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HomeMy WebLinkAbout157655 WATTLE & DAUB CONTRACTORS INC - INSURANCE CERTIFICATE (9)FDATE (MMIDDIYYYY) A� " CERTIFICATE OF LIABILITY INSURANCE 1/4/2017 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 endorsement(s). PRODUCER CONTACT Laura Maes NAME: Denver Agency PHONE (AXI No t (303)892-6900 AX No: 210 University Blvd, Suite 600 ADDRESS.laura@denveragency.com Denver CO 80206-4661 INSURERA:Gemini Ins Co %Burns & Wilcox 10833 INSURED INSURERB:Travelers Indemnity Com any 25658 Wattle & Daub Contractors, Inc. INSURERC:Pinnacol Assurance 41190_ 8 Gibbs Rd. INSURER D : INSURER E : Laramie WY 82070 INSURERF: COVFRAOFS CFRTIFICATF NUIMBFR:2017 GL/AL/WC 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 ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER (MM/DDNYYYI JMM/DDNYYY1 LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE Fx_� OCCUR PR MISES Ea occurrence) $ 50,000 MED EXP (Any one person) $ 5,000 VCGP022770 1/1/2017 1/1/2018 PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY 1I JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 Employee Benefits $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE -LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ B X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BA-1281YO79-17-SEL 1/1/2017 1/1/2018 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON OWNED X HIRED AUTOS X AUTOS Uninsured motorist combined $ 1,000,000 UMBRELLA UAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE rlDED I I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y I N ANY PROPRIETORIPARTNEWEXECUTIVE OFFICER/MEMBER EXCLUDED? a (Mandatory in NH) N I A 4093011 1/1/2017 1/1/2018 X STATUTE ER E.L. EACH ACCIDENT - $ 1,000,000 E.LDISEASE- EAEMPLOY - $ 1,_000 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Certificate Holder is included as Additional Insured regarding General Liability. l;tK I WIGA It HULUtK t,ANL r_LLA I ILIN City of Fort Collins P.O. Box 580 Fort Collins, CO 80524 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 McKeever, CIC/LAURA� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD m gn,24 IOAlAnl)