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HomeMy WebLinkAbout365691 BRYAN CONSTRUCTION INC - INSURANCE CERTIFICATE (17)ACORD, CERTIFICATE OF LIABILITY INSURANCE 4/30,/201 g F DATE(MM/DD/YYYY) 1 1 /29/2018 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 Lockton Companies 8110 E. Union Avenue Suite 700 Denver CO 80237 CONTACT NAME: PHONE A/C No Ext : A/C No): E-MAIL ADDRE : INSURER(S) AFFORDING COVERAGE N IC a (303) 414-6000 INSURER A: Liberty Mutual Fire Insurance Company 23035 INSURED Bryan Construction, Inc. INSURER B : Everest National Insurance Com an 10120 1410792 7025 Campus Drive Colorado Springs, CO 80920-3164 INSURER C : Pinnacol Assurance Com an 41 190 o ; Herkley National Insurance Company 38911 -INSURER INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 14021439 REVISION NUMBER: XXXXXXX 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 ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP (MM/DDNYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx] OCCUR Y N TB2-Z91-467265-037 4/30/2017 4/30/2018 EACH OCCURRENCE 1,000,000 AG1 S0 a occur antes PREM SEE 300,000 MED EXP (Any oneperson) 5,000 PERSONAL & ADV INJURY $ 1000 000 GEN1 AGGREGATE LIMIT APPLIES PER. POLICY jE � ❑ OTHER. GENERAL AGGREGATE $ 2,000,000 [PRODUCTS ODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY N N AS2-L91-467265-027 4/30/2017 4/30/2018 (CEO,aocldeDiSINGLE LIMIT $ 1 000 000 X BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY ( Per accident $ XXXXXXX PRO PERTY Per accident $ XXXXXXX $XXXXXXX B U UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE N N XC5EX00181-171 CEX0960267600 4/30/2017 4/30/2017 4/30/2018 4/30/2018 EACH OCCURRENCE $ 25,000,000 ]( AGGREGATE $ 25,000,000 DED I I RETENTION $ $ XXXXXXX C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N OFFANYICE ER EXCLUDED? DPROPRIETORIPARTNER/E? ECUTIVE N❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA N 2310880 2/1/2018 2/1/2019 PER OTH- X PERT TUTE ER E L. EACH ACCIDENT !1 $ 1 OOOVOO E L. DISEASE - EA EMPLOYEE 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) the certificate holder is listed as additional insured in regards to the 7136 Lincoln Center Addition and Renovations project. CERTIFICATE HOLDER GANUhLLAI IUN See Attachments SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 14021439 AUTHORIZED REPRESENTATIVE City of Fort Collins 300 Laporte Avenue Fort Collins CO 80522 ACORD 25 (2016/031 ©1 8 2015 ACORD CORPO ATION. All rights reserved The ACORD name and logo are registered marks of ACORD