HomeMy WebLinkAboutCertificate of InsuranceACORA. CERTIFICATE OF LIABILITY INSURANCE 01/01/2007 0DATE 9/25/2006
PRODUCER Lockton Companies THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
8110 E Union Avenue HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Suite 700 7 COVERAGE O I E
Denver CO 80237
(303) 414-M
AFFORDING COVERAGE
INSURED
1038875 Ludvik Electric Company
Attn: Rich Giles
POLICY EFFECTIVE
Zurich
INSURER A : Zurich American ins. Co.
INSURER B: National Union Fire
39M South Teller St.
Lakewood, CO 80235
GENERAL
X
INSURER C: Plnnacol Assurance
INSURER D : Ar chant Ins_ Co.
01/01/2006
THtQ Pr --Cmmr
INSURER E
A= n tucrro •.,rr .•.
COVERAGES U V I i i u t t A GtJN t HALT BETWEEN THE ICCCI IIWf:
.. vt nvntlw REPRESENIA11Vt OH FRODU AND THE ERTIFICATE HOLDER.
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
PO7k",000
LIMITS
A
GENERAL
X
LIABILITY
COMMERCIAL GENERALUABIUTy
CLAIMS MADE a OCCUR
GL0369723.5 -02
01/01/2006
URRENCE
$ 1.000 000
DAMAGE a,. I,.
s 100000
one
$ 5.000
L & ADV INJURY
S 1,000,000
AGGREGATE
2.000 OOO
GEN'L AGGREGATE LIMIITT APPLIES PER
POLICY X In LOC
PPADUCTS - COMPfOP AGG
s 2 OOO 000
A
AUTOMOBILE
X.
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON OWNED AUTOS
BAP3697236 -02
01/01/2006
-
01/01/2007
COMBINED SINGLE LIMIT
(Ea t)
$ 1,0KOW
BODILY INJURY
(Per Person)
$ X- X)0000(
X
(Per acmWURY
$ 'xXxxxXX
X
S xx-
GARAGE LIABILITY
ANY Auro
NOT APPLICABLE
ENT
EAUTOONLY: EA
S XX-XXXXX
CC
GG
r X XX)=
S XX.XXX)0�
B
EXCESS uABILTTY
X OCCUR FI CLAIMS MADE
aUWRELLA
DEDUCTIBLE FORM
RETENTION S
BE7227763
01/01/2006
01/01/2007
EACH OCCURREN CE
$ 5,000,000
AGGREGATE
5,cm nA0
$ XX�XXX
)SXX ?i'7O
S xx_hX3`;XX
C
D
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
OTHER
4031675 (CO)
47- 680-825225 (OS)
08/01/2006
08/01/2006
08101/2007
08/01/2007
X wC sr!-EA OTH-
E_L EACH AENT
$ 100.000
E.L DISEAS EMPLOYE
S 100.0w
E.L DISEASE- POLICY LIMIT S 500 000
DESCRIPTION OF OPERATIONS !LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: Four Seasons Resort - Vail, CO - Job # /Code: 06069 /16000 -SU - Holy Cross Underground Electrical Line. Black Diamond Resorts and Layton
Construction Co., Inc. are included as Additional Insured with respects to General and Automobile Liability.
2679805
Layton Construction Co., Inc.
9090 South Sandy Parkway
Sandy, UT 84070
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD 25 -S (7197) For qu..tiens regarding this certif —sae eontzatthe number fisted In the •PMdueer• stench ebme and qp ly the anent coda
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