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HomeMy WebLinkAboutWESTERN CONSTRUCTION MANAGEMENT INC - INSURANCE CERTIFICATEDATE (MM/DD/YYW ) CERTIFICATE OF LIABILITY INSURANCE 11T10/2017 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 cerUflcato does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTA FARMERS INS GRP - FRAWLEY AGCY NAME: Scott Frawle PHONE �970) 1136 East Stuart, Ste 2220 223-2911 ac ND:(970) 223-2809 Fort Collins, CO 80525 ADDRESS:sfrawle @farmersa ent.com INSURED WESTERN CONSTRUCTION MANAGEMENT INC. 724 SOARING EAGLE DRIVE LAPORTE , CO 80535 r:rIVFRGr_cC INSURER(S) AFFORDING COVERAGE NAICM A: Mesa Underwriters Specialty Ins. B: C: E: . � 1. .. —I � I1fuIwocm' THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED REVISION NUMBER: BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS 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 INSR BY PAID CLAIMS. ADDL LTR TYPE OF INSURANCE INSR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY X EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100,000 CLAIMS -MADE a OCCUR AY MED EXP (Any one person) $ 5 0 0 0 MP0005003001474 07/22/2017 07/22/2018 PERSONAL BADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S 2,000,000 x POLICY PRO LOC $ AUTOMOBILE LIABILITY GUMBINFID SINGLE LIMIT Ea accident $ ANYAUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED AUTOS OPERTY DAMAGE $ Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED 1 1 RETENTEON $ . $ WORKERS COMPENSATION W TATU- TH- AND EMPLOYERS' LIABILITY Y/N T T E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUnVE OFFICER/MEMBER EXCLUDED? ❑ N/A E.L. DISEASE - EA EMPLOYE $ (mandatory In NH) K yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Additional insured for ongoing operations with respects to the General (Liability. City of Fort Collins 303 N. College Ave. Fort Collins, CO 80524 FAX: 970-224-6134 ATTN: Claudia 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 ©1988-2010 AGORD GORPURA I IUN. All ngnts reservec. ACORD25(2010/05) The ACORD name and logo are registered marks of ACORD