Loading...
HomeMy WebLinkAboutWANER CONSTRUCTION COMPANY INC - INSURANCE CERTIFICATE (5)Ntnizsrxt A ® DATE (MMIDD/YYYY) A CERTIFICATE OF LIABILITY INSURANCE 02/27/2018 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: INA, Inc. - Colorado Division PHONE FAX AAIC.NQ.EjQ1 _ '' (A/C.No): E-MAIL demccountteclleQimacorp.cOm 1705 17th Street ADDRESS: Suite 100 INSu S AFFORDING COVERAGE NAIC0__ Denver, CO 80202 INSURERA:VAL1 FOR(R INS CO (CNA) 20508 INSURED INSURERS: NATIONAL FIRS INS CO OF EARTFORD(CNA) 20478 Warier Construction Company, Inc. INSURER CCONTINENTAL INS CO (CNA) 35289 8950 Barron Blvd, Unit 103 INSURERD: PINNACOL A88UR 41190 - INSURERE: TRAVZIMS PROF CAS CO OF AIRS 25674 Highlands Ranch, CO 80129 INSURERF: nnv�nwn_oe reoTHICU ATe uuuaco- 52153234 RFVISIAN NIIMRFR- 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 ADDL SUER POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMIDD/YYYY MWDD A X COMMERCIAL GENERAL LIABILITY 2092449581 03/01/18 03/01/19 EACH OCCURRENCE i 1,000,000 - I� CLAIMS -MADE U OCCUR DAMAGEE T61TED PREMISES Ea occurrence -- = 300,000 - X MED EXP (Any one person) FD Ded; $2, 000 $ 5,000 PERSONAL h ADV INJURY = 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE t 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 _ POLICY PRO- JECT 1XI LOC $ OTHER: B AUTOMOBILELIABILIY 2092449595 03/01/18 03/01/19 COMBINEDSINGLELIMIT Eaaccident i 1,000,000 BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) f OWNED SCHEDULED AUTOS ONLY __ AUTOS IX HIRED NON -OWNED I AUTOS ONLY % AUTOS ONLY — PROPERTY DAMAGE Per accident -- $ _ C X iMIBRELLALIM Z OCCUR 2092449578 03/01/18 03/01/19 EACH OCCURRENCE $ 2,000,000 AGGREGATE EXCESSLIAB CLAIMS -MADE s a, 000, 000 DIED i % RETENTION 10, 000 = D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANYPROPRIETORlPARTNER/EXECUTIVE OFFICER/MEMBEREXCLUE (Mandatory In NH) NIA 4107186 03/01/18 03/01/19 z PERT STAR E.L. EACH ACCIDENT s 500,000 $ 500,000 E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT = 500, 000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space In required) Certificate Holder is included as Additional insured on the General Liability Policy if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. GtKIIrIUAIt KULUtK �,MIeI,CLL,91rV1� 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. PO BOX 580 AUTHORIZED REPRESENTATIVE MR Fort Collins, CO 80522-0000 IISA W 1V50-ZU1.1 AGUKU k UKYVKAI IUM. All r18nTs reserves ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD emarrick 52153234