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Home My WebLink About168787 GOLDEN TRIANGLE CONSTRUCTION INC - INSURANCE CERTIFICATE (6)roent* 51920 RGOLDTRPI ACORD,. CERTIFICATE OF LIABILITY INSURANCE 12/"'0M/7DDIYYYY) PRODUCER HRH of Colorado 720 South Colorado Boulevard Suite 60ON Denver, CO 80246 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 Golden Triangle Construction, Inc 700 Weaver Park Rd Longmont, CO 80501 INSURER A CNA Insurance Companies B6486 INSURER B Pmnacol Assurance 41190 INSURER OneBeacon insurance 20621 INSURER D INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED 13ELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 ADD I INSR1 TYPEOFINSURANCE POLICY NUMBER POLICY EFFECTIVE DATEIMMIDDIYYI POLICY EXPIRATION DATE MIAPPYY LIMITS A GENERAL LIABILITY TCP2022866738 12/31/07 12/31/08 EACH OCCURRENCE $1000000 X COMM'ERCIAL GENERAL LIABILITY CLAIMSMADE 51OCCUR DAMAGE TORENTED PREMISEa $500000 MED EXP (Any one Perwn) $5000 PERSONAL 8 ADV INJURY S1.000.000 GENERAL AGGREGATE s2,000,000 GEN L AGGRECATE LIMIT APPLIES PER PRODUCTS COMPIOPAGG $2000000 POLIC/ X PROT X LOC A AUTOMOBILE LIABILITY ANY AUTO C2022866741 12/31/07 12/31/08 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ ALL ONMED AUTOS SCHEDULED AUTOS BODILY INJURY (Per amdent) $ X X HIRED AUTOS NON OWNED AUTOS physical Damage ACV less Ded PROPERTY DAMAGE (Pera=dent) $ GARAGE LIABILITY AUTO ONLY EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO S AUTO ONLY AGG A EXCESSIUMBRELLAU BILITY X OCCUR CLAIMS MADE CUP2022866786 12/31/07 12/31/08 EACH OCCURRENCE $7000000 AGGREGATE $7 OOO 000 S $ DEDUCTIBLE $ X RETE14TION $ 10,000 B WORKERS COMPENSATION AND 4013024 10l01/07 10l01l06 )( WC STATU OTH EMPLOYERS LIABILITY AM' PROPRIETORMARTNER/EXECUTIVE EL EACH ACCIDENT $1 000000 EL DISEASE EA EMPLOYEE $1,000 000 OFFICER/MEMBER ETCLUOEDI It yes describe under SPECIAL PROVISIONS beb EL DISEASE -POLICY LIMIT $1000000 C OTHER Leased Wor 790005057 01/01/08 01/01l09 $100,000 Rented Equipement $1,000 Ded Owned E uupment ACV DESCRIPTION OF OPERATIONS LOCATIONS 1 VEHICLES EXCLUSIONS ADDED BY ENDORSEMENT ISPECIAL PROVISIONS This Certificate of Insurance represents coverage currently in effect and may or may not be in compliance with any written contract The following cancellation conditions always apply (See Attached Descriptions) City of Ft Collins 215 N Mason PO Box 580 Forst Collins, CO 80524 I ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION IEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL *an DAYS WRITTEN TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVE ACORD 26 (2001108) 1 of 3 #M563848 8APER 0 ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(tes) 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 AGVKU Z*S fZUU11UU) 2 of #M563848 . 'DESCRIPTIONS;(Continuedfrom ",Page'l) I I ''I I S � 10 days for non-payment of premium If policy shown, 10 days for Workers' Compensation for fraud, material misrepresentation, non-payment of premium, other reasons approved by the Commissioner of Insurance shin ca n icuu-uua) 3 Or 3 SMbb.S AU