Loading...
HomeMy WebLinkAbout601609 MYERS & SONS CONSTRUCTION LP - INSURANCE CERTIFICATE (7)ACC)R" ® 72/21/2018 E (MM/DD/YYYY) �� CERTIFICATE OF LIABILITY INSURANCE 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). r RODUCER CONTACT NAME:niondale-Alliant Ins Svc Inc MIN 516-414-891)B {FAX A/C No):33 Earle Ovington Blvd Ste 700 niondale NY 11553 ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Travelers Indemnity Company 25658 INSURED STERCON-04 INSURER B : Travelers Property Casualty Co of Amer 25674 Myers & Sons Construction, L.P. INSURERC: Berkshire Hathaway Specialty Insurance Company 22276 4600 Northgate Blvd., Suite 100 Sacramento, CA 95834 INSURER D : INSURER E : r0 VFRAnFA CFRTIFIrATF NIIMRFR• 11'7RRnRR4L1 RFVISInN NIIMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 3ELOW 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 TYPE OF INSURANCE JUMMD POLICY NUMBER LTR MM/ D/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY VTC2K-CO-2E97127A-IND-18 3/1/2018 3/1/2019 EACH OCCURRENCE $ 2,000,000 _ CLAIMS -MADE ^ OCCUR DAMAGE To RENTED PREMISES Ea occurrence $ 300,000 X MED EXP (Any one person) $ 10,000 Contractual Lab PERSONAL & ADV INJURY $ 2,ODo,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY JECOT- ' - 1 LOC PRODUCTS - COMP/OP AGG $ 4,000,000 $ OTHER: B AUTOMOBILE LIABILITY i VTC2J-CAP-2E971281-TIL-18 3/1/2018 3/1/2019 COMBINED SINGLE LIMIT Ea accident $ 2 D00 000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peraccident $ X X NON -OWNED HIRED AUTOS AUTOS C X UMBRELLA LIAB X OCCUR 47-XSF-303345-02 3/1/2018 3/1/2019 EACH OCCURRENCE $ 25,000,000 AGGREGATE $25,000,000 EXCESS LIAB CLAIMS MADE DED X RETENTION $ sl n nnn $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N VTRJ-UB-2E971268-18 3/1/2018 3/1,2019 X PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 2,000,000 OFFICER/MEMBER EXCLUDED? N / A"- (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 2,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Service Agreement — Work Order Type / 8267 CMGC Services for Horsetooth & College Intersection Improvements The City of Fort Collins is included as Additional Insured as respects Liability arising out of work performed by the Named Insured as required by written contract. The insurance provided shall be primary and any other insurance maintained by the Additional Insured is excess and non-contributory. Waiver of Subrogation applies as required by contract. 30 days' notice of cancellation or non -renewal will be provided to Certificate Holder, except 10 days' notice for cancellation for non-payment of premium. CFRTIFICATF HOI nFR CANCFLLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Purchasing Department AUTHORIZED REPRESENTATIVE PO Box 580 Fort Collins, CO 80522 ���`,re►-""' © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD