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HomeMy WebLinkAboutMCDAVID CONSTRUCTION INC - INSURANCE CERTIFICATE (8)MCDACON-01 EHINKLE '4�oRv CERTIFICATE OF LIABILITY INSURANCE DATE (MM/ 12/15/2017Y) 017 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 LeBaron & Carroll LLCAvenue 1350 E Southern Avenue Mesa, AZ 85204 CONTACT AME CT Emily Hinkle A/CNNo, Ext 480 464-3406 aC No : 480 844-9866 ( ►� � � ( � ADD E s: Emily@LebaronCarroll.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Selective Insurance Company of America 12572 INSURED INSURER 8: Copperpoint General Ins Co 13043 INSURER C : McDavid Construction, Inc. INSURER D : 2239 E. Rose Garden Loop Phoenix, AZ 85204 INSURER E INSURER F : COVERAGES 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX OCCUR S230269100 12/18/2017 12/18/2018 EACH OCCURRENCE $ 1,000,000 pAEMGE TO RENTED $ 500,000 MED EXP (Any oneperson) $ 15,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L RPOLICY AGGREGATE LIMIT APPLIES PER: 1XI PEPT LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY AUUTOS ONLY S230269100 12/18/2017 12/18/2018 COMBcINED ident)SINGLE LIMIT (EaX $ 1,000,000 BODILY INJURY Perperson) $ BODILY INJURY Per accident $ Pare d DAMAGE $ A X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE - S230269100 ---- ____ --- -- 12/18/2017 - - -------- 12/18/2018 --- - EACH OCCURRENCE $ 2,000,000 AGGREGATE - ---- 2,000,000 $---- DED X RETENTION $ 0 -- B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/M�MBEREXCLUDED?------�_N/A (Mandatorym NH) If yes, describe under DESCRIPTION OF OPERATIONS below _ _-_. 1017576 __.. _----------------. 09/01/2017 _._.. 09/01/2018 ----- �( PER OTH- AT E.L.EACHACCIDENT 1,000,000 $ _—-------------------1,000;000 E.L.DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT 1,000,000 A Leased/Rented Equip S230269100 12/18/2017 12/18/2018 Limit 60,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Collins PO Box 580 Fort Collins, CO 80526 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 ACORD 25 (2016/03) ©1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD