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Home My WebLink About467727 DRAHOTA COMMERCIAL LLC - INSURANCE CERTIFICATE (6)ACORDon CERTIFICATE OF LIABILITY INSURANCE 7/1/2009 Dnr„M2r6/ 8, PRODUCER Lockton Companies, LLC Denver THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 8110 E Union Avenue ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Suite 700 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Denver 80237 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (303)414-6000 1 INSURED Drahota Commercial, LLC 1054659 PO Box 272269 Fort Collins, CO 80527 nnvFaerGc nR A cno I INSURERS AFFORDING COVERAGE INsuRERA: Zurich American Insurance INSURER B: Pinnacol Assurance INSURER C : National Union Fire Ins. Co, of PA INSURER E wu�erc HNU rnee nrICAIE LUER. 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 LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDIYY) POLICY EXPIRATION DATE (MMIODlYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 000 000 A X COMMERCIAL GENERAL LIABILITY GLA375796405 12/1/2008 12/1/2009 DAMAGE TO RENTED PREMISE Eaoccurence $ 300000 CLAIMS MADE � OCCUR MED£XP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGE $ 2000000 POLICY X PRO- JECT FX71 LOC A AUTOMOBILE LIABILITY GLA375796405 12/1/2008 12/l/2009 COMBINED SINGLE LIMIT X ANYAUTO Be accident) $ ],000,000 BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS - (Per person) $ XXXXXXX BODILY INJURY IIIRED AUTOS NON -OWNED AUTOS (Per accident) $ XXXXXXX PROPERTY DAMAGE $ XXXXXXX (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX NOTAPPLICABLE OTHER THAN EAACC $ XXXXXXX ANYAUTO AUTO ONLY: AGG $ XXXXXXX EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 5,000,000 G X OCCUR CLAIMS BS01$872766 12/1/200$ 12/1/2009 AGGREGATE $ 5 000 000 MAD[ $ XXXXXXX Fvj UMBRELLA $ XXXXXXX DEDUCTIBLE FORM $ XXXXXXX RETENTION $ B WORKERS COMPENSATION AND 2286970 7/I/200E 7/1/2009 X WC STATU- I JOTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT ANY PROPRIETORIPARTNERICXECUTIVE IfyesCERIMEMEER Excwoeox E.L. DISEASE - EA EMPLOYE ts If yes. describe antler NO E.L. DISEASE - POLICY LIMIT SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Certificate Molder is included as an Additional Insured, 3575392 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL, 30 DAYS WRITTEN 281 North College Avenue Fort Collins CO 80522 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, AUTHORIZED REPRES T E C r c IW /1V 11 40 ttuU Hod) rorquesuoncrepnraing ros aed"nute, ecrcWtbe number nsmn In11's oaucer section above and specilylhe client code'DRACOO', WACORD CORPORATION.1988