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ACORD,M CERTIFICATE OF LIABILITY
INSURANCE10/510
°°"'
PRODUCER
IMA of Colorado, Inc
1550 17th Street, Suite 600
Denver, CO 80202
303 534-4567
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
1
INSURERS AFFORDING COVERAGE
I
INSURED
G E Johnson Construction Company, Inc
Attn Accounts Payable
25 North Cascade Avenue, Suite 400
Colorado Springs, CO 80903
INSURER Travelers Indemnity Company
INSURER B Travelers Prop Cas Co of America
INSURER c Argonaut Insurance Co (Pmnacol)
INSURER D Pmnacol Assurance
INSURER E
rnveta Acce
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
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIOD
POLICY E%PIRATION
DATE MMIDDI
LIMITS
A
GENERAL LIABILITY
DTC00670C701IND07
10/01107
10/01108
EACH OCCURRENCE $1
OOO OOO
FIRE DAMAGE (Any one file) IS30D000
_
X I COM M ERCIAL GENERAL
CLAIMS MADE X 1 OCCUR
DX OCCUR
MED EXP (Any one Pereon)
S$ 000
PERSONAL&ADV INJURY
$1 OOO 000
X PO Ded 25,000
X
Annual Agg Ded
GENERAL AGGREGATE
S2 200.000
$100,000
GEN LAGGR-G�A�TE
_
LIMITAPPL�IEISPER
PRODUCTS -COMPIOP AGG
$2000000
POLICY X
PE O ILO(
B
AUTOMOBILE
X
LIABILITY
ANY AUTO
DT810067OC701TIL07
10/01/07
10/01/08
COMBINED SINGLE LIMIT
(Ea accltlent)
s1,DDD,DDO
BODILY INJURY
(Per permn)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
X
HIRED AUTOS
NON OWNED AUTOS
X
PROPERTY DAMAGE
(Per accident)
3
_
GARAGE LIABILITY
AUTOONLY EAACCIOENT
S
OTHER THAN EA ACC
$
ANY AUTO
S
AUTO ONLY All
B
EXCESS LIABILITY
DTSMCUP0670C701TIL
10/01107
10/01108
EACH OCCURRENCE I
s5,000,000
AGGREGATE I
$S 00O 000
X OCCUR CLAIMS MADE
S
$
DEDUCTIBLE
is,
X RETENTION $10000
C
WORKERS COMPENSATION AND
7711822270-CA Only
10/01/07
10/01/08
X WC$TATIT OTH-
E L EACH ACCIDENT
$100,000
D
EMPLOYERS LIABILITY
4048587-CO Only
10/01107
10/01/08
L DISEASE EA EMPLOYEE
S100,000
EE
LL DIS EASE POLICY LIMIT I
$500,000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSN HICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Re All Operations
City of Fort Collins
PO Box 580
Fort Collins, CO 80522
GUILD ANYOF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
I
TE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL3Q_ DAYSWRITTEN
TICE TOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT BUTFAILURE TODOSOSHALL
I
POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TH E INSURER ITS AGENTS OR
REPRESENTATIVE
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