOX 580 AUTHORIZED REPRESENTATIVE MA Fort Collins, CO 80522 QSA 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD njones2014 53245594 a