HomeMy WebLinkAboutVERTICAL LIMIT CONSTRUCTION LLC - INSURANCE CERTIFICATE (4)A ® DATE (MMIDD/YYYY)
/Y CERTIFICATE OF LIABILITY INSURANCE 12/28/2016
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 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 endorsements .
PRODUCER CONTACT
NAME: Teresa Wasick
Cobb Strecker Dunphy & Zimmermann PHONE FAX 612 349 2490
150 South Fifth Street WC NQ �tU- 612 349 2413 _ _ UVC, No):
Suite 2800 E-MAIL , twasick@csdz.com
Minneapolis MN 55402 INSURERS AFFORDING COVERAGE NAIC# _
INSURER A: Zurich American Insurance Company 16535
INSURED VERTLIMI INSURER B: Navigators Insurance Company 42307
Vertical Limit Construction LLC INSURER c: BerkleyAssurance Company 39462
825 3rd Avenue --
Wanamingo MN 55983 wsuRERD:
INSURER E
�Ilrn A!_rc r`r071rlr"Arr All IallDVD. 1QF5QdgQA'1 D11:1/1CInM IUIIIIARI=D-
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.
ILTRTYPE
LTR
OF INSURANCE
I
WVDI
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MMIDD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
GL0554319704
1/1/2017
1/1/2018
EACH OCCURRENCE
$1,000,000
CLAIMS -MADE L X OCCUR
PREM SESffa occurrence)-_$1,000,000
X
$10,000
Contr Liab Per
IVIED EXP (Anyone person)
X
PolicY Form/XCU
PERSONAL & ADV INJURY
$1,000,000
GENT
AGGREGATE LIMIT APPLIES PER:
GENERAL_AGGREGATE
$2,000,000 _
JPRO-
POLICY LOC
PRODUCTS - COMP/OP AGG
$2,000,000
$
OTHER:
A
AUTOMOBILE LIABILITY
BAP554320404
1/1/2017
1/1/2018
Eaa COMBNrD
�_
$1,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
PROPER I Y DAMAGE—
Per accident)
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
$
B
iUMBRELLA LIAB
X OCCUR
CH17EXC7720621V
1/1/2017
1/1/2018
EACH OCCURRENCE
$10,000,000
X
AGGREGATE
$10,000,000
EXCESS LIAR
CLAIMS -MADE
DE D I X I RETENTION $0
$
A
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? FN
(Mandatory in NH)
N/A
WC554320104
WCO23060601
1/1/2017
1/1/2017
1/1/2018
1/1/2018
X I STATUTE ERH
Stop Gap Incl,
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE - EA EMPLOYE
$1,000,000
E.L. DISEASE - POLICY LIMIT
$1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
C
A
Contractors Prof/Claims Made
Installation Floater
Riggers
PCADB50018970117
CPP554320504
1/1/2017
1/1/2017
1/1/2018
1/1/2018
Professional Limit: $2,000,000/Claim
IF Limit: $2,500,000
Riggers Limit: $1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
All Work Performed Additional Insured only if required by written contract with respect to General
Liability: City of Fort Collins
CERTIFICATE HOLDER UAN(;LLLA I IUN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
281 N College Ave;PO Box 560 ACCORDANCE WITH THE POLICY PROVISIONS.
Fort Collins CO 80526
A.Mkv ft D REPRESEraATI±E a
v 1988-ZOI5 AGUKD GUKNUKA I [UN. All rlgnts reserveo.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD