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HomeMy WebLinkAbout601609 MYERS & SONS CONSTRUCTION LP - INSURANCE CERTIFICATE (8)AL ® 72/21/2018 (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). F CER CONTACT NAME: dale-Alliant Ins Svc Inc PHONEFAX arle Ovington Blvd Ste 700 aMAL - 516-414-8900 A/c No: dale NY 11553 ADDRESS: INSURER A: Travelers Indemnity Company 25658 INSURED STERCON-04 INSURERS; Travelers Property Casualty Co of Amer 25674 Myers & Sons Construction, L.P. 4600 Northgate Blvd., Suite 100 INSURERc: Berkshire Hathaway Specialty Insurance Company 22276 Sacramento, CA 95834 INSURER D : I INSURER E : nOVFRAr;FR rFRTIFICATF NUMBER: 14n3R15nti9 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 DOCUMEN-f 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. EXP INSR ADDLTYPE OF INSURANCE INSD WVQ SUER POLICY NUMBER MMI DPOLICY/YYYY MM/ DEFF Y/YYYY LIMITS LTR 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 occu rents $ 300,000 X MED EXP (Any one person) $10,000 Contractual Liab PERSONAL & ADV INJURY $ 2,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY PRO- JECT ❑ LOC PRODUCTS - COMP/OP AGG $ 4,000,000 $ OTHER: B AUTOMOBILE LIABILITY VTC2J-CAP-2E971281-TIL-18 3/1/2018 3/1/2019 COMBINED SINGLE LIMIT Ea accident $ 2,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident)$ NON -OWNED HIRED AUTOS X 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 o ono $ 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 7 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Horsetooth & College Intersection Improvements City of Fort Collins and Colorado Department of Transportation are included as Additional Insured on a Primary and Non -Contributory basis as respects General Liability, Automobile Liability and Umbrella Liability as required by written contract. Waiver of Subrogation is included and applies in favor of the Additional Insureds as required by written contract. Thirty (30) Days Notice of Cancellation applies. rFRTIFIrATF I-Ir)I nFR rANrFI I ATION 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. 215 North Mason St., 2nd Floor AUTHORIZED REPRESENTATIVE PO Box 580 Fort Collins CO 80522 U 1988-ZU14 AGUKD GUKNUKA I IUN. All rlgnts reservect. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD