HomeMy WebLinkAbout109445 CONNELL RESOURCES INC - INSURANCE CERTIFICATE (30)Client#: 1 "27 CONREI
r ACOR,D- CERTIFICATE OF LIABILITY INSURANCE
410112005 Y1�
04/01/2005
PRODUCER
Flood & Peterson Insurance Inc
4821 Wheaton Drive
P O Box 270370
Fort Collins, CO 80527
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.
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
Connell Resources, Inc.
4305 E. Harmony Road
Fort Collins, CO 80528-9527
INSURER A:' Zurich
INSURERB: American International Companies
INSURERC: Pinnacol Assurance
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.
LTR
ITYPE
WDJ
OF INSURANCE
POLICY NUMBER
POLICY EFFECTNE
DATE IMMIDDIM
POLICY EXPIRATION
DATE (MM1DDfYY1
LIMITS
A
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 51OCCUR
CON3757824
08/01/04
06/01/05
EACH OCCURRENCE
$1 000 000
DAMAGE TO RENTED
s3O0 0O0
MED EXP (Any one person)
$5 000
PERSONAL & ADV INJURY
$1 000 000
GENERAL AGGREGATE
s2,000.000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY X ET El LOC
PRODUCTS -COMPIOP AGG
s2000000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
Drive Other Car
CON3757824
06/01/04
06/01/05
COMBINED SINGLE LIMB
(Ea accident)
$1,000,000
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - FA ACCIDENT
S
OTHER THAN EA ACC
AUTO ONLY: AGG
S
S
B
EXCESSIUMBRELLA LIABILITY
X OCCUR CLAIMS MADE
RDEDUCTIBLE
X RETENTION $ 10 000
BE2681480
06/01/04
06/01/05
EACH OCCURRENCE
s2.000.000
AGGREGATE
s2,000.000
S
$
$
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNER/EXECUTNE
OFFICERIMEMBER EXCLUDED?
H yes, describe under
SPECIAL PROVISIONS below
4029651
06/01/04
06/01/05
X WoRy C LIMITS OTH-
E.L. EACH ACCIDENT
1500OOO
E.L. DISEASE - EA EMPLOYEE
$500000
E.L. DISEASE - POLICY LIMIT
$500 000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
RE: 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
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 140_ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO Q91RD 9QN OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
ACORD 25 (2001/081 1 of j
YIle ry ACARD QARPARATIOM 12RR