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HomeMy WebLinkAbout105888 VALMONT INDUSTRIES - INSURANCE CERTIFICATE (7)ACORO� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/15/2017 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 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 AOn Risk services Central, Inc. Omaha NE Office CONTACT NAME: (A/C.. No. Ext): Ca02) 697-1400 AJC. No.): (402) 697-1594 11213 Davenport Suite 201 E-MAIL ADDRESS: Omaha NE 68154 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: ACE American Insurance Company 22667 valmont Industries, Inc. Attn: Megan Wagner One Valmont Plaza INSURERB: Evanston Insurance Company 35378 INSURERC: The Continental Insurance Company 35289 Omaha NE 68154-5215 USA INSURER D: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 570069486849 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. Limits shown are as requested LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X❑ OCCUR HDOG General Liability EACH OCCURRENCE $2,000,000 DA A NT PREMISES Ea occurrence $1,000,000 MED EXP (Any one person) $10 , 000 PERSONAL& ADV INJURY $1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER. X POLICY PRO- JECT LOC GENERALAGGREGATE $4, 000, 000 PRODUCTS - COMP/OPAGG $4,000,000 OTHER: A AUTOMOBILE LIABILITY ISAH09053694 SIR applies per policy terns 01/01/2017 & conditions 03/01/2018 COMBINED SINGLE LIMIT Ea accident)$2,000,000 BODILY INJURY ( Per person) X ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED AUTOS NON -OWNED ONLY AUTOS ONLY BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident c X UMBRELLA LIAB X OCCUR 5094882742 01/01/2017 03/01/2018 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS -MADE Umbrella AGGREGATE $10,000,000 DED I X RETENTION $10, 000 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS he!ow N I A WLRC64620526 WC 01/01/2018 03/01/2018 X PER OTH- STATUTE E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1, 000; 000 E.L. DISEASE -POLICY LIMIT $1,000,000 B� Archit&Enq Prof 7MKLv7PL0002 S 39 A&EProfessional Liability 01/01/2017 03/01/2018 Each Claim Aggregate $5,000,000 $5,000,000 Retention $500,000' DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Additional Insured - The General Liability and Automobile Liability policies include a blanket automatic additional insured endorsement or policy terms that provide additional insured status to certificate holder including the "products -completed operations" hazard where required by written contract. waiver of subrogation - All policies listed above include a blanket automatic waiver subrogation endorsement or policy terms that provide a waiver of subrogation only where required by written contract. Loss Payee - Automobile Liability policy includes a blanket loss payee endorsement or policy terms that provide loss pa ee status to certificate holder where required by written contract. Coverage is primary and non contributory. umbrella policy follows form of underlying policies listed above. I CERTIFICATE HOLDER City of Fort Collins Financial Services; Purchasing Division 21S N. Mason Street 2nd Floor Po Box 580 Fort Collinsq CO 80522 USA CANCELLATION 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 m c m m 'a 0 2 v 00 m a) 0 0 r` 0 Z W to U w r N U ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 10576471 LOC #: A�CO�RO® ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY Aon Risk Services Central, Inc. NAMEDINSURED Valmont Industries, Inc. POLICY NUMBER See Certificate Number: 570069486849 CARRIER See Certificate Number: 570069486849 NAIC CODE EFFECTIVE DATE. ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liabilitv Insurance Named Insured Schedule Valmont Industries, Inc. AgSense, LLC George Industries, Inc. valmont - southeastern Galvanizing, Inc. Valmont - Virginia Galvanizing, Inc. Valmont - Columbia Galvanizing, Inc. Valmont - Birmingham Galvanizing, Inc. Industrial Galvanizers America Holdings, Inc. Industrial Galvanizers America, Inc. yiatco Services, Inc. Pirod, Inc. (De) Valmont Coatings, Inc. (De) Valmont International Corp. Valmont Newmark, Inc. Valmont Northwest, Inc. valmont Composite Structures, Inc. Valmont Service Centers, Inc. American Galvanizing Compnay, Inc. valley Exports, Inc. Cascade Earth Sciences Ltd. (A&E Professional Liability & umbrella Only) Pure Metals Galvanizing ULC (A&E Professional Liability & umbrella Only) Lampadaires Feralux, Inc. (A&E Professional Liability & umbrella Only) Valmont west Coast Engineering Ltd. (A&E Professional Liability & Umbrella Only) Valmont WC Engineering Group Ltd. (A&E Professional Liability & Umbrella Only) Valmont west Coast Engineering, Inc. (A&E Professional Liability & Umbrella only) The ACORD name and logo are registered marks of ACORD