HomeMy WebLinkAbout109445 CONNELL RESOURCES INC - INSURANCE CERTIFICATE (22)Client#: 14427
CONREI
ACORUM CERTIFICATE OF LIABILITY INSURANCE
DATE
05/19106Omvv)
PRODUCER
Flood & Peterson Insurance Inc
4821 Wheaton Drive
P O Box 270370
Fort Collins, CO 80527
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
Connell Resources, Inc.
4305 E. Harmony Rd.
Fort Collins, CO 80528-9527
INSURER A: Zurich
INSURERS: American International Companies
INSURERC: Pinnacol Assurance
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
NSR
TYPE OF INSURANCE
POLICY NUMBER
DATEYMWDD/YYEOLI)
PDATE MFFECTIY PIDIYYN
LIMITS
A
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 5XI OCCUR
X PD Ded: 5,000
CP0375782402
06/01/06
06/01107
EACH OCCURRENCE
$1 000 000
DAMAGE TORENTED
$300 000
MED EXP (Any one person)
$10 000
PERSONAL & ADV INJURY
$1 000 000
GENERAL AGGREGATE
s2,000,000
GENT AGGREGATE LIMIT APPLIES PER:
POLICY X jECT LOC
PRODUCTS - COMP/OP AGG
s2,000,000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULEDAUTOS
HIRED AUTOS
NON -OWNED AUTOS
CP0375782402
I UJ 1 UI `
�v
CITY
06/01/06 _
i jJl d
11 Sf Vd,
.AY 2�if, 200
JF I-ORi CO
MANAGEMENT
06/01107
-LINS
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Peraccident)
$
GARAGE LIABILITY
ANYAUTO
AUTO ONLY - EA ACCIDENT
$
OTHERTHAN EA ACC
AUTO ONLY: AGG
$
$
B
EXCESS/UMBRELLA LIABILITY
X1 OCCUR ❑ CLAIMS MADE
DEDUCTIBLE
X RETENTION $ 10000
BE7227830
06/01/06
06/01/07
EACH OCCURRENCE
$5 000 000
AGGREGATE
$5 000 000
$
$
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
4029651
06/01/06
06/01/07
X WC STATU- OTH-
E.L. EACH ACCIDENT
$500,000
E.L. DISEASE - EA EMPLOYEd
$500,000
E.L. DISEASE - POLICY LIMIT
$500,000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
RE: CRI# 2061010 - Timberline Road Widening Project
Certificate holder is named as additional insured, but only as respects
liability arising out of work performed by the named insured (Excluding
Workers' Compensation).
City of Fort Collins
215 N Mason St
2nd Floor
Fort Collins, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL XVA@ QJtlR MAIL 3n DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, J1k1tWAVJlu7TIbPA7b10*=Jdx
AUTHORIZED
AVWnu LO (LUU"IIUo) 1 JFM347328 M,Jp 0 AGORD CORPORATION 1988