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Home My WebLink About129302 HAGEMAN EARTH CYCLE - INSURANCE CERTIFICATE (2)ACORD- CERTIFICATE OF LIABILITY INSURANCE 11/27/o,°""""' PRODUCER Flood & Peterson Insurance Inc 4821 Wheaton Drive P O Box 270370 Fort Collins, CO 80527 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 Hageman Earth Cycle, Inc Hageman Enterprises, LLC 3501 E Prospect Street Fort Collins, CO 80525 INSURER Continental Western Group INSURER B INSURER C INSURER D INSURER E rnVFRAr_FS 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 NBR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE MMIDDIYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY � CLAIt.S HADE L ^J OCCUR X PD Ded 500 CWP2344893 12/01/07 12/01/08 EACH OCCURRENCE $1000000 'PR TO RENTED $100 DDD MED EXP (Any one person) $5 000 PERSONAL B ADV INJURY $1 DDD DDD GENERAL AGGREGATE s21000.000 GEN L AGGREGATE LIMIT APPLIES PER POLICY r PEA F7 LOG PRODUCTS COMPIOPAGG $2000000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS CWP2344893 12/01/07 12/01/08 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Peracoidenl) $ GAR AGE LIABILITY ANY AUTO M AUTO ONLY EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY AEG $ $ A EXCESSIUMBRELLA LIABILITY X I OCCUR F-ICLAIMS MADE DEDUCTIBLE X RETENTION $ 1000D CU2361408 12/01/07 12/01/08 EACH OCCURRENCE $1000000 AGGREGATE $1 DDD DDD $ $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY AN( PROPRIETORPAH IIJERIEXECU FIVE OFFICER/MEMBER EXCLUDED' It yes describe under SPECIAL PROVISIONS below WC STATU OTH MT, EL ENCH ACCIDENT $ E L DISEASE EA EMPLOYEE $ EL DISEASE POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS City of Fort Collins Risk Management Dept Attn Darlene P O Box 580 Ft Collins , CO 80522 LO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THERFOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_ DAYS WRITTEN E TO I HE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL HE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVE ACORD 25 (2001I08) 1 Of 2 NM399772 DXS 0 ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 inswer(s), authorized representative or produces, 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 (2001108) 2 of 2 #M399772