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CORROSION SPECIALISTS - INSURANCE CERTIFICATE
ACORD,. CERTIFICATE OF LIABILITY INSURANCE izis jzooe PRODUCER The Wausau Legacy Agency 1-800-214-8126 P O Box 1256 Gainesville GA 30503 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. INSURERS AFFORDING COVERAGE INSURED INsuRERA: Employers Insurance Company of Wausau Corrosion Specialists Ltd & Beil Properties LLC INSURER B: 2860 South Vallejo Street Unit C Englewood CO 80110 NsuRERc: INSURER D: r�nveonr_ee 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 POLICV EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE IMM/DDM/) DATE (MMIDD/VY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 x COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ 300,000 A DO CLAIMS MADE o OCCUR YYC-Z91-062096- 12-31-2008 12-31-2009 MED EXP (Any one person) $ 10,000 108 D PERSONAL &ADV INJURY $ 1,0 00,000 D GENERALAGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PRODUCTS - COMP/OP AGG - Excluded - PER : 0 POLICY ❑ PROJECT ❑ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 ❑ ANY AUTO (Ea accident) ❑ALL OWNED AUTOS ASC-Z91-062096- 12-31-2008 12-31-2009 BODILY INJURY $ 048 A x SCHEDULED AUTOS (Per person) x HIRED AUTOS BODILY INJURY $ x NON -OWNED AUTOS (Per accident) D PROPERTY DAM -AGE-$_ D (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ❑ ANY AUTO N/A N/A N/A OTHER THAN EA Ace $ D $ AUTO ONLY: AEG EXCESS LIABILITY EACH OCCURRENCE $ 2,000,000 ❑ OCCUR ❑CLAIMS MADE AGGREGATE $ 2,000,000 A THC-Z91-062096- 12-31-2008 12-31-2009 $ 058 ❑ DEDUCTIBLE $ ❑ RETENTION $10.000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY We x OTHER STATUTORv LIMITS X A THE PROPRIETOR/ WCC-Z91- 12-31-2008 12-31 -2009 E.L. EACH ACCIDENT $ 1,000,000 062096-018 PARTNERS/EXECUTIVE []INCL E.L. DISEASE - EA EMPLOYEE $ 1,000,000 OFFICERS ARE: ❑EXDL E.L. DISEASE -POLICY LIMIT $ 1,000,000 Coverage Afforded Under WC Law of Exclusion - products - the Following States: CO KS MT OK completed operations so rx ur hazard SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 8EFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL XX 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. CITY OF FORT COLINS UTILITIES AUTHORIZED RE PRESENTATIVE PO BOX 580—` FORT COLINS, CO 00512-0580GhGvGG Elaine Parris / krk ACORD 25-S (7/97) ©ACORD CORPORATION 1gRR