The URL can be used to link to this page

Home My WebLink About109445 CONNELL RESOURCES INC - INSURANCE CERTIFICATE (7)rimnMd 1AA27 CONRE1 ACORD- CERTIFICATE OF LIABILITY INSURANCE DATE O6/041C8DmrY) PRDDUCER Flood & Peterson Insurance Inc THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE THIS CERTIFICATE DOES NOT AMEND EXTEND OR 4821 Wheaton Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW ALTER P 0 Box 270370 Fort Collins CO 80527 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA Zurich Connell Resources Inc INSURER B American International Companies 7785 Highland Meadows Pkwy Fort Collins CO 80528 INSURERC Pmnacol Assurance INSURER D INSURER E r/1VFRAr:FS 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 DATE(MMIDD/YYE PDATE EXPIRATION M% D/YY1 LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE O OCCUR X PD Died 5,000 CP0375782405 06/01/08 06/01/09 EACH OCCURRENCE $1 000 000 DAMAGE TO RENTED $30-0 OOQ MED EXP (Any one person) $10000 PERSONAL & ADV INJURY $1 00Q 000 GENERAL AGGREGATE $2 00O 000 GEN L AGGREGATE LIMITJEC, APPLIES PER POLICY X PRO LOD PRODUCTS COMP/OP AGO $2 00O 000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS Drive Other Car CP0375782405 06/01/08 06/01109 COMBINED SINGLE LIMIT (Ea accident) $1 000 000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X T X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTOONLY EAACCIDENT $ OTHER THAN EA ACC AUTO ONLY AGG $ $ B EXCESSIUMBRELLALIABILITY X OCCUR F7 CLAIMS MADE DEDUCTIBLE X RETENTION $ 10000 BE7275064 06101108 06/01/09 EACH OCCURRENCE $5000000 AGGREGATE $S 00O 000 $ $ C WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? under S11 PECIALSPROV15ONS below 4029651 06/01108 06/01/09 XI-WCTOR OTH EL EACH ACCIDENT $500000 EL DISEASE EA EMPLOYEE s5000OO EL DIScrbe EASE POLICY LIMIT $SOD OOO OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE CRI #2081016 City of Fort Collins Annual Contract City of Fort Collins is named as additional insured but only as respects liability arising out of work performed by the named insured (Excluding Workers Compensation) Per request sent via email to the insured City of Fort Collins Purchasing Division PO Box 580 Fort Collins CO 80522 ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL '.%0_ DAYS WRITTEN E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL IE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR ACORD 2512001/0814 nF7 *QA171n5IlUA1RRAn f IMPORTANT If the certificate holder is an ADDITIONAL INSURED the policy(ies) must be endorsed A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) If SUBROGATION IS WAIVED subject to the terms and conditions of the policy certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s) authorized representative or producer and the certificate holder nor does it affirmatively or negatively amend extend or alter the coverage afforded by the policies listed thereon ACORD 25 S (2001/08) 2 of 2 #S417105/M416640