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Home My WebLink About202421 CUTLER REPAVING - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE CSR LE DATE (MMIDDIYYYY) CUTLR-1 1 08/01/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Schifman, Remley & Assoc., Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 5201 Johnson Drive, Suite 500 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Mission KS 66205 Phone:913-831-1777 Fax:913-831-4730 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Bamford Underwriters Ins Co INSURERS: Twin City Firs Insurance Co. Cutler Reeppaving, Inc. INSURERC: 921 E 27th Street INSURER D: Lawrence KS 66046 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. INSR LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD POLICY EXPIRATION DATE MMIDD/VY LIMBS GENERAL LIABILITY EACH OCCURRENCE $ 1 000 000 PREMISES Eaoccurence $ 300 000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X� OCCUR 37CQT0536 08/01/05 08/01/06 MED EXP (Any one person) $ 10 000 PERSONAL &ADV INJURY $ 1 000 000 GENERAL AGGREGATE s2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY PROT LOC JEC B AUTOMOBILE LIABILITY ANY AUTO 37UENOT0431 08/01/05 08/01/06 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILrn ANY PROPRIETORlPARTNERlEXECUTIVE 37WBQT0970 08/01/05 08/01/06 TATU- TH- TOW RV LIMITS ER E.L. EACHACCIDENT $500000 E.L. DISEASE -EA EMPLOYEE $ 500000 OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS *except 10 days for non payment of premium. Certificate holder is additional insured general liability as their interest may appear as respects liability arising from insureds operations with regard to the following project: Hot -In -Place Recycling Project Renewal of Bid No. 5778 CERTIFICATE HOLDER CANCELLATION FORTC-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 * DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL THE CITY OF FORT COLLINS, CO PURCHASING DIVISION IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 215 NORTH MASON STREET, 2ND FL REPRESENTATIVES. AU RIW REP ESENTz FORT COLLINS CO 80524 ACORD 25 (2001108) 0 ACORD CORPORATION 1988