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Home My WebLink AboutHIGH COUNTRY PIPELINE - INSURANCE CERTIFICATE (2)Clinn!$• 947R7 ulr_rnl PI n ACORUM CERTIFICATE OF LIABILITY INSURANCE DATE 09122106°"Y""' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Van Gilder Insurance Corp (CS) 24 South Weber, Suite 200 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Colorado Springs, CO 80903 719 634-8807 INSURERS AFFORDING COVERAGE NAIC # INSURED High Country Pipeline Contractors, Inc P.O. BOX 208 Penrose, CO 81240-0208 INSURER A: Bituminous Insurance Companies INSURER B: National Union Fire Ins Co of Pitts- INSURER C: Pinnacol Assurance INSURERD: Fireman's Fund Insurance Company INSURER E: COVERAGES 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. INSK TR NOW N R TYPE OF INSURANCE POLICY NUMBER POALICYTE M FFECTIVE POLICE EXPI� TION LIMITS A GENERALLIASILITY CLP3233717 09/25/06 09/25/07 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPREMISES Me gccunanw!I $300000 CLAIMS MADE F x] OCCUR MED EXP (Any one Person) $5 000 PERSONAL It ADV INJURY $1 000 000 X PD Ded:1,000 GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG s2,000,000 POLICY I X I PRO- LOC A AUTOMOBILE LIABILITY ANY AUTO CAP3507811 09/25/06 09/25/07 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per Person) $ ALL OWNED AUTOS SCHEDULEDAUTOS X X BODILY INJURY (Per accident) $ HIREDAUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ OTHER THAN EA ACC S ANY AUTO $ AUTO ONLY: AGG B EXCESSIUMBRELLA LIABILITY BINDER420209 09/25/06 09/25/07 EACH OCCURRENCE $5 00O 000 X1 OCCUR CLAIMS MADE AGGREGATE $5 000 000 S RDEDUCTIBLE Is X Is RETENTION $ D C WORKERS COMPENSATION AND 4014538 10/01/06 10/01/07 711 X TORY WO I IM 0ER EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $1000000 E.L. DISEASE -EA EMPLOYEE $1 OOO OOO OFFICERIMEMBER EXCLUDED? It yes, describe ender SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 D OTHER Comml Inland 98474255 09/25/06 09/25/07 Limit: $450,000 L/R Equipment Ded: $1000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS 10 Day written cancellation 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 80622 LID ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _ 0 DAYS WRITTEN E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 30 SHALL tE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD 2512007/081 4 _f f Wa11Aaa-224 REPRESENTATIVE I ARM ra ACORn rORPORATInIJ IQAA