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HomeMy WebLinkAbout109445 CONNELL RESOURCES INC - INSURANCE CERTIFICATEACORDT. CERTIFICATE OF LIABILITY INSURANCE 0DATE (MMID 5/31/07DIYYYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4821 Wheaton Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P O Box 270370 Fort Collins, CO 80527 INSURERS AFFORDING COVERAGE NAIC # INSURED Connell Resources, Inc. 4305 E. Harmony Rd. Fort Collins, CO 80528-9527 COVERAGES INSURERA: Zurich INSURER B: American International wsURERC: Pinnacol Assurance INSURER D: 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 NSR TYPE OF INSURANCE POLICY NUMBER DALTEYMM DD/YYE POLICY DATE MMIDD/YY EXPIRATION LIMITS A GENERAL LIABILITY CP0375782403 06/01/07 06/01/08 EACH OCCURRENCE $1 000000 COMMERCIAL GENERAL LIABILITY CLAIMS MADE O OCCUR DAMAGE TO RENTEDPREMIS $3000OO MED EXP (Any one person) $1O 000 PERSONAL & ADV INJURY $1 00O 000 X PD Ded: $5,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 PROT LOC POLICY EJEG A AUTOMOBILE LIABILITY ANY AUTO CP0375782403 06/01/07 06/01/08 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X X PROPERTY DAMAGE (Per accident) $ Drive Other Car GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG B EXCESS/UMBRELLA LIABILITY BE7227830 06/01/07 06/01/08 EACH OCCURRENCE $5 OOO OOO X OCCUR ❑ CLAIMS MADE AGGREGATE $5000 OOO $ DEDUCTIBLE 1XI $ RETENTION $ 10000 ice. WORKERS COMPENSATION AND 4029651 06/01/07 06/01/08 TATU OTH- X WC LIMIT IER EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEEI s500,000 OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT 1 $500,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS RE: CRI# 2061010 - Timberline Road Widening Project Certificate holder is named as additional insured, but only as respects liability arising out of work performed by the named insured (Excluding Workers' Compensation). City of Fort Collins 215 N Mason St 2nd Floor Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL RK78 r ]It"MAIL .�3n DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,RJgJppppjpOppAyr�1( ACORD 25 (2001/08) 1 II #M382614 NIK 0 ACORD CORPORATION 1988 ACORDTM CERTIFICATE OF LIABILITY INSURANCE 0DATE 5/31/07DrrrrY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4821 Wheaton Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P O Box 270370 Fort Collins, CO 80527 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: Zurich Connell Resources, Inc. INSURER B: American International Companies 4305 E. Harmony Rd. INSURER C Pinnacol Assurance Fort Collins, CO 80528-9527 INSURER D. 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 INSRE TYPE OF INSURANCE POLICY NUMBER DATE (MM DD/YYE POLICYEXPIRATION)MMIUD/YY LIMITS A GENERAL LIABILITY CP0375782403 06/01/07 06101108 EACH OCCURRENCE $1 QQQ 000 COMMERCIAL GENERAL LIABILITY CLAIMS MADE FRI OCCUR DAMAGE TO RENTEDc�e $300 QOQ MED EXP (Any one person) $1 Q 000 PERSONAL &ADV INJURY $1 QQQ 000 X PD Ded: $5,000 GENERAL AGGREGATE $2 QQQ QQQ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 PRO POLICY 7 ELOC A AUTOMOBILE LIABILITY ANYAUTO CP0375782403 06/01107 06/01/08 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIREDAUTOS NON -OWNED AUTOS X X PROPERTY DAMAGE (Per accident) $ Drive Other Car GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG B EXCESSIUMBRELLA LIABILITY BE7227830 06/01/07 06/01/08 EACH OCCURRENCE $5 00Q 000 X1 OCCUR CLAIMS MADE AGGREGATE s5,000,000 $ RDEDUCTIBLE $ X RETENTION $ 10000 C WORKERS COMPENSATION AND 4029651 06/01/07 06/01/08 OTH- X I TWORWSMITUS EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE EL. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $500,000 OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE: 2007 Asphalt Supply Certificate holder is named as additional insured, but only as respects liability arising out of work performed by the named insured (Excluding Workers' Compensation). City of Fort Collins 215 N Mason Street 2nd Floor Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3Q_ 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 AUUKU ZO IZUUVUDJ 1 of 2 #M382588 RXC 0 ACORD CORPORATION 1988