The URL can be used to link to this page

Home My WebLink AboutHIGH COUNTRY PIPELINE - INSURANCE CERTIFICATEACORDn CERTIFICATE OF LIABILITY INSURANCE DATE VYYY) 10/06/200200 6 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Van Gilder Insurance Corp (CS) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 24 South Weber HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Colorado Springs, CO 80903 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 719 634-8807 INSURERS AFFORDING COVERAGE NAIC # INSURED High Country Pipeline Contractors, Inc INSURERA: Bituminous Insurance Companies INSURER B: National Union Fire Ins Co of Pitts- P.O. Box INSURERC: Pinnacol Assurance Penrose, CO 81240-0208 CO INSURER D: Fireman's Fund Insurance Company INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR INSRJ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE M D ri POLICY EXPIRATION DATE (MM/DOfYYI LIMITS A GENERAL LIABILITY CLP3233717 09/25106 09/25/07 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 51OCCUR DAMAGE TO RENTED $300OOO MED EXP (Any one Person) $5 000 X PD Ded:$1,000 PERSONAL B ADV INJURY $1 00O OOO GENERAL AGGREGATE s2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2000000 JECTPOLICY PRO LOC A AUTOMOBILE LIABILITY ANY AUTO CAP3507811 09/25/O6 09/25/07 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ALL OWNED AUTOS X SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG B EXCESSIUMBRELLA X1 LIABILITY OCCUR CLAIMS MADE BE0893658 09/25/06 09/26/07 EACH OCCURRENCE $5 000 000 AGGREGATE $5 OOO OOO $ $ DEDUCTIBLE X $ RETENTION $ $1O OOO 1 C WORKERS COMPENSATION AND 4014538 10/01/06 10/01/07 X WC STATU- OTH- EMPLOYERS' UABIUTY ANY PROPRIETOR/PARTNERIEXECUTIVE E.L. EACH ACCIDENT $1 000 000 E.L. DISEASE - EA EMPLOYEE $1 OOO,OOO OFFICERIMEMBER EXCLUDED? If yes, describe under E.L. DISEASE -POLICY LIMIT $1,000 000 SPECIAL PROVISIONS below D OTHER Equipment MZI98474255 09/25/06 09/25/07 $450,000/Ded: $1,000 Leased/ Rented Equipment DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS 10-Day Written Notice of Cancellation Shall Apply for Non -Payment of Premium. RE: Fort Collins Utilities City of Fort Collins, Water Utilities Attn: Project Manager P.O. Box 580 Fort Collins, CO 80522 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL AD_ DAYS WRITTEN ;E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL W NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVE ACORD 25 (2001108) 1 nF i dk\SARRRa9 ..... c. wnnen rneenewr,..0 .nee