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ALLIANCE ENTERPRISES - INSURANCE CERTIFICATE
DATE (MMIDDIYY) ALDRD,- CERTIFICATE OF LIABILITY INSURANCE A MATTER OF 1NI117108 ION PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIM TE DOES NOT AMEND, EXTEND OR Van Gilder Insurance ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 700 Broadway, Suite Corp.Coo Denver, CO 80203 INSURERS AFFORDING COVERAGE _ — 303 837-8500 — 7 o Hartfordlnsurance Group -- Alliance Enterprises LLC dba Jebco INSURER B: Pinnacol Assurance Heating & Air Conditioning & INSURER C Centennial Heat I INSURER D 680 Lipan Street., Denver, CO 80204 INSURER e :OVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR, HE POLICY PERIOD INDICATED. NOTWITHSTANDIOR NG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED C 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 —LAI P oucY EIuF,ECTIVE PPO�LICY EXPIRATION LIMITS ...ram, nnvl DATE IMMIDD� ISR TR TYPE OF INSURANCE r....... ...,...___ 01/01/09 01101/10 EACH O_., ___ ..'.....r__ - A GENERAL LIABILITY I34UUN148019 FIRE DAMAGE (Anyonefre) $30O,OOQ__ X COMMERCIALGENERAL LIABILITY MEDEXP(Anyoneperson) $10000 _ CLAIMS MADE OGCUR PERSONAL a ADV INJURY_ $1 000,000 X PD Ded:1 OOO GENERALAGGREGATE 82,000 000 PRODUCTS-COMPIOP AG( $2000000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO LOC 01/01/10 COMBINED SINGLE LIMIT $1,000,000 A AUTOMOBILE LIABILITY 34UUNI08019 I01101109 (Ea ac--- -.__.___ X ANY AUTO BODILY INJURY $ ALL OWNED AUTOS (Per person) SCHEDULED AUTOS I BODILY INJURY g X HIRED AUTOS (Per accident) —_ X NON -OWNED AUTOS PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT $ GARAGE LIABILITY EA ACC OTHER THAN ---- - __$___,_____ AUTO ONLY: AGG $ ANY AUTO 01/01/10 EACH OCCURRENCE $1 00000 34XHUIO7915 01101/09 AGGREGATE $1,000 00 A EXCESS LIABILITY CLAIMS MADE $ X OCCUR _ DEDUCTIBLE $ WG STATU X RETENTION $10 000 01101/1 -ER- X T9R�L1MITS _.-- ER --'- - AI OOO B WORKERSCOMPENSATIONAND 4086704 101101/09 EL._EACHACCI- NT,_ $1 EMPLOYERS'LIABILITV EL DISEASE EA EMPLOYEE$1,000,OI OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS As required by written contract or written agreement, City of Ft. Collins is included as Additional Insured for ongoing operations under General Liability. City of Ft. Collins City Hall West 300 La Porte Ave Fort Collins, CO 80521 ACORD 25-S (7197)1 of 2 #M555811 EXPRAT SHOULD ANYOFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TYS ''IT � DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAILO— DA NOMCETOTHE CERTIFICATE HOLDERNAMED TOTHELEFT, BUTFAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ,ITS AGENTS Oft A HORIZED REPRESENIAIIv BAD © ACORD CORPORATION 1981 No Text 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). 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. ACORo25-S(7197)2 of 2 4TMno5o11 No Text