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HomeMy WebLinkAboutMOUNTAIN CONSTRUCTORS - INSURANCE CERTIFICATE (5)ACORD CERTIFICA7 OF LIABILITY INSURANC OF ID NZ DATE(MMIDD/YYYY) MDVNT72 080s 04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Western States Of Colorado HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: EitminouB Insuramas Convany INSURERS: Mountain Constructors, Inc. INSURER C: P.O. BOX 405 INSURER D: Platteville CO 80651 ,.Vucf "Co THE POLICES 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 POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN!R LTR ADIYL NSRO TYPE OF NISURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMMDD POLICY EIFIRATION DATE MAID LMIT$ GENERAL LAELITY EACH OCCURRENCE j ZOOOOOO A X COMMERCIALGENERALUAINUTY CLP3170717 07/28/04 07/28/05 PREMA9 ejE.E"oear�«) $ 100000 AEDE (AM epenm) f 5000 CLAIMS MADE 41 OCCUR PERSONAL A ADV INJURY S 1000000 GENERA -AGGREGATE j 2000000 GEN-L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COLP/OPAGG j 2000000 POLICY F1 JET LOC AUTOMOBILE LABILITY A ANvwro CAP3170718 RENEWAL 07/28/04 07/28/05 COMBINED SINGLE LINT f 1000000 ALLOWNEDAUTOS BODILYINJURY j SCHEDULED AUTOS (Par Perm) HIREDAUTOS BODILYINJURY j NON-OWNEDAUTDS (Pwe d." PROPERTY DAMAGE f (Per BCdtlanl) GARAGE LABILITY AUTOONLY-EAACCIDENT f Ek AM j ANY AUTO OTHERTHAN j AUTO ONLY: AGG D(CESENMBIR[LLA LAELRY EACH OCCURRENCE j AGGREGATE j OCCUR ❑ CLAIMS MADE f f DEDUCTNNE f RETENTION 3 COMPENSATION AND WORIOYEWLA WC STATU- OTH- ST;TS LABILITY ILITY TWC ER - EL. EACH ACCIDENT j ANY ANY PROPRIETORPAATNERIEXECUTNE OFFICEIRMEMSER EXCLUOED4 I Yes, eMMbeur E.L. DISEASE -EA EMPLOYEE f EL DISEASE- POLICY LINT $ SPECALPROVISONSW . OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/ VEHICLES I EKCLUMNS ADDED MY WOOReEMENT/ SPECIAL PROVISIONS -- -, Certificate Holder and Colorado Department of Transportation are added as` - additional insureds for above referenced coverages only as thier interest AUG 0 9 2004 appears with respect to the North College Ave.& Jefferson Street / Rivers i Ave. Improvements project. City of Fort Collins 281 North College Ave. Fort Collins CO 80522-0580 1 SHOULD ANY OF THE ABOVE DEMCRMED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURERWILL ENOEAVORTO MAIL 30 DAYe WRITTEN NOTICE TO THE CMRTFICAT! HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LABILITY OFANY KIND UPON THE INSURER ITS AGENTS OR AUTHORIZED REPREMNTATNE Jeff Sroviee L-LI.KI TJ"Cu ACORD 25 (2001/08)