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Home My WebLink About357129 NARANJO CIVIL CONSTRUCTORS INC - INSURANCE CERTIFICATE (4)D CERTIFICATE OF LIABILITY INSURANCE OP ID D DATE (M&VDD/YYYY) acoRH&LCO-1 0 !,4/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA ON • ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE LBN Insurance Agency-GR HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3459 W 20th Street Suite 224 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Greeley CO 80634 Phone:970-356-1133 Fax:970-356-4088 INSURERS AFFORDING COVERAGE NAIC# Naranjo Civil Constructor$ Inc H&L Concrete, Inc & Naranjo Investments, LLC 1863 2nd Avenue Greeley, CO 80631 COVERAGES INSURER A ENC Insurance Comp INSURER B: Pinnacol Assurance INSURER C: INSURER D. 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. 114�rf LTR RIJU INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/OO/Y POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1, 000, 000 PREMISES (Ea occurence) $100,000 A X COMMERCIAL GENERAL LIABILITY 2D4436205 02/18/05 02/18/06 CLAIMS MADE a OCCUR MED EXP (Anyone person) $ 5,000 PERSONAL & ADV INJURY $ 1, 000, 000 BLAN'dET ADDITIONAL GENERAL AGGREGATE s2,000,000 =RaD tafDx C07442 (12-0e1 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $2,000,000 POLICY X jECT LOC A AUTOMOBILE LIABILITY ANY AUTO 2E4436205 02/18/05 02/18/06 COMBINED(Ea accident) $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS ALL SCHEDULED AUTOS ( INCLUDES HIRED & NON -OWNED AUTOS) BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - FA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO N/A $ AUTOONLY: AGG EXCESS/UMBRELLA LIABILITY EACHOCCURRENCE $ 1, 000, 000 A X OCCUR F]CLAIMSMADE 2J4436205 02/18/05 02/18/06 AGGREGATE $1,000,000 $ 0DEDUCTIBLE X RETENTION $ 10, 000 $ B WORKERS COMPENSATION AND EMPLOYERILRY ANY PROPRIETORIETOR/PARTNER/EXECUTIVE 1452910 06/01/05 06/01/06 X I TORY LI I ER E.L. EACH ACCIDENT $100,000 E.L. DISEASE - EA EMPLOYEE $100,000 OFFICERIMEMBER F.XCLUDFD? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $500,000 OTHER Installation $150,000 Special A I Floater 2C4436205 02/18/05 02/18/06 Perils, $250. Ded DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CITY OF FORT COLLINS, ENGINEER, ENGINEERS CONSULTANTS AND OTHERS AS REQUIRED BY CONTRACT ARE ADDITIONAL INSUREDS UNDER THE GENERAL LIABILITY - PRIKARY AND COVERAGE CARRIED BY THE ADDITIONAL INSURED SHALL BE EXCESS, BUT ONLY WITH RESPECTS TO LIABILITY ARISING OUT OF THE INSUREDS OPERATIONS ON THE PLEASANT VALLEY LAKE AND CANAL TRAIL PROJECT, BID 05908 City of Fort Collins Attn: Purchasing Division 281 North College Avenue Fort Collins, CO 80522 I,IVYI.GLI..,\I IWIY FT COLL I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL 0IIII&XICIUMMAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT 25 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(s). If SUBROGATION IS 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 alter the coverage afforded by the policies listed thereon. 25