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Home My WebLink About107125 BIVENS TRUCKING & EXCAVATING INC - INSURANCE CERTIFICATE (4)ACQR D'" CERTIFICATE OF LIABILITY INSURANCE °ATE01/07/2008 ) D V0712008 PRODUCER PINNACOL ASSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY 7501 E Lowry Blvd Denver, CO 80230-7006 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 INSURERA PINNACOL ASSURANCE BIVENS TRUCKING & EXCAVATING ZINC 41190 INSURERB 862 W WILLOX LANE INSURERS FORT COLLINS, CO 80524 INSURER D INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDNG ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMMENT 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 TERM 3, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR ADDL POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICYNUMBER DATE(MMIDD/VVYY) DATE(MMIDDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED COMMERCIAL GENERAL LIABIt ITY CLAIMS MADE OCCUR PREMISES MED EXP(Any one person) PERSONAL & ADV INJURY GEN L AGGREGATE LIMIT APPLIERS PER GENERAL AGGREGATE PRODUCTS - COMP/OP AGO POLICY I PROJECTI 1 LOG AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea Accident) BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (Per person) BODILY INJURY _ HIRED AULI NON -OWNED AUTOS (Par acndeni PROPERTY DAMAGE (Per.cadani) GARAGE LIABILITY AUTO ONLY- EA ACCIDENT OTHERTHAN EA ACC ANY AUTO AUTO ONLY AGG, EXCESSIUMBRELL�A LIABILITY EACH OCCURRENCE AGGREGATE uI OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND WC STATU Ll OTHER Q EMPLOYER S LIABILITY ANY PROPRIE70WPARTNEWEXECUTIVE OFFICE"EMBER EXCLUDED' 3241983 08/01/2007 08/01/2008 TORY LIMITS EL EACH ACCIDENT $1,000,000 EL DISEASE - EA EMPLOYEE $1,000,000 If yes please dmcnbeunder SPECIAL PROVISIONS below EL DISEASE-POLICYLIMIT $1000000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 1040209 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF FORT COLLINS PURCHASING THE EXPIRATION DATE THERE DF, THE ISSUING COMPANY WILL ENDEAVOR TO P O BOX 580 MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Fort Collins CO 80522 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE Nichole Ellis ACORD 25(2001/08) Underwriter ACORD CORPORATION 1988 CERTIFICATE HOLDER COPY CITY OF FORT COLLINS PURCHASING P O BOX 580 Fort Collins CO 80522 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