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Home My WebLink AboutDRAKOTA COMMERCIAL - INSURANCE CERTIFICATEACORD,M CERTIFICATE OF LIABILITY INSURANCE 12/1/2008 DATE 6/23/20 8 PRODUCER Lockton Companies, LLC Denver THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 8110 E Union Avenue ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Suite 700 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Denver 80237 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (303)414-6000 NAIC # INSURERS AFFORDING COVERAGE INSURED Drahota Commercial, LLC 1054659 PO Box 272269 Fort Collins, CO 80527 rnvoonr_oe I INSURER B. P1nnacol ASSW'ance I I INSURER C National Union Fire Ins. Co. of PA I I INSURER D 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 ADDT INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MWDDM/) POLICY EXPIRATION DATE (MMIDD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1 000 000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR CP0375796404 12/1/2007 12/l/2008 DAMAGE TO RE NTED PREMISE Soccurened 5 300.000 MILD ERE (Any one person) 5 10,000 PERSONAL B ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2 08,000 AGGREGATE LIMIT APPLIES PER: GEN'L X PRO- PRO - POLICV X LOC PRODUCTS - CONNOR AGG 5 2,000,000 A AUTOMOBILE X LIABILITY ANY AUTO CP0375796404 12/1/2007 12/l/2008 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) 5 XXXXXXX ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ XXXXXXX HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ XXXXXXX GARAGE LIABILITY ANY AUTO NOT APPLICABLE AUTO ONLY - EA ACCIDENT 5 XXXXXXX OTHER THAN EA ACC 5 XXXXXXX AUTO ONLY. AGO $ XXXXXXX C EXCESSIUMBRELLA X LIABILITY OCCUR CLAIMS MADE BI"104$06I 12/I/2007 12/I/2008 EACH OCCURRENCE 5 5.000 000 AGGREGATE $ 5 80.000 S XXXXXXX UMBRELLA 5 XXXXXXX DEDUCTIBLE FORM X $ XXXXXXX RETENTION $ 10,000 B WORKERS COMPENSATION AND 2286970 7/1/2008 7/1/2009 X I WC STATU- OTH- EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 EL DISEASE - EA EMPLOYEE $ 1,000,000 OFFICERIMEMBER EXCLUDED? oyes. describe under SPECIAL PROVISIONS below No EL DISEASE -POLICY LIMIT S 1,000,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS PI 123 General Contractor Par Fire Station Expansion and Renovation Projects. CERTIFICATE HOI_r)FR nnetrn I ATInid 3636645 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins Financial Services - Purchasing Division 215 N. Mason Street, 2nd Floor P.O. Box 580 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fort Collins, CO 80522 REPRESENTATIVES. AUTHORIZED REPRES T E e V ACORD 25(2001/08) For questions regarding thiscenmcam, contact he number listed to the Producer' section above and spedlyiha chard cdJa •DRACoor, dACORD CORPORATION 1988