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Home My WebLink AboutDURAN EXCAVATING - INSURANCE CERTIFICATEClient#: 28315 DUREX ACORD- CERTIFICATE OF LIABILITY INSURANCE o4T;4//04°""""' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Ins. Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P. O. Box 578 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 4687 W. 18th Street Greeley, CO 80632 INSURERS AFFORDING COVERAGE NAIC # INSURED Duran Excavating, Inc. INSURER A: CNA Insurance Company INSURER B: Travelers Insurance 418 N. 9th Avenue Greeley, CO 80631 INSURER C: INSURER D: INSURERS: REVISED CERTIFICATE 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. INS LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMfDDIYYI POLICY EXPIRATION DATE IMM1DD/YYI LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 51OCCUR X PD Ded:2,000 TCP2068325736 04/09/04 04/09/05 EACH OCCURRENCE $1 000 000 DAMAGE TO RENTEDPREMISES (Ea occurrence) $300OOO. MED EXP (Any one person) $$ 000 PERSONAL &ADV INJURY $1 00O 000 GENERAL AGGREGATE $2 OOO OOO GEN'L AGGREGATE LIMIT APPLIES PER: 17 POLICY PRO- LOC PRODUCTS - COMP/OP AGG s2,000,000 A AUTOMOBILE LIABILITY ANY AUTO„_ ALL OWNED AUTOS SCHEDULEDAUTOS HIREDAUTOS NON-OWNEDAUTOS C2068325784 04/09/04 RECIRerson) APR CITY -OF t 04/09/05 L I i) 200 R) LULLI COMBINED SINGLE LIMIT (Ea accident) LY INJURY $1 OOO OOO r $ X X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ A EXCESSIUMBRELLA LIABILITY X OCCUR CLAIMS MADE RDEDUCTIBLE X RETENTION $ 10000 CUP2068325820 04/09/04 04/09105 EACH OCCURRENCE $1000000 AGGREGATE $1 OOO 000 $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below WC157297117 01/01/04 01/01/05 X WC ORY LIMITTATUil OTFI- E.L. EACH ACCIDENT $1 000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE-POLICYLIMIT $1,000.000 B OTHER Equipment QT6607434A513 04/09/04 04/09/05 Blanket Limit: $822,500 Deductible $2,500 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Project: State Highway 14/Gateway Park Entrance; Bid No. 5550 City of Fort Collins, Engineer and Engineer's Consultant are named as Additional Insured, as their Interest may appear. City of Fort Collins P. O. Box 580 Ft Collins , CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR O MAIL 30_ DAYS WRITTEN NOTICE T E CERTIFICATE HOL NAME 0 THE L , eUT FAILURE TO DO SO SHALL IMPOSE NO GATION fDR LU1B TY OF ANY K D UP THE INS/RER, ITS AGENTS OR ACORD 25 (2001108) 1 of 2 #S278789/M278777 `J \, B M / 9 ACORD C'ZIRPMATION 1988 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. AI;UKU Z5.1 (ZOU11M) 2 of 2 #S278789/M278777