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