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HomeMy WebLinkAbout101027 HENSEL PHELPS CONSTRUCTION COMPANY - INSURANCE CERTIFICATE (3)AC" 7ATE (MM/DD/YYYY) V CERTIFICATE OF LIABILITY INSURANCE 2/19/2016 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 Kell Urwiller NAME: y Flood and Peterson PHONENo, Ext. (970) 356-0123 NC No: (970)330-1867 PO Box 578 ADDRESS.KUrwi1ler@floodpeterson.com Greeley CO 80632 INSURERA:Zurich American Insurance Comoanv 16535 INSURED INSURERB:American Guarantee and Liability 26247 Hensel Phelps Construction Co. INSURERc:Steadfast Insurance Company 26387 Plains District INSURERD: P 0 BOX O INSURER E : _ Greeley CO 80632 INSURER F: COVERAGES CERTIFICATE NUMRFR-CL16121915119 REVISION NtIMRFR- 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 SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 5,000,000 A CLAIMS -MADE X OCCUR DAMAGETE PREMSESOEaoccurence $ 300,000 MED EXP (Any one person) $ GL0369726412 1/1/2017 1/1/2018 PERSONAL & ADV INJURY $ 5,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10, 000, 000 POLICY PEA LOC PRODUCTS - COMP/OP AGG $ 10, 000, 000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea ccident a $ 2,000,000 X BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BAP369726112 1/1/2017 1/1/2018 BODILY INJURY (Per accident) $ X PerOa RTY DAMAGE NON -OWNED HIRED AUTOS X AUTOS X UMBRELLA LIAB X !OCCUR EACH OCCURRENCE $ 25, 000, 000 AGGREGATE $ 25, 000, 000 B EXCESS LIAB CLAIMS -MADE _ _ DED RETENTION$ $ AUC928038415 1/1/2017 1/1/2018 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) N/A WC369726513 1/1/2017 1/1/2018 X PER OTH- STATUTE ER 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 C Professional and Pollution EOC937461713 1/1/2017 1/1/2018 Occurrence/Aggregate $10, 000, 000 Pollution DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Elizabeth 1864 LLC; MFCH AI, LLC; MFCH NC, LLC; McWhinney Real Estate Services, Inc. Sage Old Town FC Investor LLC; Sage Old Town FC Promote LLC; Sage Client 207, LLC; Sage Hospitality Resources, LLC, Sage Hotel Capital LLC, and their respective asset managers, managers, members, principals, officers, directors, shareholders, employees, agents, lenders, successors, assigns, volunteers and any affiliated parent or subsidiary companies are additional insureds. WSJ aall2L9111IaiL01R1Ja: �1G\►[rla,WG1ILai ► j30l6l83@henselphelps.com City of Fort Collins 215 N Mason St. Fort Collins, CO 80524 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 Keiser, CISR/NKEISE © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 rP01401)