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Home My WebLink About129302 HAGEMAN EARTH CYCLE - INSURANCE CERTIFICATE (3)ACORD,Y CERTIFICATE OF LIABILITY INSURANCE YYYY) 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 INSURERA Continental Western Group INSURER B INSURER INSURER D INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLI( Y PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH T115 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 I LTR PION TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DDIYY POLICY EXPIRATION DATE MM/DD/YY LIMITS A GENERAL LIABILITY CWP2344893 12/01/07 12/01/08 EACH OCCURRENCE $1000000 DAMMI ES (Eg RENTEcu an $100 000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one persnnl $5 000 CLAIMS MADE OCCUR PERSONAL & ADV INJURY $1 000 000 X PD Dad 500 GENERAL AGGREGATE 000 GEN L AGGREGATE LMTAPPLIESPER PRODUCTS COMP/OPAGG 000POLPEO TOO A AUTOMOBILE LIABILITY ANY AUTO CWP2344893 12/01/07 12/01/08 COMBINED SINGLE LIMITX (E.accident),000 rs2000 BODILY INJURYSCHEDULED (Per person) ALL OWNED AUTOS AUTOS BODILY INJURY (Par accident) $ X X HIRED AUTOS NON OWNED AUTOS PROPERTY DAMAGE (Par accident) $ GARAGE LIABILITY AUTOONLY EAACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY AGO A EXCESSIUMBRELLA LIABILITY CU2361408 12/01/07 12/01/08 EACH OCCURRENCE $1 000 000 X OCCUR Ll CLAIMS MADE AGGREGATE $1 000 000 $ DEDUCTIBLE $ X RETENTION $ 10000 WC STATU OTH WORKERS COMPENSATION AND I E L EACH ACCIDENT $ EMPLOYERS LIABILITY AN' ER/PARTNER/EXECUTi'✓E E L DISEASE EA EMPLOYEE $ OFFICER/MC5R/M EMBEBER EXCLUDED E L DISEASE POLICY LIMIT $ If yes describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Re Snow Removal City of Fort Collins Purchasing Department 256 W Mountain Ave Fort Collins, CO 80521 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10_ 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 AUTHORIZED ACORD 25 (2001/08) 1 of 2 #M399772 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 insurer(s), authorized representative or producer, and the certifica�e holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon ACORD 25-S (2001/08) 2 of 2 #M399772