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Home My WebLink AboutTHOUTT BROS - INSURANCE CERTIFICATE (2)AC ORD CERTIFICATE OF LIABILITY INSURANCE CSR MS DATE(MMIDDIYYYY) THOUT-1 1 04/01/04 , . RODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE r:RS Insurance Brokerage HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR i 600 E Hampden Ave 2nd Flr ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ., ver CO 80224 ne:303-996-7800 Fax:303-757-7719 'NSURED Thoutt Bros Concrete Contractors Inc 5460 Tennyson Street Denver CO 80212 COVERAGES INSURERS AFFORDING COVERAGE NAIC # INSURER A: Zurich Insurance 16535 INSURER B: American Intemational Cos. INSURERC: Fireman's Fund Ins. Co. INSURER D: INSURER E: 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. INZK LTR Auu NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD/YY POLICY EXPIRATION DATE MMID LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1, 000, 000 4 X X COMMERCIAL GENERAL LIABILITY GL003758063 04/01/04 04/01/05 PREMISES' (Eaoccurence) $300,000 CLAIMS MADE FxI OCCUR MED EXP (Any one person) $ 10 , 00 0 PERSONAL B ADV INJURY $ 1, 000, 000 X XCU Included GENERAL AGGREGATE $ 2, 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMP/OP AGG s2,000,000 POLICY X PRO LOC JECT A AUTOMOBILE LIABILITY ANY AUTO BAP3758090 04/01/04 04/01/05 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X HIREDAUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ ri GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 1, 000, 000 B X I OCCUR F-ICLAIMSMADE BE5683644 04/01/04 04/01/05 AGGREGATE $ 1, 000, 000 $ $ RDEDUCTIBLE X RETENTION $ 10 , 0 0 0 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ' TORY LIMITS I ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE • EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? If Yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT I $ OTHER N Equipment Floater MZI98470904 04/01/04 04/01/05 Deduct $1,000 C Rented Equipment 300,000 PER ITEM 04/01/04 04/001/005 ACV ESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS :ity of Fort Collins is named to the general liability policy as an ladditional insured with respects to a permit. CERTIFICATE HOLDER 1 City of Fort Collins J Engineering Dept 281 No College Fort Collins CO 80524 CANCELLATION CITYCOL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. CORD 25 (2001/08) 0 ACORD CORPORATION 1988