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Home My WebLink About129302 HAGEMAN EARTH CYCLE - INSURANCE CERTIFICATE (4)09/22/2008 14 47 9702217163 PAGE 14 ACORD CERTIFICATE OF LIABILITY INSU_R_ANC_E I,ATP(MM?IM YYY) 09 VZO07 PINNACOL ASSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY 7501 E IONIV Blvd AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS Denver CO 80230 7005 CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POI ICIES BELOW I INSURERS AFFORDING COVERAGE NAICA _ INSURED N PINNACOL ASSURANCE 41100 Rem-- HAGEMAN EARTHCYCUF INC I 3501 E PROSPECT urea- FORT COLT INS CO 90525 NSURERC — — N I1RFR0 _ INSURERS 1 COVERAGES- T1HF POI IC.IhS OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE POLICY PCR1001NOICAIED NOTWITH9TANDNO ANY REQUIREMENT TERM OR CONOI rION OF ANY CONTRACTOR OTHFR DOCUMMFNT WITH RESPFCT TO WHICH THIS CFRTIFICATE MAY BE ISSUED OR MAY PHA IAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POI ICIF9 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS _ IN9R ADO _ PCIICYFFFF0TIVF I MI ICY FXPIM71ON — 1 OATFaMWDNYeYY� I_ LTR NSRO + T Pro MOFJ DR IURN C F. fy UMF(MMIODNYYYI _ LIMITS OCNERALLIM11-TY 1 EACYI PC, matw'! 4 C CLNMR IAA TSCNEMi L AP ITY O�AOPRCMIS TO RENTEPI -- GLAIAbMAL( � COrUR PRCMIS[u _ PER ONAL BAOV INJURY --� DCNl AMRWA1 E L MIT SRPI MRS PPR GENEANAOACOREa TF PRODUCTS COMPIOPAGG -� PROJECT J I pC __— _ _ _ _ _ _ _ _ I 'T AUTOM0911E1-AOIMTT COMSINEOSINOLCLUIt 1 ANY AUTO LlE AFRpwq l &1.0 N90AUTC SPICILY INJURY CHFOMPO AUTO HIRED AUTOS ROOIJY INJURY NN4- wrOALRG 1px. d. II RNY AUTG E%CESBNMSREL UASNTY prrVA J T{ IM MAnr DEDUCTIBLE REIIUIJTIDN A EMPLOTERTF UASIUTY ANY PROFRIRORIPARTNERIERECUrIVE OFFICEPAJEMSER E%0.UMO IT PI dl lmd 9PECIAPROVISIONEBMVx 01I PROPERrYI)MAOE I AUTO ONIv MAccIDENr-__ _J OTHER TINN EAACC_ --� AUTO ONLY AGG EACHOCCURRMCE iOTHER— - 4036718 1010112W7 10/0112008 - TORY LAWS _ _— _ I� — FLFACHACCIDENT $100000 - F 1 01 FA F A EMPLOYEE 1 8100000 -CLDIITCMC POLIOYLIMIT - $500000 — DESCRIPTIONOF OFERATIORII LOCATIONSNEMIGLESIEXCWSIONSACOEC CERTIFICATE HOLDER 1 ACD zst2001108) PROVISIONS _ CANCELLATION _ —J SHOULD M1Y OFF h1EOV AB( OP9CRIBED PO�IOIFS BBE CANCELLED BEFORE THE EXPIRATION DATE THFREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOI PIER NAMFD TO THE LEFT BUT FAILURE TO MAIL SUCH NOTICE $HALL IMGOSr NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRERENTATIVES AUTHORIZED REPRESENTATIVE Victoria Palmer — Underwriter AGORD CORPORATION 1955 09/22/2008 14 47 9702217163 PAGE 15 ACORDIM CERTIFICATE OF LIABILITY INSURANCE DATE (MMIC 1112711127107DIYYYYI PRODUCER Flood & Peterson Insurance Inc 4821 Wheaton Drive THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW ^ 0 Box 270370 t Collins CO 80527 INSURED Hageman Earth Cycle, Inc HagemanEnterpnsas LLC 3501 E Prospect Street Fort Collins CO 80525 INSURERS AFFORDING COVERAGE INSURER A Continental Western Group NAIC # INmURERB INSURER w INSUNFR D .� INSURER E M COVERAGES I HE POLILIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PFRIOD INDICATED NOTWITHSTANDING ANY REOUIRI MENT TERM nR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDFO BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POI ICIi$ AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS IyTR III TYPE Or IN4URANCE POLICY NUMBER POLICYEFFECME p POLICYEXPIRATrON DATE MM DD YY _ LIMITS CWP2344893 12/01107 12101/08 EACH OCCURRENCE 11000000 A GENERAL LIABILITY DAMX PREMI TO RENTED I S100 DOD COMMERr IAL CFNFRAL LIAOILITY TI AIM. MADE O OCCUR MED III (nr V me N-Non) 15 000 PER^ONAL & ADV INJURY 11 000 000 X PD Ded 300 T GENERAL AUDIrF $2 000 000 t FN L AGGREGATE LIMI r APPI FS PER PROOULTS L.OMPIOPAGG r2000000 _ 71 rOUCY 71 JET LOC A AUTOMOBILE LIABILITY ANY AU TO CWP2344893 12/01107 12/01108 COMBINED uINCI F I IMIT e (EaundenD E11000,000 X 5710ILY INJURY (Per Dorian) 1 AI I OWNED AUTOS SCHEDULED AIITO.. X BODILY INJURY (Par Acoi S Y HIRED AUTOS NON OWNED AI ItO4 X PROPERTY DAMAGE (Pr .1d"I) E GARAGE LIABILITY AUTOONLY EAACCIDENT 1 OTHER IHAN EA ACC S ANYALIICI SXCSSSIUMBRELLALIASIUTY E AU r0 ❑NI Y AFL. A CU236WB 12101/07 12/01108 EACH DCCURRFNCF $1 000 000 4CCRFGATE _ 0,000,000 X OC/'UN CLAIMS MAVF 1 1 ❑FOIICTIBLE X II— RETENTION $ 10000 WC OTM WORKERS COMPENSATION AND LIMI C L EACH ArrIDENT S FMPLOYER.. DABRUrY ANY I HOPRIFTORIPARTNERUTIVE Of F CeMMLERIMEMBFR EXCLUDED' F I ❑I CA..E EA EMPLOYEE E _ EL OIEEASF POLICY LIMIT 1 II / a NR snhr ur,dar ..PECIAL PR4VI IONS 6UUW OTHER DESCRIPTION OF OPERArIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Re Snow Removal City of Fort Collins Purchasing Department 256 W Mountain Ave Fort Collins CO 80521 ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEb BEFORE THE EXPIRATION THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SMALL NO ORLIGATIOM OR LIABILITY OF ANY MIND UPON THE INSURER ITS AGENTS OR ACORD 25 (2001108) 1 of 2 #M399772 DXS @ ACORD CORPORATION 1SE CERTIFICATE HOLDER COPY CITY OF FORT COLLINS PURCHASING DIVISION P O BOX 580 FORT COLLINS CO 80522 IMPORTANT If the certificate holder Is an ADDITIONAL INSURED the pollcy(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