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Home My WebLink AboutDCI RESIDENTIAL DOHN CONSTRUCTION - INSURANCE CERTIFICATECERTIFIICATE OF LIABILITY INSURANCE OP ID RC DATE (MM/DDNYYY) ACORD DCIRE-1 01/10/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE LBN Insurance Agency HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4848 Thomson Pkwy ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Johnstown CO 80534 Phone:970-635-9400 Fax:970-635-9401 DCI Residential, LLC Dohn Construction, Inc. 2642 Midpoint Dxive Unit A Fort Collins CO 80515 OVERAGES INSURERS AFFORDING COVE -RAGE NAIC # INSURER EMC Insurance Companies INSURER B Pinnacol Assurance INSURER C INSURER D INSURER E THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA FED 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 NSR_ADD'U LTR NSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS A GENERAL LIABILITY X COMMERCIALGENERAL LIABILITY I 1 CLAIMS MACE 1*5 OCCUR X Blanket Add'I Ins 1K57255 10/01/07 10/01/08 EACH OCCURRENCE $ 1,000,000 MAGETO HE PREMISES (Ea occurence) $ 100 ,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES -ER POLICY n PRO- ECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per amdent) $ PROPERTY DAMAGE (Per amdent) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY qGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ 1 $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVI- OFF,CERWEvBER E,LC,UCE07 If yes, describe under SPECIAL PROVISIONS below 3055407 07/01/07 07/01/09 X WC STATU TORY LIMITS ER 1 EL EACH ACCIDENT $1, 000, 000 L DISEASE - EA EM°LOYEF $_1 , 000.,000 _ E L DISEASE - POLICY LIMIT $ 1 , 000 , 000 OTHER _r DESCRIPTION OF OPERATIONS / LOCATIONS; VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS All Operations - All Locations �ya:auau�_a��x•»11A evil .rN:311111111FAVltui. CITYFT3 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 City of Fort Collins IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR P.O. BOX 580 REPRESENTATIVES AUTHORIZED REPRESENTATIVE_ Ft. Collins, CO 80524 AL:UKU ZD (ZUIU1/UU) V AGUKU GUKYUKAI IUN 19U8 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 msurer(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 (2001/08)