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HomeMy WebLinkAbout454406 BIOHABITATS INC - INSURANCE CERTIFICATE (8)ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 12/30/2016 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). PRODUCER CONTACT NAME: AX A/CONN Ex (410) 832-7600 FpC No: (410)832-1849 Klein Agency, LLC. E-MAIL ADDRESS: P.O. BOX 219 INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:The Charter Oak Fire Ins. Co 25615 Timonium HD 21094 INSURED INSURER B :Travelers Indemnity Co. of CT _ 25682 INSURERC:Travelers Prop. & Cas. Co of America 25674 Biohabitats, Inc. 2081 Clipper Park Road 125623 INSURERD:The Phoenix Insurance Company INSURER E :Continental Casualty Company 120443 INSURER F: _ Baltimore MD 21211-1406 COVERAGES CERTIFICATE NUMBER:17-18 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. ILTRNSR,. OF INSURANCE ADDLTYPE INgn wyn SUER POLICY NUMBER MM DPOLIDY/YYYY MM/ D/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A CLAIMS -MADE ❑X OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 X MED EXP (Any one person) $ 10, 000 Contractural Liability 660OJ612234 l/1/2017 1/1/201B PERSONAL 8 ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4 , 000 , 000 POLICY JE0 LOC PRODUCTS - COMP/OP AGG $ 4 , 000 , 000 Employee Benefits $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ B X I ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BAOJ630633 1/1/2017 1/1/2018 BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 4 000 000 AGGREGATE $ 4,000,000 C EXCESS LIAB CLAIMS -MADE CUPOJ633531 1/1/2017 1/1/2018 DED I I RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AN Y PROPRIETOR/PARTNER/EXECUTIVE ❑N OFFICER/MEMBER EXCLUDED> (Mandatory in NH) /A UBOOOJ634195 All States Coverage Endorsement 1/1/2017 1/1/2018 X PER OTH- STATUTE I ER E.L. EACH ACCIDENT $ 1 , 000 , 000 E.L DISEASE - EA EMPLOYE $ 1 . 000, 000 If yes, describe under DESCRIPTION OF OPERATIONS below VA is a covered State I E.L. DISEASE - POLICY LIMIT -- $ 1,000,000 E Professional Liability ECH28838926 1/1/2017 1/1/2018 Each Claim $5,000,000 Aggregate $ 5, 0 0 0, 0 0 0 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Project - I-25 Wetlands; Biohabitats Project # 12904-01 See attached for specific additional insured wording. CERTIFICATE HOLDER CANCELLATION City of Fort Collins, Colorado Attention: John Stephen P.O. Box 508 Fort 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 Justin Klein/LISA ' ' �"— ACORD 25 (2014/01) INS025 (201401) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD