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HomeMy WebLinkAbout564493 G ORR CONSTRUCTION LTD - INSURANCE CERTIFICATE (4)ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10/18/2017 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 certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER CONTACT Renee McReynolds NAME: y PHONE (970) 679-7344 FAX (866)425-6180 A/C No Ewing —Leavitt Insurance Agency, Inc. AIL ADDRESS:renee-mcreynolds@leavitt.com 4090 Clydesdale Parkway INSURERS AFFORDING COVERAGE NAIC # Suite 101 INSURERA:Cincinnati Insurance Co 10677 Loveland CO 80538 INSURED INSURER B :Pinnacol Assurance 41190 INSURER C : G Orr Construction Ltd INSURER D : 201 Commerce Drive INSURER E Unit #1 INSURER F : Fort Collins CO 80524 COVERAGES CERTIFICATE NUMBER:17-18 update 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 ADDL SUBR - POLICY NUMBER I POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE � OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 500,000 x MED EXP (Any one person $ 10,000 incl Blkt WOS ENP0433109 4/15/2017 4/15/2018 x incl Blkt Addl Insureds PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE Is 2,000,000 POLICY � JECT LOC PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS ENP0433109 4/15/2017 4/15/2018 BODILY INJURY (Pid eraccent ) $ X PROPERTY DAMAGE Per accident) $ HIRED AUTOS 7C NON -OWNED AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DIED I RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORlPARTNER/EXECU I IVE (Mandatory NH MBER EXCLUDED? ( ry ) N / 4 4187053 11/1/2017 11/1/2018 x PER OTH- I STATUTE ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYE $ 100 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 A Contractors' Equipment ENP0433109 4/15/2017 4/15/2018 $50,000Leased/Rented $500 deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder will be given 30 day written notice should the insurance be cancelled or non -renewed; however 10 day notice will apply in the event of non-payment of premium. Certificate holder, its officers, agents and employees are named as additional insureds as respects general liability. City of Fort Collins P O Box 580 Fort Collins, CO 80522 CANCELLATION 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 R McReynolds/RESTEI8��'h ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) INCn9F ron1An11 The ACORD name and logo are registered marks of ACORD