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Home My WebLink About109445 CONNELL RESOURCES INC - INSURANCE CERTIFICATE (8)Client# 14427 CONRE1 AACORD CERTIFICATE OF LIABILITY INSURANCE 06/01/04°"""' 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 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER Zurich Connell Resources Inc 4305 E Harmony Road Fort Collins CO 80528 9527 INSURERS American International Companies INSURER 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 INSR LTR ADD' INSRN TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE WDD/YY POLICY EXPIRATION DATE MM/D "Y LIMITS A GENERAL LIABILITY CP0375782400 06/01/04 06/01/05 EACH OCCURRENCE $1 QQQ 000 COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR DAMAGE TO RENTED $.300 QQQ MED EXP (Any one person) s5 000 PERSONAL &ADV INJURY $1000000 GENERAL AGGREGATE s2,000,000 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS COMP/OP AGO s2,000,000 POLICY X PRO LOC A AUTOMOBILE LIABILITY ANY AUTO CP0375782400 06/01/04 06/01/05 COMBINED SINGLE LIMIT (Ea accident) $100Q QQQ X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON OWNED AUTOS X BODILY INJURY (Per accident) $ X Drive Other Car X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTOONLY EAACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY AGG B LIABILITY OCCUR CLAIMS MADE BE2681480 06/01/04 06/01/05 EACH OCCURRENCE s3,000,000 AGGREGATE s3 QQQ000 NXCESS/UMBRELLA DEDUCTIBLERETENTION $ 1D 000 $ C WORKERS COMPENSATION AND EMPLOYERS LIABILITYOR 4029651 06/01/04 06/01/05 X WCSTATU OTH E L EACH ACCIDENT $500000 ANY PROPRIETOR/PARTNEMEXECUTIVE OFFICER/MEMBER EXCLUDED' If yes describe under E L DISEASE EA EMPLOYEE $SOO OOO EL DISEASE POLICY LIMIT $500000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Re CRI# 2031017 Misc Patching Project#5516 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 North Mason Street PO Box 580 Fort Collins CO 80522 0580 I ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION iEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 'In DAYS WRITTEN TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL NO OBLIGATION UPON THE INSURER ITS AGENTS OR -••--••---••-�/ I oT c rfmz°aooa NIK 0 ACORD CORPORATION 1988