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Home My WebLink About109445 CONNELL RESOURCES INC - INSURANCE CERTIFICATE (26)ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/ D/YYYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4821 Wheaton Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O Box 270370 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins, CO 80527 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: Zurich Connell Resources, Inc. INSURERB: American International Companies Fort ort E. Harmony Road INSURERC: Pinnacol Assurance FCollins, CO 80528-9527 INSURER D: INSURER E: IVVCMAVCJ 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 INSIR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MWDD/YYi POLICY EXPIRATION DATE MM/DD/YY LIMITS A GENERAL LIABILITY CP0375782400 06/01/04 06/01/05 EACH OCCURRENCE $1 000 000 COMMERCIAL GENERAL LIABILITY CLAIMS MADE 7 OCCUR DAMAGE TO RENTED $300 000 MED EXP (Any one person) $5 000 PERSONAL &ADV INJURY $1 000 000 GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2000000 POLICY X PROJECT LOC A AUTOMOBILE LIABILITY ANY AUTO CP0375782400 06/01/04 06/01/05 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIREDAUTOS NON -OWNED AUTOS X BODILY INJURY (Per accident) $ X Drive Other Car X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTOONLY: AGG B EXCESS/UMBRELLA LIABILITY X OCCUR CLAIMS MADE BE2681480 06/01/04 06/01/05 EACH OCCURRENCE $3000000 AGGREGATE s3,000,000 DEDUCTIBLE X RETENTION $ 10 000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 4029651 06/01/04 06/01/05 X I ORWCSTATU- OTH- E.L. EACH ACCIDENT $500 000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? f yes, describe under E.L. DISEASE - EA EMPLOYE $500 000 E.L. DISEASE -POLICY LIMIT $500,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE: Renewal Bid #5697 - Asphalt Supply Contract Certificate holder is named as additional insured, but only as respects liability arising out of work performed by the named insured (Excluding Workers' Compensation). City of Fort Collins Purchasing Department 256 W. Mountain Fort Collins, CO 80521 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL �' 0_ 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 ACORD 25 (2001/08) 1 of 2 #M283554 K 1 1988 ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) U6101 /04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4821 Wheaton Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O Box 270370 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins, CO 80527 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: Zurich Connell Resources, Inc. INSURERB: American International Companies Fort ort E. Harmony Road INSURERC: Pinnacol Assurance FCollins, CO 80528-9527 INSURER D: INSURER E: VWVCR L=a 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 INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DDIYY POLICY EXPIRATION DATE MWDD/YY LIMITS A GENERAL LIABILITY CP0375782400 06/01/04 06/01/05 EACH OCCURRENCE $1 000 000 COMMERCIAL GENERAL LIABILITY CLAIMS MAIDEN OCCUR DAMAGE TO RENTED $300 000 MED EXP (Any one person) $5 000 PERSONAL &ADV INJURY $1 000 000 GENERAL AGGREGATE $2 00O OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $2 00O 000 POLICY X PRO JECT LOC A AUTOMOBILE LIABILITY ANY AUTO CP0375782400 06/01/04 06/01/05 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS X BODILY INJURY (Per accident) $ X Drive Other Car X PROPERTY DAMAGE (Per accident) $ ffl GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG B EXCESS/UMBRELLA LIABILITY X OCCUR CLAIMS MADE BE2681480 06/01/04 06/01/05 EACH OCCURRENCE s3,000,000 AGGREGATE s3,000,000 HDEDUCTIBLE X RETENTION $ 10 000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 4029651 06/01/04 06/01/05 X WC sTAru- OTH- I FIR E.L. EACH ACCIDENT s500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE • EA EMPLOYEE $SOO OOO E.L. DISEASE - POLICY LIMIT $500,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS RE: CRI# 2031009 Asphalt Overlay Project #5612 Certificate holder is named as additional insured. City of Fort Collins Purchasing Dept. PO 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 3n DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF AUTHORIZED UPON THE INSURER, ITS AGENTS OR ACORD 25 (2001/08) 1 of 2 #M283554 0 ACORD CORPORATION 1988