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Home My WebLink About195476 ADVANCED CONCRETE - INSURANCE CERTIFICATE (2)ACORD CERTIFICATE OF LIABILITY INSURANCE CSR BT DATE(MM1DDNM) 1 ADVAN-7 12 29 05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Six & Geving/Denver Office HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 225 Union Blvd. #575 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Lakewood CO 80228 Phone:720-962-0930 Fax:720-962-0942 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: EMC Insurance Companies INSURER B: Plnnacol Assurance Advanced Concrete Construction Inc. INSURER C: 2902 W Mansfield Ave Englewood CO 80110 INSURER D: 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. LTR INSQ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE (MWODIM LIMITS GENERAL LIABILITY EACH OCCURRENCE Li , 000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OOCCUR 2X4449407 01/01/06 01/01/07 PREMISESEeorenae) cw s50,000 MED EXP(Any one person) s5 000 PERSONAL &ADV INJURY $1,000,000 AS PER POLICY TERNS AND GENERAL AGGREGATE s2,000,000 CONDITIONS GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOP AGG $2,000,000 X POLICY PRO- JECT LOC A AUTOMOBILE LIABILITY ANY AUTO 2X4449407 01/01/06 01/01/07 (Eaa`aaccidentSINGLELIMIT E1,000,000 X ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per Person) E HIRED AUTOS NON -OWNED AUTOS X BODILY INJURY (Par accident) E X PROPERTYDAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG $ S A EXCESSIUMBRELLA LIABILITY X OCCUR F—ICLAIMSMADE 2X4449407 01/01/06 01/01/07 EACH OCCURRENCE s2,000,000 AGGREGATE s2 000,000 s DEDUCTIBLE S X RETENTION $1O 000 E B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTNE OFFICER/MEMBER EXCLUDED? S yes, describe under SPECIAL PROVISIONS below 4077192 02/01/05 02/01/06 X TORY LIMITS I ER E.L. EACH ACCIDENT $100,000 E.L. DISEASE - EA EMPLOYEE $10O 000 E.L. DISEASE -POLICY LIMIT s500OOO OTHER A Leased or Rented 2X4449407 01/01/06 01/01/07 Limit $100,000 Equipment Ded $500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS The Certificate Holder, City of Ft. Collins, is named as an additional insured, except for workers compensation. Project: Trail Cherry & College Avenue CFTC-01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN City of Ft . Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 215 N. Mason Street IMPOSE NO OBLIGATION OR LIABILITY OF A Y KIND UPON THE INSURER ITS AGENTS OR Ft. Collins CO 80522-0580 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Sandra Aragon POAGORD CgRFORATION 1988