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HomeMy WebLinkAboutW E O'NEIL CONSTRUCTION CO - INSURANCE CERTIFICATE (3)ONEIIND-01 WALDENKI '4�oRo CERTIFICATE OF LIABILITY INSURANCE DAT3E/((M4M/DDD17YY) 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 endorsement(s). PRODUCER Willis of Illinois, Inc. c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 37230-5191 CONTACT Willis Towers Watson Certificate Center NAME: PHONEFAX Et): (877) 945-7378 (NC, No):(888) 467 (A/C, No, -2378 nr oRE , certificates@willis.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Zurich American Insurance Company 16535 INSURED INSURER B:XL Specialty Insurance Company 37885 INSURER C : W.E. O'Neil Construction Co. c/o Jim Smith 1245 W. Washington INSURER D Chicago, IL 60607 INSURER E: INSURER F : G0VFRAnF9 CERTIFICATE NUMBER: 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 yyyp POLICY NUMBER POLICY EFF POLICY EXP LIMITS MM DD/YYYY A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X ;GL02978893-17 03/31/2017 EACH OCCURRENCE 03/31/2018 DAMAGE TO RENTED PREMISES (Es occurrence MED EXP (Any oneperson) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG 1,000,000 300,000 10,000 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY X JECT X� LOC OTHER: 2,000,000 2,000,000 A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY X Comp Ded: $1,OD0 X Coll Ded: $1,000 BAP02978895-17 03/31/2017 03/31/2018 Ee aocNED SINGLE LIMIT $ 2,000,000 BODILY INJURY Perperson) BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident B X UMBRELLA LIAB EXCESS UAB X OCCUR CLAIMS -MADE US0006505BLI17A 03/31/2017 03/31/2018 EACH OCCURRENCE S 5,000,000 AGGREGATE 5,000,000 DIED I X I RETENTION $ 10,000 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE W.F.CER/MEMBER EXCLUDED? (Mdatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below N/A WC2978892-17 03/31/2017 03/31/2018 OTH- X PERSTAIER E.L. EACH ACCIDENT 1,000,000 E.L. DISEASE - EA EMPLOYE 1 000 000 ' ' E.L. DISEASE - POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Contractor's License The following are Additional Insureds on a Non-contributory basis as respects General Liability where required by written contract with respect to work performed by the Named Insured: City of Fort Collins. City of Fort Collins P.O. Box 580 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 �� ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD