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HomeMy WebLinkAboutDRILLING ENGINEERS - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE (MMI1/05 DRILL-1 12 21 05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown 6 Brown Inc - Ft Collins ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 125 S Howes, 5th Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O Box 2226 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins CO 80522-2226 Phone:970-482-7747 Fax:970-484-4165 INSURED Drilling Engineers Inc PO Box 815 Ft Collins CO 80522 I.VYCr%AbCA INSURERS AFFORDING COVERAGE NAIC # INSURER A: MOUNTAIN STATES MUTUAL INSURERS: PINNACOL ASSURANCE INSURER C: 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. LTR INSRE TYPE OF INSURANCE POLICY NUMBER DATE MMIDD DATE MMIDDIYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X� OCCUR CPP007974603 01/01/06 01/01/07 EACH OCCURRENCE $ 1 , 000 , OOO LU PREMISES Eao�ccurrence s300,000 MED EXP (Any one person) s5,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BAP007974603 01/01/06 01/01/07 COMBINED SINGLE LIMIT (Ea accident) $ 1 OOO OOO r r X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO A AUTO ONLY - EA ACCIDENT $NY OTHER THAN EA ACC AUTO ONLY: AGG $ $ A EXCESSIUMBRELLA LIABILITY X OCCUR �CLAIMSMADE DEDUCTIBLE X RETENTION $ 10 000 UMB007974603 01/01/06 01/01/07 EACH OCCURRENCE s5,000,000 AGGREGATE $5,000,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? S yeCIALPRO under SPECIAL PROVISIONS below 4041546 04 /O1 /05 04/01/06 T" XTORY LIMITS UER E.L. EACH ACCIDENT $ 500000 E.L. DISEASE - EA EMPLOYEE s500000 E.L. DISEASE - POLICY LIMIT $500000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate Holder is hereby named as Additional Insured with respects to the work performed by the Named Insured for the Additional Insured. City of Fort Collins Engineering Department Attn: Nancy or Reagan PO Box 580 Fort Collins CO 80522 FTCCITY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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. ACORD 25 © ACORD CORPORA