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Home My WebLink AboutHALL IRWIN - INSURANCE CERTIFICATEClient# 44870 HALIRI ACORD.M CERTIFICATE OF LIABILITY INSURANCE DA/2;o,°"YY"' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Ins Inc P O BOX 578 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW 4687 W 18th Street Greeley, CO 80632 INSURERS AFFORDING COVERAGE NAIL At INSURED HALL IRWIN CORPORATION 301 Centennial Dr INSURERA Zurich INSURERB Everest National Ins Co INSURERC Pinnacol Assurance Milliken, CO 80543-3222 INSURERD Travelers Insurance Company INSURER 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 LTR NSR TYPE OF POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MMIDDIYV LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 51OCCUR X PD Ded 5,000 CP0375776104 12131/07 12/31/08 EACH OCCURRENCE $1000000 DAMAGE TO RE P NT ED MI Ecef $300OOO MED EXP IAny one person) $1 O 000 PERSONAL & ADV INJURY 51 OOO OOO GENERALAGGREGATE s2,000,000 GEN LAGGREGATE LIMIT APPLIES PER POLICY X JR T LOC PRODUCTS COMPIOP AGG $2000000 A AUTOMOBILEUABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS CP0375776104 12/31107 12/31108 COMBINED SINGLE LIMIT Ea accident) $1,000,000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC AUTO ONLY AGG $ $ B EXCESSIUMBRELLA LIABILITY X1 OCCUR CLAIMSMADE DEDUCTIBLE RETENTION S APP71R3000027061 12/31/07 12/31108 EACH OCCURRENCE $5000000 AGGREGATE s5,000,000 5 $ S C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED' If yes describe under SPECIAL PROVISIONS below 4021105 01/01/08 01101/09 STATU I OTH X I CRY LIMITS ER EL EACH ACCIDENT $SOO,000 EL DISEASE - EA EMPLOYEE s500,000 EL DISEASE -POLICY LIMIT s500,000 D OTHER Equipment QT66099OX1144TIL08 01101/08 01/01/09 Blanket Limit $17,036,201 Deductible $5,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Certificate holder is added as an additional Insured City of Fort Collins P O Box 580 Fort Collins, CO 80522.0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL In 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 ACORD 25 (2001108) 1 of 2 #S401747/M401692 DSM 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 certificate 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 #S401747/M401692