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HomeMy WebLinkAbout357129 NARANJO CIVIL CONSTRUCTORS INC - INSURANCE CERTIFICATE (8)/ ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 2/17/2017 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 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 Jennifer Winter CISR NAME: PHOHC No. Ex (970)506-3206 AX No:(970)506-6846 Flood and Peterson ADDRESS:JWinter@floodpeterson.com PO Box 578 INSURER(S) AFFORDING COVERAGE NAIC / INSURERA:Phoenix Insurance Company 25623 Greeley CO 80632 INSURED INSURER B :Travelers Property Casualty Company 25674 INSURERC:Pinnacol Assurance 41190 H & L Concrete, Inc. Inc. INSURERD: dba Naranjo Civil Constructors, Inc. INSURER E : 1863 2nd Avenue INSURERF: Greeley CO 80631 COVERAGES CERTIFICATE NUMBER:CL1721716254 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 LTR TYPE OF INSURANCE A DL SUBR POLICY NUMBER MM%DD1YYYY MM/DDIYYYF POLICY Y LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 X MED EXP (Any one person) $ 10 , 000 PD Ded: 500 DTCOIJ14711APHX17 2/18/2017 2/18/2018 PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY II JECOT E-71 LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea ccident a $ 1,000,000 BODILY INJURY (Per person) $ B X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS DTBAlJ14711ATIL17 2/18/2017 2/18/2018 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED X HIRED AUTOS X AUTOS j $ X Drive Other Car X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 8,000,000 AGGREGATE $ 8,000,000 B EXCESS LIAR CLAIMS -MADE DIED I X RETENTION$ 10,000 $ CUB1J2532431726 2/18/2017 2/18/2018 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN X PER OTH- STATUTE ER C ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? y (Mandatory in NH) N/A 1452910 6/1/2016 6/1/2017 E.L. EACH ACCIDENT $ 1, 000 000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below 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) RE: College & Prospect Intersection Improvements #8318 City of Fort Collins, its officers, agents, and employees, are listed as Additional Insureds as respects General Liability and Auto Liability. Insurance is primary and non-contributory. A 30-day written notice of cancellation applies. City of Fort Collins Purhasing Department PO Box 580 Fort Collins, CO 80522 L"11C191314;t1Lou 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 J Winter, CISR/JWINTE ACORD 25 (2014/01) INS025 nm4nn ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD