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HomeMy WebLinkAboutVERTICAL LIMIT CONSTRUCTION LLC - INSURANCE CERTIFICATE (5)A� ® DATE (MM/DD/YYYY) ��. CERTIFICATE OF LIABILITY INSURANCE F12/26/2017 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 CONTACT NAME: Teresa Wasick Cobb Strecker Dunphy & Zimmermann PHONE -- FAX 225 South Sixth Street (A/C. No, Exe: 612-349-2413 A/C i :612-349-2490 Suite 1900 E-MAIL twasick@csdz.com Minneapolis MN 55402 INSURERS AFFORDING COVERAGE NAIC# INSURER A: Zurich American Insurance Company 16535 INSURED VERTLIMI INSURER B : Navigators Insurance Company 42307 Vertical Limit Construction LLC 825 3rd Avenue INSURER c : Berkley Assurance Company 39462 Wanamingo, MN 55983 INSURERD: INSURER E COVERAGES CERTIFICATE NI]MRFR7 136S399613 REVISION NIIMRFR- 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. IISRLTR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXp MM/DD/YYYY -— LIMITS A X COMMERCIAL GENERAL LIABILITY GLO554319705 1/11/2018 1/1/2019 EACH OCCURRENCE $1,000.000 CLAIMS -MADE FKOCCUR PREMISES Ea occurrence), $1,000,000 X MED EXP (Any one person) $10,000 Contr Liab Per X _ Policy Form/XCU PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000.000 POLICY JPE LOC PRODUCTS -COMP/OP AGG $ 2,000,000 OTHER: A AUTOMOBILE LIABILITY SAP554320405 1/1/2018 1/1/2019 COMBINED SINGLE LIMIT Ea accident $1,000,000_ X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ B UMBRELLA LIAB X OCCUR CH18EXC7720621V 1/1/20111 1/1/2019 EACH OCCURRENCE $10,0D0,000 X AGGREGATE $10,000,000 EXCESS LIAB CLAIMS -MADE DIED I X RETENTION $ A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRI ETOR/PARTN ER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N N/A WC554320105 WCO23060602 1/1/2018 1/1/2018 1/112019 1/1/2019 XI PER O STATUTE ERTH_ Stop Gap Incl. E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory In NH) fl yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $1,000,000 C Contractors Prof/Claims Made PCADB50018970117 1/1/2018 1/1/2019 Professional Limit: $2,000,000/Claim A Installation Floater CPP554320505 111/2018 1/1/P019 IF Limit: $2.500,000 Riggers Riggers Limit: $1,000.000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) All Work Performed Additional Insured only if required by written contract with respect to General Liability: City of Fort Collins CERTIFICATE HOLDER CANCELLATION City of Fort Collins 281 N College Ave;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 REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD