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Home My WebLink About180828 COLORADO BORING COMPANY - INSURANCE CERTIFICATEPRODRD. CERTIFICATE OF LIABILITY INSURANCE Brown 6 Brown Inc THIS CERTIFICATE IS ISSUED AS 125 S Hones, 5th Floor ONLY AND CONFERS NO RIGWS P O Box 2226 HOLDER THIS CERTIFICATE DOE Fort Collins CO 80522-2226 ALTER THE COVERAGE AFFORDS Phone 970-482-7747 Fax 970-484-4165 IN" DATE WUIDD1YYYY) INSURED EELS AFFORDING COVERAGE NAIC f INSURERA 14*uuta= States Mutual Colorado Hera:4 LLC INSURERS: Pinnacol AaBurance Jagqobs Investment, LLC dba ForrtQCollllins INSIRERC. CO 80524 INSURER COVERAGES IusuRER E THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY RBOUREMENT TERM OR CONDITION OF ANY CONTRACT OROTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCEAFFORDED BY THE POLICIES DESCRIBED HEREN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED 13Y PAD CLAIMS LTR TYPE OF INSURANCE POLICY NUMBER DA GENERAL LIABILITY ATE LIMITS A X COMdERCIALGENERALLIABIUTYICPP010170304 EACHOCCURRENCE O8/01/07 31,000,ODO CLAIMS MADE X❑OCCUR 08/01/08 PREMISES Esm.c m $100 000 MEDEXP(Amy epemm) $10 000 xpcF.mie BuwlsT RA]YTAt OF SOHROGAT om PERSONAL S ADV INJURY $1, 000 OOO GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2 DOO OOO POLICY X TF LOD PRODUCTS COWOPAGG 32 000,000 AUTOMOBILE UmBILnY A X ANYAUTO BAP010170304 eDSINCUELMIT 08/01/07 08/01/08 (E�a-ddru) 31,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY X HIREDAUTOS (Per Pe9C'I) X NON-0WNEDAUTOS BODILY INJURY (PSI NGCeIu) 3 PROPERTY DAMAGE MPH BCGldge) 3 GARAGE LIABILITY ANY AUTO AUTO ONLY EA ACCIDEM' 3 OTHERTHAN EA ACC $ EXCEBSDMBRELLA LIABILITY AUTO ONLY AGO 3 X OCCUR CLIIMSMADE OMB010170304 EACHOo`URRENCE 08/01/07 08/01/08 AGGREGATE $2 000 OOO 12 000 000 DEDUCTIBLE i X RETENTION $10 DOD S WORKERS COMPENSATION AND 3 H EMPLOYERS' LIABILITY PRGPEEXECUTNE OFFl 4021687 CERIMR1BTOPTOW X TORY UM TS ER OBI/Ol/D7 08/01/08 EL EXCLUDED? 7 EACH ACCIDENT I I 111 000 000 meQSxAHI¢ Fyn lBe undo, T RX[" ••.._,... XCV SPECIAL PROVISIONS bell f EL, DISEASE EA EMROYE0 3 1 , 000.000 Cxty of Fort C011sns T.s included as^additional insured on the above general liabslity policy City of Fort Collins Building & Zoning 281 1P College Fort Collins CO 80522 CITYFT7 I SWUM ANY OF THE ABOVE DESCRIBED POLIon BE CANCELLED BEFORE THE EXPIRAMO DATE THEREOF FINE 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 UABILFTY OF ANY KING UPON THE INSURER, ITS AGENTS ON Z d 89 L l £6b-OL6 ueweeii wl)4 d£4 l0 80 l6 qe� ACORQ CERTIFICATE OF LIABILITY INSURANCE coo PRODUCER Broom 6 Brown Inc THIS CERTIFICATE IS ISSUED AS A MAT 125 9 Howes, 5th Floor ONLY CONFERS NO RIGHTS UPON P O Box 2226 HOLDER. THIS CERTIFICATE DOES NOT Fort Collins CO 80522-2226 ALTER THE COVERAGE AFFORDED BY' Phone 970-482-7747 Fax 970-484-4165 BiBLWED INSURERS AFFORDING COVERAGE JalobsdIaneeny1C dba FortgCollins CO 80524 B C DATE (MMMDIYYYY) D OR NAIL III THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ESIJEO TO THE WSLPtED NAMED ABOVE FOR THE POLICY ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT MAY DOCU PERIOD INDICATED NDTMATHSTANDING WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR PERTAIN THE INSURANCE AFPORCED BY THE POLICIES DESCRIBED IS SUBJECT TO ALL THE TE POLICIES AGGREGATE LIMITS SHOWN MAY RMS, E%CLUSIONS HAVE BEEN REDUCED BY PAI D CI AIMS AND CONDITIONS OF SUCH LTR Be TYPE OF INSLBLANCC I POLICY NUMBER GEI✓ERAL LWBILITV MIUD DATE LBBTS A R COMMERCIAL GENERALUABUJTY CPP010170304 08/01/07 EACH OCCURRENCE 0B/O1/09 $1,000 000 CLAIMS LURE OCCUR PREMISES Ee aoalrarcB S 100 000 TNCUJpy9 BT.M'ItYr AAIVLR D�(AAYweP n) _ $10,000 OF SUBROGATION PERSONAL aADVINJURY 111 000,000 REGATE LIMIT APPLIES PER GENERAL AGGREGATE 32,000 OOO Y ]i JECT LOC PRODUCTS COAPiOPAGG 52,000,000 ILE LIABILITY E"010170304 08/01/07 08/01/0B EB.B.d I�N CAfi LIMIT$1, 000, OOD WNENYAUTO WNEDAUTO3DULED tAF AUTOS GODLY INJURY ALTOS (RMPMaanlWNEDAUTOS BODILY INJURY (Psaceld" S PROPERTYCAMAGE ABILITY (P%ecJEanl) $ UTO AUTOONLY EAACCCIENT 14 fPX ESSNYB" a MAB1= A OCCUR CUIMSMACE M 0010170304 DEDUCTIBLE RETENTION S1D OOQ WORNERSCOMPENSArOMAND B EMPLOYERS UABILRY ANY PROPRIETORIPARTN8VE)(ECUTryE 14021697 oFFK�RIMEMBER ExcwCEDT NYM dncdbeundx ><,...'.r w av Tzo, 08/01/07I 08/01/OB 08/01/07I 08/01/08 OTHER THAN EA ACC I AUTOONLr AGG 15 t tT, 000 FL DISEASE EA EMPLO 55 1 Q E L DISEASE POLICY LIMIT I S I, 0 The City Of Fort Collins and CDOT are Includ Mas Additional insureds on the above general liability policy FaxY494-4449 City Of Fort Collins Purchasing 281 N College Avenue Fort Collins CO 80522 CITYFTS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATNJ DATE THEREOF THE ISSU[W INSURER WRy ENDEAVOR TO MAIL _ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HD THE LEFT BUT FAILURE TO DO SO SHALL IMPOSE NO OBLJSATIDN OR LLAINUrY OF ANY KIND UPON THE INSURER ITS AGENTS OR S d 89 b l E64-OL6 ueweeld Lul>{ — d6v 60 80 6l qe_1