Loading...
HomeMy WebLinkAboutBOSCO CONSTRUCTORS INC - INSURANCE CERTIFICATE (10)J 1 ® ACORl7 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 11 / 17/2016 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 endorsements . PRODUCER Commercial Risk Solutions 6600 E Hampden Ave Ste 200 Denver CO 80224 CONTNAME: Katie Smothers PHONE 303-996-7801 FAX 303-757-7719 E-MAIL . ksmothers@crsdenver.com INSURERS AFFORDING COVERAGE NAIC i INSURER A: Continental Insurance Co. 35289 INSURED BOSCO-1 INSURER 8: National Fire Ins Co/Hartford 20478 Bosco Constructors, Inc. INSURER C: Continental Casualty Co. 20443 1860 Blake Street, Suite 170 Denver CO 80202 INSURER D: Pinnacol Assurance 41190 INSURER E : CNA 120478 INSURER F COVERAGES CERTIFICATE NUMBER: 1105221247 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 ADDLSUBR INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY C5088584079 12/1/2016 12/1/2017 EACH OCCURRENCE $1,000,000 CLAIMS -MADE u OCCUR DAMAGE TO RENTED 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 $2,000,000 POLICY FX7 ECT 7 LOC PRODUCTS - COMP/OP AGG $2,000,000 $ OTHER: B AUTOMOBILE LIABILITY C5088584082 12/1/2016 12/1/2017 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS XNON-OWNED AUTOS PROPERTY DAMAGE Per accident $ C X UMBRELLA LIAB X OCCUR C5088584065 12/1/2016 12/1/2017 EACH OCCURRENCE $7.000,000 _ AGGREGATE $7,000,000 EXCESS LIAB CLAIMS -MADE DED I X I RETENTION $ 10,000 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N N / A 2226180 4/1/2016 4/1/2017 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.LDISEASE- EAEMPLOYE $1,000,OUO (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 A E Lease/Rented Equip Professional/Pollution C5088584079 6024318667 12/1/2016 4/1/2016 12/1/2017 4/1/2017 Limit! Ded 350,000 /1,000 Occurrence 1,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / 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. I.CR 1 Ir It,A 1 r 17IIJLUCR L AN1,r-LLA I IUN 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 RE PRESENTATIVE "'�I� © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD