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Home My WebLink About467727 DRAHOTA COMMERCIAL LLC - INSURANCE CERTIFICATEACORDT. CERTIFICATE OF LIABILITY INSURANCE °"4,24;2o��YYYI 7„/200g PRODUCER L.CktOn Companies, LLC Denver THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 8110 E Union Avenue Suite 700 Denver CO 80237 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (303) 414-6000 INSURERS AFFORDING COVERAGE NAIC # INSURED Drahota CoDmletcial, LLC 1054659 PO BOX 272269 Fort Collins, CO 80527 INSURER A: Zurich American II sunallce INSURERS: Pinnacol ASSLIDUICC INSURER C: National Union Fire Ins. Co. of I A NSURER D: INSURER E: COVERAGES DRACO01 VX THIS CERTIFICATEOFINSURANCEDOES NOT CONSTITUTE A CONTRACT INSURER a . AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE BETWEEN THE ISSUING CERTIFICATE HOLDER. 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 OD' NSR TYPE OF INSURANCE POLICY NUMBER POLICEFFECTIVE .ATEY MMIDDM' POLICY EXPIRATION DATE MMIDDNY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000 000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑X OCCUR CP0375796404 12/l/2007 12/l/2008 DAMAGE TO RENTEO PREMISES Ea occu.,,.e $ _ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S 2,000,000 POLICY X PE,0j XI LOC A AUTOMOBILE X LIABILITY ANY AUTO CP0375796404 12/l/2007 12/l/2008 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILYS (Perrperson) XXXXXXX ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ XXXXXXX PROPERTY DAMAGE (Per accident) $ XXXXXXX GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX ANYAUTO NOTAPPLICABLE OTHER THAN EAACC $ XXXXXXX AUTO ONLY: AGG $ XXXXXXX O EXCESS/UMBRELLA LIABILITY X OCCUR F_�ICLAIMSMADE 13E1048061 12/I/2007 12/l/2008 EACH OCCURRENCE S 5 000 000 AGGREGATE $ 5000000 $ XXXXXXX UMBRELLA O $ XXXXXXX DEDUCTIBLE FORM X RETENTION S 10,000 $ XXXXXXX B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2286970 7/I/2007 7/l/2008 X WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETORIPARTNERIEXECUTIVE E.L. DISEASE EA EMPLOYEE $ 1,000,000 OFFICERIMEMBER EXCLUDED? NO If yes, describe under E.L. DISEASE POLICY LIMIT $ 1,000,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS 111123 General C:ontt'actor for Fire Station Expansion and Renovation Pfojects. 3636645 City of Fort Collins Financial Services - Pm'chasing Division 215 N. Mason Street, 2nd Moor P.O- BOX 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 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 REPRESENTATIVES. .e ACORD 25(2001108) Foryuesrono,OBe,emsnar.—fiff-en.00maot the numb¢,1,.Ird mRm•Produooior.bAnobnUhrul e'P..ify ..Coo,