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HomeMy WebLinkAboutBOSCO CONSTRUCTION INC - INSURANCE CERTIFICATEA!�/'1 ® DATE (MM/DD/YYYY) ll.•..l �...//~•••//R" CERTIFICATE OF LIABILITY INSURANCE Fil/17/2017 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 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 endorsements . PRODUCER CONTACT NAME: _ Katie Smothers Commercial Risk Solutions PHONE 303 996 7801 FAX c.303-757-7719 6600 E Hampden Ave Ste 200 E-MAIL — Denver CO 80224 ADDR ss. ksmothers@crsdenver.com INSURED Basco Constructors, Inc. 1860 Blake Street, Suite 170 Denver CO 80202 INSURER(S) AFFORDING COVERAGE NA INSURERA:Continental Insurance Co. 35289 BOSCO-1 INSURER B: National Fire Ins Co/Hartford_ 20478 INSURER C : PlnnaC01 Assurance------- 41190 INSURER D : CNA 20478 INSURER E: Transportation Insurance Co. 20494 Cn11P0AC_FQ rFOTIFIr_ATF MI IMRFD- 377790080 DF\rlClrllU IVI IRARFD- 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 TYPE OF INSURANCE INSD R� yyyp POLICY NUMBER POLICY EFF MIDDIYYYY POLICY EXP MMIDINYYYY _ LIMITS E X COMMERCIAL GENERAL LIABILITY 5088584079 12/1/2017 12/1/2018 EACH OCCURRENCE $1,000,000 —1 AMACET012EN7E� CLAIMS -MADE OCCUR PREMISES (Ea occurrence $500,000 MED EXP (Any one person) $15,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE E2,000,000 POLICY ❑X FRO JECT LOC PRODUCTS -COMP/OP AGG E2,000,000 $ OTHER: B AUTOMOBILE LIABILITY 5088584082 12/1/2017 12/1/2018 COMBINED SINGLE Ea accident) 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY R_0PERT7D7 Per accident) -- $ --- — $ A I X -- -- UMBRELLA LIAR X OCCUR 5088584065 12/1/2017 12/1/2018 EACH OCCURRENCE $7,000,000 ------------------ AGGREGATE $7,000,000 EXCESS LIAB CLAIMS -MADE DED X RETENTION $10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y / N 2226180 4/1/2017 4/1/2018 X PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑N NIA E.L. EACH ACCIDENT - $1,000,000 ---- E.L. DISEASE - EA EMPLOYEE (Mandatory in NH) $1,000,000 Ifyes, describe under DESCRIPTION OF OPERATIONS below _--- $1,000,000 E.L. DISEASE - POLICY LIMIT 1 E D Leased and Rented Equipment ACV/Special Form/90%Coinsurance 5088584079 6024318667 11/1/1011 4/1/2017 11/1/2018 4/1/2018 Limit / Ded 350,000 /1,000 Occurrence 1,000,000 Professional/Pollution Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Water/Wastewater Treatment and Site Infrastructure, Design/Construction Contractor #7220. All policy terms, conditions and exclusions apply. CERTIFICATE HOLDER CANCELLATION City of Fort Collins Financial Services Purchasing Division 215 N Mason Street 2nd Floor Ft. Collins CO 80522 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 ( J qU.,%% © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD