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HomeMy WebLinkAboutALLIED CONSTRUCTION MANAGEMENT INC - INSURANCE CERTIFICATE (4)ALLICON-11 MCRAES A��Ro CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 12/7/2017 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 License # OE67768 Insurance Office of America, Inc. 1451 Route 34, Suite 101 Farmingdale, NJ 07727 NAME CT PHONE FAX 7 (A/C, No, Ext): (732 751-2900 (A/C, No):( 32) 751-2929 ADDRESS: INSURERISI AFFORDING COVERAGE NAIC III INSURERA:ZurICh American Insurance Company 16535 _ INSURED Allied Construction Management Inc. 2109 Heck Avenue Neptune City, NJ 07753 INSURER B : American Guarantee & Liability Insurance Company 26247 INSURER C : Harleysville Insurance Company of New Jersey 42900 D : Selective Fire & Casual Insurance Company14377 �11.,INSURER NSURER E : _ NSURER F : I rnvcoAr_0c rP:DTICICATE NUMBER: REVISION NUMBER: -W. VI\I1VLJ �� - 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 LT.TYPE OF INSURANCE ADDL�,SUBRI IN S.X. POLICY NUMBER POLICY EFF MMIDD POLICY EXP fYYYYl LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE ❑X OCCUR Contractual GL0022863402 12/10/2017 12/1OI2018 DAMAGESI RENTED PR MI a occurr e 300,000 $ X MED EXP (Any oneperson) $ 10,000 X UGL1175 & UGL925B PERSONAL & ADV INJURY $ 2,000,000 GEML AGGREGATE LIMIT APPLIES PER: POLICY � JE [X]LOC OTHER. GENERAL AGGREGATE $ 4,000,000 PRODUCTS - COMP/OP AGG $ 4,000,000 EMPL BENEFITS A $ 1,000,000 A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT accident 1,000,000 $ BODILY INJURY Per n $ X ANY AUTO BAP0228636-02 12/10/2017 12/10/2018 BODILY INJURY Per accident $ OWNED SCHEDULED AUTOS ONLY AUTOS Y HIRED X NON -OWNED L.-J AUTOS ONLY AUTOS ONLY PROPER aER (DAMAGE $ — B Y. UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE AUCO22866802 12/10/2017 '12/10/2018 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 DED I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY OFFICER/MEMBER/EXCLUDED? ECUTIVE a (Mandatory in NH) NIA CO22863502 12/10/2017 12/10/2018 PER X STATUTE OTH- E.L. EACH ACCIDENT 1,000,000 I$ E.L. DISEASE - EA EMPLOYE 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,OGO 1 $ f Yes, describe under DESCRIPTION OF OPERATIONS below C Equipment Floater CIM0000002145AE 12/10/2017 12/10/2018 Leased Rented 100,000 D Installation / Build CIMOOO0002145AE 12/10/2017 12/10/2018 Installation Floater 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Fort Colllins 215 North Mason Street, 2nd Floor PO 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 CURNUKA I IUN. An ngnts reservea. The ACORD name and logo are registered marks of ACORD