HomeMy WebLinkAboutDRILLPRO SERVICES - INSURANCE CERTIFICATErllnnN! IRATA
ACORD, CERTIFICATE
OF LIABILITY
INSURANCE
DATE YY)
01/21/1/21/o8
PRODUCER
THIS CERTIFICATE
IS ISSUED AS A MATTER OF INFORMATION
Van Gilder Insurance Corp
ONLY
AND CONFERS NO RIGHTS UPON THE CERTIFICATE
700 Broadway Suite 1000
HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR
Denver CO 80203
ALTER
THE COVERAGE AFFORDED BY THE POLICIES BELOW
303 837 8500
INSURERS AFFORDING COVERAGE
INSURED
Colorado Casualty
DrillINSURER
ro Services
INSURER B
Pinnacol Assurance
2220
220E 7PI Unit A t
INSURER C
Hudson Insurance Company
Denver CO
CO 80229
INSURER D
NSURER 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
NSR
TR
TYPE OF INSURANCE
POLICY NUMBER
POUCYEFFECTIVE
POLITYEXPIMMIRATION
LIMITS
A
GENERAL LIABILITY
CPP055077305
09/01/07
09/01/08
EACH OCCURRENCE
$1000000
X COMM ERCIALGENERAL LIABILITY
FIRE DAMAGE (Any one 11re)
$100000
CLAIMS MADE [A] OCCUR
MED EXP (Any one person)
$5 000
PERSONAL S ADV INJURY
$1000000
—
GENERAL AGGREGATE
s2,000,000
GEN L AGGREGATE LIM ITAPPL IES PER
PRODUCTS COMP/OPAGG
52000000
POLICY PRO LOC
JECTA
AUTOMOBILE
LIABILITY
CPP055077305
09/01/07
09/01/08
X
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$1,000000
ALL OWNED AUTOS
BODILY INJURY
$
SCHEDULED AUTOS
(Per person)
HIRED AUTOS
X
X iNON
OWNED AUTOS
BODILY INJURY
(Per accident)$
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
AUTOONLY EAACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY AGG
A
EXCESSLIABILITY
CUP0551107
09/01/07
09/01/08
EACH OCCURRENCE
$1000000
X OCCUR LJn CLAIMS MADE
AGGREGATE
$1 000 000
$
DEDUCTIBLE
X RETENTION $10OOO
__ ------
$
B
WORKERS COMPENSATIONANO
4023119
O9/01/07
O9/01/66
X WL STATU OIH
EMPLOYERS LIABILITY
E L EACH_ACCIDENT
$100 000
E L DISEASE EA EMPL OVEE
_
$100OOO
E L DISEASE POLICY LIMIT
$500000
C
OTHER Pollution iFEC6114501
09/01/07
09/01/08
$1 000 000 Per Occurenc
iability
$1 000 000 Aggregate
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
As required by written contract or written agreement the City of Ft Collins Operations
Services Is Included as Additional Insured for ongoing operations under General Liability
with respect to the above referenced
City of Ft Collins
Operations Services
117 N Mason St
Fort Collins CO 80521
SHOULD ANYOF TH E ABOVE D ESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATION
DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL An DAYS WRITTEN
NOTICE TO THE CERTIFICATE H OLDER NAMED TOTH E LEFT BUT FAILURE TO DO SOSHALL
IM POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TH E INSURER ITS AGENTS OR
REPRESENTATIVE
ACORD 25S (7197)1 of 1 #S520452/M508085
GXC O
1989