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Home My WebLink AboutSINNETT BUILDERS - INSURANCE CERTIFICATE (9)ACORD- CERTIFICATE OF LIABILITY INSURANCE DATE 01/27105D PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4821 Wheaton Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P O Box 270370 Fort Collins, CO 80527 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: St. Paul Travelers Insurance Company Sinnott Builders, Inc. INSURERS: American International Companies P.O. Box 1969 INSURERC: Plnnacol Assurance Fort Collins, CO 80522 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 NSR TYPE OF INSURANCE POLICY NUMBER DATEYMWDDIYYE PDATE MMIDDTION LIMITS A GENERALUABILITY DTCO283N62791ND04 06/30/04 06/30/05 EACH OCCURRENCE $1000000 DAMAGE TO RENTED $300 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 5-1 OCCUR MED EXP (Any one Person) $5 000 PERSONAL &ADV INJURY $1000000 $2,500 PD Ded. GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 POLICY X PE OT LOC A AUTOMOBILE LIABILITY ANY AUTO DT810283N6279TIL04 06/30/04 06/30105 COMBINED SINGLE LIMIT (Ea accident) $1 ,000 ,OOO X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULEDAUTOS X BODILY INJURY (Per accident) $ HIREDAUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO 1 $ AUTOONLY: AGG B EXCESSIUMBRELLA LIABILITY BE2681534 06/30/04 06/30/05 EACH OCCURRENCE $5 00O 000 X1 OCCUR CLAIMS MADE AGGREGATE $5 OOOw, OOO $ DEDUCTIBLE $ X RETENTION $ 10000 C WORKERS COMPENSATION AND 4045474 07/01/04 07/01/05 OTH- CU- X WSTATI ER EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT 11500,000 E.L. DISEASE - EA EMPLOYEE $500000 OFFICER/MEMBER EXCLUDED? H yes, describe under SPECIAL PROVISIONS below I I E.L. DISEASE - POLICY LIMIT s500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE: P-872 PFA Fire Station Expansion Certificate holder is named as additional insured, but only as respects liability arising out of work performed by the named insured (Excluding Workers' Compensation). A waiver of subrogation applies. City of Fort Collins Purchasing Department PO Box 580 Fort Collins, CO 80522-0580 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAILRfl_ DAYS WRITTEN :E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL M NO OBUGATIObMR LIASILFY4 ANY KIND PION THE INSURER, ITS AGENTS OR AUTHORIZED ACORD 25 (2001108) 1 #S3055921M298319 CORPORATION 1988