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Home My WebLink AboutPINKARD - INSURANCE CERTIFICATE (6)ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE 1/06 M/DD YY) PRODUCER 1-303-534-4567 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION INA of Colorado, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 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 Zurich American Insurance company INSURER National Union Fire Ins. Cc of PA (AIG) 9195 West 6th Avenue INSURER Pinnacol Assurance INSURERO Lakewood, CO 80215 NSURER E COVERAGES 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 INS ,E OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY GL0369651203 11/01/07 11/01/08 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (An one Ore) $300,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR MED EXP(Any one person) $10,000 PERSONAL B ADV INJURY $ 1,000,000 X Ii Ded• $50,000 GENERAL AGGREGATE $ 2,000,000 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS COMP/OPAGG $2,000,000 POLICY X PRO LOD A AUTOMOBILE X LIABILITY ANY AUTO BAP369651303 11/01/07 11/01/08 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULEDAUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT IS OTHER THAN EA ACC $ ANY AUTO IS AUTO ONLY AGG B EXCESS LIABILITY BE7274983 11/01/07 11/01/08 EACH OCCURRENCE $ 10,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 10, 000, 000 $ $ X1DEDUCTIBLE RETENTION $10,000 O WORKERS COMPENRATON AND 2321400 10/01/07 10/01/08 X WC STATU OTH- EMPLOYERS LIABILITY E L EACH ACCIDENT $ 500,000 E L DISEASE EAEMPLOYEE $ 500, 000 EL DISEASE -POLICY LIMIT $ 500,000 OTHER $ $ DESCRIPTION OF OPERATIONS/LOCAnONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate Holder is included as Additional Insured on the General Liability Coverage if required by written contract or agreement sub3ect to the policy terms and conditions A Waiver of Subrogation is provided in favor of the Certificat Holder on the General Liability and Workers Compensation Policies, if required by written contract or agreement subject to the policy terms and conditions CERTIFICATE HOLDER I I ADDITIONAL INSURED, INSURER LETTER CANCELLATION RE Work Order# H-WRF. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 2004-1 Daft Odor Control City of Fort Collins 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 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 300 West La Porte Ave. P.O. Box 580 REPRESENTATIVES AUTHORIZED REPRESENTATIVE O, z� 11-1 Fort Collins, CO 80522 USA ACORD 25-S (7/97) millshae O ACORD CORPORATION 1988 7471342 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(es) 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 ACORD 25-S (7/97)