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Home My WebLink AboutMCCAULEY CONSTRUCTORS INC - INSURANCE CERTIFICATE (2)AC40R ® CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOL-_ CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLILi— 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). ACT PRODUCER NAME: Jennifer Winter, CISR Flood and Peterson PHONENo, (970) 506-3206 FAX No: (970)506-6846 PO Box 578 ADDRESS:JWinter@floodpeterson.com Greeley CO 80632 INSURED McCauley Constructors, Inc. PO Box 200 Windsor CO 80550 INSURERS AFFORDING COVERAGE NAIL RERA Westfield Insurance Company 24112 ..ems e.Di ., e.�.. r.l neenr�nnc 41190 INSURER 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 UB POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR PD Ded: 1 000 TRA3373883 1/1/2017 1/1/2018 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 500,000 MED EXP (Any one person) $ 5,000 X , PERSONAL & ADV INJURY $ 1, 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 POLICY PRO-JECT LOC OTHER: AUTOMOBILE LIABILITY Ea accidentCOMBINED SINGLE LIMIT $ 1 , 000 , 000 BODILY INJURY (Per person) $ A X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS X Drive Other Car TRA3373883 1/1/2017 1/1/2018 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 A EXCESS LIAB CLAIMS -MADE DED X RETENTION$ 0 WORKERS COMPENSATION X PERT OTH- STAUTE ER $ TRA3373883 1/1/2017 1/1/2018 E.L. EACH ACCIDENT $ 1 000 000 B AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE � OFFICER/MEMBER EXCLUDED? LN] (Mandatory in NH) N/A 4G97236 1/1/2017 1/1/2018 E.L.DISF�ISE-EA EMPLOYE $ 1 000 000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 if yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Contractors License CERTIFICA I t HULUtK City of Fort Collins PO Box 580 Fort Collins, CO 80522-0580 V I'91\VLLLA 1 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 Winter, CISR/JWINTE v ra00-16V i•r ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 om401)