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Home My WebLink AboutPINKARD - INSURANCE CERTIFICATE (3)The INA Financial Group, Inc. INA of Colorado, Inc. 1550 17th Street Suite 600 Denver, CO 80202 City of Fort Collins, Colorado 215 North Mason Street, 2nd Floor PO Box 580 Fort Collins, CO 80522 USA USA If you have questions regarding the content of this document, please contact the Producer/Agent listed on the certificate of insurance. This certificate replaces CN Id: 5100829 cc: -Jane Smiley 0 Pinkard Construction (6NAIL), The data included in this notice and in the attached document is confidential to ConfirmNet and the party responsible for bringing you this information. Powered ByCertiticetesNowTM -7 ACOR CERTIFICATE OF LIABILITY INSURANCE DATE(MmvDDnv) O1/18/07 PRODUCER 1-303-534-4567 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The INA Financial Group, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE INA of Colorado, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1550 17th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 600 Denver, CO 80202 INSURERS AFFORDING COVERAGE INSURED Pinkard Construction INSURER A: National Union Fire Ins. Co. of PA (AIG) INSURER B: Illinois Union Ins Cc (ACE American Ins Cc) INSURER Ciinnacol Assurance 9195 Nest 6th Avenue INSURERD:Zurich American Insurance company Lakewood, CO 80215 INSURER E: CAVCDAn=Q 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. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE (MMIDIDMI POLICY EXPIRATIONDATE DATE fMVMDNY) LIMITSD r GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR X SI/PD Ded: $50,000 OL0369651202 11/01/06 11/01/07 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $300,000 MED EXP (An one person $ 10,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO- LOC PRODUCTS - COMP/OP AGG $2,000,000 D AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BAP369651302 11/01/06 11/01/07 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ A EXCESS LIABILITY X OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $10,000 BE7227889 11/01/06 11/01/07 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2321400 10/01/06 10/01/07 X WC STADRY TU- OTH- FIR E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L DISEASE -POLICY LIMIT $500, 000 B OTHER Professional Liability Pollution Liability $2,000,000 Shared Lmt CEOG23567519002 with Pollution L. 11/01/06 11/01/07 Each Claim $ 2,000,000 Aggregate $ 2,000,000 Each Claim Ded. $ 25,000 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS City of Fort Collins, Colorado is included as Additional Insured on the General Liability Policy as required by written contract or agreement and with respect to work performed by Insured. CERTIFICATE HOLDER I I ADDITIONAL INRIIRFn- INRI IRFR I IMnPR- CANI I I ATII RE: CONSTRUCTION OF A 49,980 SQ. FT. NORTBSIDE AZTLAN CENTER LOCATED AT 112 EAST NILLON STREET, FORT COLLINS, CO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins, Colorado 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 215 North Nason Street, 2nd Floor IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR PO BOX 580 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE�i Fort Collins, CO 80522 USA 1� AGUIIV 25-b (7/97) elespron O ACORD CORPORATION 19M 5558569 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.