HomeMy WebLinkAboutSNYDER CONSTRUCTION INC - INSURANCE CERTIFICATEACORD° CERTIFICATE OF LIABILITY INSURANCE
♦`�
DATE (MMlDD/YYYY)
7/27/2017
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 Kell Hyland, AIAM
y y _
_NAME:
PAH/ONN Extf (248) 471-0970 (A/C, No): (248)471-0641
VTC Insurance Group
ADDARESS:Khyland@gswins.com
Farmington Hills Office
INSURERS AFFORDING COVERAGE
NAIC #
37000 Grand River Ste 150
INSURER AAmerisure Mutual Insurance Co.
23396
Farmington Hills MI 48335
_
INSURED
INSURER B.-Nautilus Insurance Company
17370
INSURERC:
Snyder Construction Inc
INSURERD:
2766 11 Mile Rd.
INSURER E :
INSURER F :
Berkley MI 48073
COVERAGES CERTIFICATE NUMBER:17-18 liab 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
ADDL
SUBR
POLICY NUMBER
EFF
MM! DPOLICY/YYYY
Y EXP
MM/ D/YYYY
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
CLAIMS -MADE X OCCUR
DAMAGES( RENTED
PREMISES Ea occurrence
$ 100,000
MED EXP (Any one person)
$ 5,000
BDRCPP455212
7/27/2017
7/27/2018
PERSONAL & ADV INJURY
$ 1,000,000
GENT
GENERAL AGGREGATE
$ 2,000,000
AGGREGATE LIMIT APPLIES PER:
POLICY I "' I JECOT- LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
BODILY INJURY (Per person)
$
A
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON OWNED
X HIRED AUTOS X AUTOS
BDRCPP455212
7/27/2017
7/27/2018
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
UMBRELLA LAB
OCCUR
EACH OCCURRENCE
$ 5,000,000
HCLAIMS-MADE
AGGREGATE
$ 5,000,000
A
EXCESS LIAB
DED RETENTION$
$
BDRCPP455212
7/27/2017
7/27/2018
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE
X PER OTH-
PERER
E.L. EACH ACCIDENT
$ 1,000,000
A
OFFICER/MEMBER EXCLUDED? ❑
(Mandatory in NH)
N/A
BDRWC4458621
7/27/2017
7/27/2018
E.L. DISEASE - EA EMPLOYE
$ 1 000,000
E.L. DISEASE - POLICY LIMIT
1 $ 1,000,000
If yes, describe under
DESCRIP iION OF OPERATIONS below
B Pollution & Microbal
CPL202080410
1/30/2017
7/27/2018
Each Pollution Condition $1 , 000 , 000
Ded $5 , 000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
(`FRTIFIrATF mr)1 nFR CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Fort Collins
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
PO Box 580
ACCORDANCE WITH THE POLICY PROVISIONS.
Fort Collins, CO 80522-0580
AUTHORIZED REPRESENTATIVE
T Griffin, CTC, CRM/K'"-
ACORD 25 (2014/01)
INS025 oni4nn
U 1988-2014 AGUKU GUKNUKA I IUN. All ngnts reservea.
The ACORD name and logo are registered marks of ACORD