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HomeMy WebLinkAboutALLIED CONSTRUCTION MANAGEMENT INC - INSURANCE CERTIFICATE (3)ALLICON-11 HERRL AFRO CERTIFICATE OF LIABILITY INSURANCE F-11TE12/6/201(MM/DDNYYY) 6 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 endorsement(s). PRODUCER License # OE67768 CONTACT NAME: Insurance Office of America, Inc. PHONE FAX 1451 Route 34, Suite 101 (AIC, No, Ext): (732) 751-2900 1 (A/C, No):(732) 751-2929 Farmingdale, NJ 07727 ADDRESS: INSURED Allied Construction Management Inc. 2109 Heck Avenue Neptune City, NJ 07753 INSURER B :American Guarantee & Liability Insurance Company 126247 INSURER C : Selective Fire 8, Casualty Insurance Company 114377 F: CnVFRAr;FS RFRTIFICATG KitIMRGR• DCV1421nd1 suteeDCD. 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 IN SUBR POLICY NUMBER POLICY EFF M/DD POLICY EXP MM/ LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I —XI OCCUR Contractual GL0022863401 12/10/2016 12/10/2017 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED PREMI E a occurrence 300,000 $ X MED EXP An one person)$ 1 O,000 UGL1175 UGL9258 PERSONAL & ADV INJURY 2,000,000 $ X GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑X JE� X❑ LOC GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 EMPL BENEFITS A 11000,000 OTHER A li AUTOMOBILE LIABILITY tSINGLE LIMIT COc aBdeD 1,000, $ 000 BODILY INJURY Per n $ X ANY AUTO OWNED — SCHEDULED AUTOS ONLY AUTOS BAP022863601 12/10/2016 12/10/2017 BODILY INJURY Per accident - $ X PPe�acEcRdent DAMAGE $ AUTOS ONLY X NON ONL� B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS -MADE AUCO22866801 12/10/2016 12/10/2017 AGGREGATE $ 10,000,000 DED RETENTION $ A WORKERS ND EMPLOYERS' COMPENSATION Y! N ANY PROPRIETOR/PARTNER/EXECUTIVE � OFFICEWMEMBER EXCLUDED? 17N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA WCO22863501 12/10/2016 12/10/2017 X PER T OTH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 $ C Equipment Floater S2200206 12/10/2016 12/10/2017 Leased/Rented 100,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Colllins 215 North Mason Street, 2nd Floor PO Box 580 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 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD