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ACDRD. CERTIFICATE
OF LIABILITY
INSURANCE
DATE
09/04/08D(Yv)
PRODUCER
THIS CERTIFICATE
IS ISSUED AS A MATTER OF INFORMATION
Van Gilder Insurance Corp.
700 Broadway, Suite 1000
ONLY
HOLDER.
ALTER
AND CONFERS NO RIGHTS UPON THE CERTIFICATE
THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Denver, CO 80203
303 837-8500
INSURERS AFFORDING COVERAGE
------
INSURED
DrillPro Services Inc.
2220E Unit A
Denver,, CO CO 80 80229
----------
INSURER A.
Colorado Casualty
INSURER B
Pinnacol Assurance
INSURER c:
— —
Endurance America Specialty
INSURER D:
-- ------ — _
NSURER 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
POGCY EFFECTIVE
POLICY EXPIRATION
LTR'
�'��i�F INSURANCE.
POLICY NUMBER
DATE MM/DDIYY
DATE MM/DDM'
LIMITS
A
GENERAL
LIABILITY
CBP8473356
09/01/08
09/01/09
EACH OCCURRENCE
_$1,000,000
X_COMMERCIAL
GENERAL LIABILITY
FIRE DAMAGE (Any one fire)
$100,000
CLAIMS MADE X OCCUR
MED EXP (Any oneperson)
PERSONAL & ADV INJURY
$1 OOO,OOO _
GENERAL AGGREGATE
s2 DOOn00D
GENT AGGREGATE LIM IT APPLIES PER:
PRODUCTS -COMP/OPAGG
$2,000000
PR
POLICY JE O-T LOC
POLICY
_
A
AUTOMOBILE
LIABILITY
CBP8473356
09/01/08
09/01/09
COMBINED SINGLE LIMIT
$1,660,DD6
X
ANY AUTO
(Ea accident)
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS
(Per person)
$
X
HIREDAUTOS
BODILY INJURY
$
X
NON -OWNED AUTOS
(Per accident)
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
AUTO ONLY-EAACCOENT
$
OTHER THAN EA ACC
$
ANY AUTO
AUTO ONLY: AGG
$
A
EXCESS LIABILITY
CUP0551107
09/01/08
09/01/09
EACH OCCURRENCE,
$1,000,000
X OCCUR CLAIMS MADE
AGGREGATE
- -. _
$1,000,000
$
DEDUCTIBLE
$
X RETENTION $1�O 000
B
WORKERS COMPENSATION AND
4023119
09/01/08
09/01/09
_X IWcs'IAtu- OTW
__.. om IMI _
EMPLOYERS' LIABILITY
_ER_.
E.L. EACH ACCIDENT
_....._....__.. _ _
$100,000
E.L. DISEASE EA EMPLOYEE
$100,000
E.L. DISEASE-POLICYLIMIT
$500000
C
OTHER Pollution
ECC10100264900
09/01/08
09/01/09
1,000,000-occurrence
Liability
1,000,000 annl aggr
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
*Except 10 days notice for non-payment of premium.
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 DESCRIBED POLICIES BE CANCELLED B EFORE TH E EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL36'''___ DAYSWRITTEN
NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL
IMPOSE NO OBLIGATION OR LIABILITYOF ANYKIND UPON TH E INSURER,ITS AGENTS OR
A HORIZED REPRESENTATIVE_
a.� cam. \ vv'.r
A(;UHU 25-5 p11W)1 of 2 #M542877 KAB 0 ACORD CORPORATION 1988