HomeMy WebLinkAbout109445 CONNELL RESOURCES INC - INSURANCE CERTIFICATE (23)cnems: T44zi CONRE1
ACORDTM CERTIFICATE OF LIABILITY INSURANCE 0DATE
5119/06DmrrY)
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4821 Wheaton Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P O Box 270370
Fort Collins, CO 80527
INSURED
Connell Resources, Inc.
4305 E. Harmony Rd.
Fort Collins, CO 80528-9527
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INSURERS AFFORDING COVERAGE
INSURERA: Zurich
INSURER B: American International
INSURERC: Pinnacol Assurance
INSURER D:
INSURER E:
NAIC #
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
POLICY EFFECTIVE
AT MM/DD/YY
POLICY EXPIRATION
DATE MM/DD/YY
LIMITS
A
GENERAL LIABILITY
CP0375782402
06/01/06
06/01/07
EACH OCCURRENCE
$1 000 000
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 51OCCUR
DAMAGE TO RENTED
P I n n
$300 000
MED EXP (Any one person)
$10 OOO
X PD Ded: 5,000
PERSONAL &ADV INJURY
$1 OOO 000
GENERAL AGGREGATE
$2 000 OOO
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
s2,000,000
POLICY X PE� LOC
A
AUTOMOBILE
LIABILITY
ANY AUTO
CP0375782402 �'p�1'7���
06/01/06
w jA
06/01/07
ID
COMBINED SINGLE LIMIT
(EaCO accident)
$i r000,O00
X
BODILY INJURY
(Per Person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
>LL�.$.LS,O
j rry-w_
HIREDAUTOS
NON -OWNED AUTOS
MY 2 fix,,. 2003
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Peraccident)
$
CITY
Rlql
N FOR i CO
MANAGEMENT
-LINS
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
B
EXCESS/UMBRELLA LIABILITY
X OCCUR CLAIMS MADE
BE7227830
06/01/06
06/01/07
EACH OCCURRENCE
$5000000
AGGREGATE
s5,000,000
DEDUCTIBLE
X RETENTION $ 10000
$
C
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
4029651
06/01/06
06/01107
X WC srATu- OTH-
E.L. EACH ACCIDENT 1$500,000
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
If yes, describe under
E.L. DISEASE - EA EMPLOYEd
$500,000
E.L. DISEASE - POLICY LIMIT I
$500,000
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / 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 WILLXK79MKU MAIL 4 n DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, MMR9Wti8LXRJ00MVA=XX
AUTHORIZED
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