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HomeMy WebLinkAbout101027 HENSEL PHELPS CONSTRUCTION COMPANY - INSURANCE CERTIFICATEACORO® CERTIFICATE OF LIABILITY INSURANCE Ill DATE (MM/DD/YVVY) 1 11/16/2017 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 endorsements . PRODUCER Flood and Peterson PO Box 578 Greeley CO 80632 CONTACT Rebekkah McGuire NAME: PHONE (970) 356-0123 A/C No: (970)330-1867 E-MAIL RMcGuire@F1oodPeterson.com ADDRESS: INSURERS AFFORDING COVERAGE NAIC 8 INSURERA:Zurich American Insurance Company 16535 INSURED Hensel Phelps Construction Co. Plains District 12121 Grant Street; Suite 410 Thornton CO 80241 INSURER B:Ameri can Guarantee and Liability 26247 INSURERC:XL Insurance America, Inc. 24554 INSURERD: INSURER E: INSURERF: COVERAGES CERTIFICATE NUMBER:CL17102520133 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. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF M D YYY POLICY EXP MM YY LIMBS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 5,000,000 A CLAIMS -MADE � OCCUR DAMAGE TO RENTED PREMISES Eaoccurence $ 300,000 MED EXP (Any one person) $ GL0369726413 1/1/2018 1/1/2019 PERSONAL 8 ADV INJURY $ 5,000,000 G L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10, 000, 000 POLICY F JERCOT LOC PRODUCTS -COMP/OP AGG $ 10, 000, 000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 5,000,000 X BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BAP369726113 1/1/2018 1/1/2019 BODILY INJURY (Per accident) $ PPReOPPEcRdT ntDAMAGE NON -OWNED HIRED AUTOS AUTOSac B X UMBRELLA LIAB X OCCUR ATIC928038416 1/1/2018 1/1/2019 EACH OCCURRENCE $ 50,000,000 AGGREGATE $ 50, 000, 000 `, EXCESS LIAB CLAIMS -MADE DED RETENTION $ US00068961LI18A 1/1/2018 1/1/2019 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE � OFFICER/MEMBER EXCLUDED? '• I (Mandatory in NH) N/A WC369726514 1/1/2018 1/1/2019 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,0001000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT I $ 11000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Elizabeth 1864 LLC; MFCH AI, LLC; MFCH NC, LLC; McWhinney Real Estate Services, Inc. Sage Old Town FC Investor LLC; Sage Old Town FC Promote LLC; Sage Client 207, LLC; Sage Hospitality Resources, LLC, Sage Hotel Capital LLC, and their respective asset managers, managers, members, principals, officers, directors, shareholders, employees, agents, lenders, successors, assigns, volunteers and any affiliated parent or subsidiary companies are additional insureds. j30l6l83@henselphelps.com City of Fort Collins 215 N Mason St. Fort Collins, CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE N Keiser, CISR/NKEISE ACORD 25 (2014/01) INS025 (201401) © 19E8-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD