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Home My WebLink About108423 VOGEL CONCRETE - INSURANCE CERTIFICATE (4)05/24/2005 10:20 FLOOD AND PETERSON 4 9P2216707 N0.700 P002 v VVVV 1 ACOW.. CERTIFICATE OF LIABILITY INSURANCE slzal05Davrrrl PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Insurance Inc ONLY AND CONFER$ NO RIGHTS UPON THE CERTIFICATE 4821 Wheaton Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P O Box 270370 Fort Collins, CO 80627 Vogel Concrete Inc. 1313 Blue Spruce Dr #D Fort Collins, CO 80524 cnvewer_cs INSURERS AFFORDING COVERAGE INSURER A: Pinnecol Assurance INSURER B: _ INSURER C: _ INSURER D: INSURER E_ NAIL # 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 POLICES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR N R TYPE OF INSURANCE POLICY NUMBER PATE EFFECTIVE POLICY $ pI Om LIMITS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑ OCCUR pAMAGE TURENTEp $ S MED EXP (Any IX e pereanj PERSONAL &ADV IWURY S GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER' PRODUCTS • COMPIDP AGG S POLICY JET LOC AUTOMOBILE UA8Nd1Y ANY AUTO COMBINED SINGLE LIMIT (Ea w idpnh S BODILY INJURY (Per person) S ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per amdenp $ HIREDAUTOS NOMOWNED AUTOS PROPERTY DAMAGE (Pqr a=cIenl) $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT S OTHER THAN EAR S ANYAUTO $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S OCCUR a CLAIMS MADE AGGREGATE $ S s DEDUCTIBLE $ RETENTION $ A WORKERS coMPENsanpN AND EMPLOYERS' UABLITY ANY PROPRIETOR/PARTNERIEXECUTIVF, 2086$50 07101/04 07101105 OTH X We s iu m JE E.L. EACH ACCIDENT si oo,UDO E.L. DISEASE - EA EMPLOYEE $100.000 OFFICJ=RIMEMBER EXCLUDED? u Yee, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $600,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS f VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPC-CIAL PROVISIONS City of Ft Collins Purchasing Dept Attn. John Steven PO Box 58D Fort Collins, CO 80522 LD ANY OF THE ABOVE DESCRISEU POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _ 3n DAYS WRRTEN :E TO THE CERTIFICATE HOLDER TO THE LEFT, BUT FAILURE TO DO SO SMALL iE NO OBUGA�ON OR LMIU7Y F Y KIND TON THE INSURER, ITS AGENTS OR ESENTAn ACORD 25 (20p1108) 1 of 2 #S3156861M285322 T— ) IT f kA —4-ACORD CORPORATION'1988 05/24/2005 10:20 FLOOD AND PETERSON 4 9P2216707 NO.700 9003 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement($). It SUBROGATION 1S 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 after the coverage afforded by the policies listed thereon. ACORD2S-S(2WiM9% -3 .+'> *Q`44ccuanun4ex-r�