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Home My WebLink About109014 R C HEATH - INSURANCE CERTIFICATEr-ursnra' io_�un n1nw%.v ACORM CERTIFICATE OF LIABILITY INSURANCE 0913010 PRODUCER Flood & Peterson Insurance Inc 4821 Wheaton Drive 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. P O Box 270370 Fort Collins, CO 80527 INSURERS AFFORDING COVERAGE NAIC N INSURED INSURERA: Travelers Insurance R.C. Heath Construction Co., Inc. INSURERS: Pinnacol Assurance P. O. Drawer H Fort Collins, CO 80522 INSURER C: INSURER D:-,. 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. IN3RLTR NSW TYPE OF INSURANCE POLICY NUMBER OPOLICYATE AEFFECTIVEDPOLICY EXPIRATION PIRATION umrrs A GENERALLIABILIT' X COMMERCIAL GENERAL LIABILITY CLAIMS MADE O OCCUR X PD Ded:2.500 DTCO298N6651- TIA03 09/30/03 09/30104 EACH OCCURRENCE $1000000 DAMAGE MISEAMDIncei 000.000 MED EXP (Any one person) $10 000 PERSONAL A ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X JET LOC PRODUCTS-COMP/OP AGG s2,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS Drive Other Car DT810298N6651TIL03 09/30/03 09/30/04 COMBINED SINGLE LIMB (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ X BODILY INJURY tPer accident) $ X X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILRY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG S S A EXCESS/UMBRELLALABILITY X OCCUR CLAIMS MADE RDEDUCTIBLE X RETENTION $ 10000 DTSMCUP298N6651- TIL03 09/30/03 09/30/04 EACH OCCURRENCE s5000000 AGGREGATE s5,000,000 s $ S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTrVE OFFICER/MEMBER EXCLUDED? H yes, describe under SPECIAL PROVISIONS below 4033691 10/01/03 10/01/04 X WC sraTu- FR E.L. EACH ACCIDENT $500000 E.L. DISEASE - EA EMPLOYEE $500000 E.L.DISEASE-POLICYLIMIr s500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE: Downtown Enhancement Project; Bid No 5759 City of Fort Collins, Engineer, Engineer Consultants and their respective officers and employees are named as additional insured, but only as respects liability arising out of work performed by the named insured (See Attached Descriptions) City of Fort Collins PO Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _3p-,_ 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 Arnpn 9F t7nmi 1R1 • —& a aaanenven ,wu n cannon P^MO n A T W 4eee DESCRIPTIONS (Continued from Page 1) 1 (Excluding Workers' Compensation). Insurance policies do not provide professional liability for architects and engineers. AMS 25.3 (2001108) 3 of 3 #M260780