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HomeMy WebLinkAboutDUCKELS CONSTRUCTION INC - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE M DATE(MMIDDIYYYY) 02/02/2005 PRODUCER (970)879-2680 FAX (970)879-5317 SLEEPING GIANT AGENCY PO BOX 772967 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. 1120 SO. LINCOLN, UNIT A STEAMBOAT SPRINGS, CO 80477-2967 INSURERS AFFORDING COVERAGE NAIC # INSURED DUCKELS CONSTRUCTION, INC. INSURERA: AMERICAN CASUALTY CO OF READIN 20427C 3500 DUCKELS COURT INSURERS: TRANSPORTATION INSURANCE COMP 20494C STEAMBOAT SPRINGS, CO 80487 INSURERC: Pinnacol Assurance 41190 INSURER D: INSURER E: ;0191TI=1ZZA -1-i 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. INSR LTR ADD, NSR TYPE OF INSURANCE POLICY NUMBER POLICY ei,Fpciive DATE MWDDIYY POLICY EXPIRATION DATE MMIDDM/ LIMITS GENERAL LIABILITY 10747S6S17 01/01/2005 01/01/2006 EACHOCCURRENCE $ 1,000,00 PREMISES Me occurence $ 100,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE O OCCUR MED EXP (Any one person) $ 51000 PERSONAL & ADV INJURY $ 1,000,000 A GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 17 POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 AUTOMOBILE LIABILITY ANY AUTO 1074740169 01/01/2005 01/01/2006 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULEDAUTOS HIRED AUTOS NON -OWNED AUTOS X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC AUTO ONLY: qGG $ $ EXCESSIUMBRELLA LIABILITY X OCCUR O CLAIMS MADE 1074740222 01/01/2005 01/01/2006 EACH OCCURRENCE $ 3,000,060 AGGREGATE $ 3,000,000 B $ DEDUCTIBLE a RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 4087947 12/Z5/2004 01/01/2006 TORLIMITS ER E.L. EACH ACCIDENT $ 1,000,000 C ANY PROPRIETOR(PARTNERIEXECUTWE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYE $ 1000,000 r E.L. DISEASE • POLICY LIMIT I $ 1,000,00 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS E: Pedestrian Bridge and Bike Trail Extension at Overland Trail Road and the Cache La Poudre River ertificate holder is known as Additional Insured as their interests may appear as project owner. City of Fort Collins 300 Laporte Avenue 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 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. m,mm GA 1LDD IIUO) Shell ©ACORD CORPORATION 1988