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Home My WebLink About109445 CONNELL RESOURCES INC - INSURANCE CERTIFICATE (9)Client# 14427 rK*721:77i1 ACORD,M CERTIFICATE OF LIABILITY (MMID INSURANCE 0DATE 9I22/9/221O8DNYYY) 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 INSURERA Zurich Connell Resources Inc 7785 Highland Meadows Pkwy Fort Collins CO 80528 INSURER American International Companies INSURER Pinnacol Assurance INSURERD 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 LTR HER TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY CP0375782405 06/01/08 06/01/09 EACH OCCURRENCE $1 00Q 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE F—X] OCCUR DAMAGE TO RENTEDPREMISES (Es occurrence) $300OOO MED EXP (Any one W son) $10 000 PERSONAL SADVINJURY $1000000 X PDDed5,000 GENERALAGGREGATE $2 000 000 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS COMPIOPAGG $2000000 POLICY 7X PE O LOC A AUTOMOBILE X LIABILITY ANY AUTO CP0375782405 06/01/08 06/01/09 COMBINED SINGLE LIMIT (Es scadent) $1000000 BODILY INJURY (Par person) $ ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS NON-OWNEDAUTOS BODILY INJURY (Per ecddent) $ X X Drive Other Car PROPERTY DAMAGE (Per ecddent) $ GARAGE LIABILITY AUTOONLY EAACCIDENT $ OTHER AN EA ACC $ ANY AUTO $ AUUTOTOOONLY AGG B EXCESSIUMBRELIALIABILITY X OCCUR CLAIMS MADE BE7275064 06/01/08 08/01/09 EACH OCCURRENCE $5000000 AGGREGATE $5 000 000 DEDUCTIBLE X RETENTION $ 10000 $ Ci WORKERS COMPENSATION AND 4029651 06/01/08 06/01/09 X I WCSTATU OTH FR- EMPLOYERS LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE EL EACH ACCIDENT $500000 EL DISEASE EA EMPLOYEE $500000 OyFFICERIMEMBEREXCLUDED? USPse dewnbe once ECIAL PROVISIONS below E L DISEASE POLICY LIMIT $500000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS RE CSU Snow Removal City of Fort Collins Is named as additional insured but only as respects liability arising out of work performed by the named Insured (Excluding Workers Compensation) Emailed only to the Insured City of Fort Collin PO Box 580 Fort Collins CO 80522 LO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF THE ISSUING INSURER WILL Rexrt MAIL _IQ_ DAYS WRITTEN :E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT AIii1UauuaEWQQo6oW (RX .�Vmu LD ([YYIIva) 1 of 2 #5425884/M417135 DXS 0 ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED the policy(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 ACORD 25S (2001/08) 2 of 2 &M25RRd/Md171-15