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HomeMy WebLinkAboutROCKY MOUNTAIN PAVEMENT - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OF ID S ROCKY08 DATE(MM/DD/YYYY) 06 14 07 PRODUCER Omnivest Insurance Group dba Peliton Insurance 4600 S. Ulster St. #1400 Denver CO 80237 Phone:303-771-1800 Fax:303-290-0884 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED Rocky Mountain Pavement Maint. 2001 W. 64th Lane Denver CO 80221 INSURER A: **Pinnacol Assurance 41190 INSURER B: **Colorado Casualty ins Cos INsuRERc: INSURER D: _ INSURER E: CnVFRAC.FR 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 CLAIMSINbK LTR NSR TYPE OF INSURANCE POLICY NUMBER EFECTIVE DATIEYMMFDDIYY) POLICY E (NINI EXPIRATION LIMITS A X GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X� OCCUR CPP056768502 06/18/07 06/18/08 EACH OCCURRENCE $ 1 r 000 r 000 NTE PREMISES(Eaoccurence) $100,000 MED EXP (Any one person) $ 5 r 00 0 PERSONAL & ADV INJURY $ 1 r 000 r 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRQ LOC ECT J PRODUCTS - COMP/OP AGG $2r000r000 A X AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULEDAUTOS HIRED AUTOS NON-OWNEDAUTOS CPP056768502 06/18/07 06/18/08 COMBINED SINGLE LIMIT (Ea accident) $ 1 r 000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTYDAMAGE (Per accident) $ X GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ A X EXCESSWMBRELLA LIABILITY X OCCUR CLAIMSMADE DEDUCTIBLE X RETENTION $ O CUP05669202 06/18/07 06/18/08 EACH OCCURRENCE s 4,000,000 AGGREGATE s4,000,000 $ $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICEWMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 4113536 04/24/07 04/24/08 TWC LIMITS X ER E. L. EACH ACCIDENT s5OOr OOO E. L. DISEASE - EA EMPLOYEE s500,000 E. L. DISEASE -POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS City of Fort Collins is added as additional insured. CERTIFICATE HOLDER CANCELLATION CITOFTC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN City of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Purchasing Dept PO box 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Ft Collins CO 80522 REPRESENTATIVES. AUT ED R� S NTATIVE ACORD 25 (2001/08) © ACORD CORPORATION 1988