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Home My WebLink About357129 NARANJO CIVIL CONSTRUCTORS INC - INSURANCE CERTIFICATE (2)DATE ACORD CERTIFICATE OF LIABILITY INSURANCE 5/21/2009Y) PRODUCER (303)824-6600 FAX: (303)370-0118 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Moody Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3773 Cherry Creek North Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 800 Denver CO 80209-3804 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Bituminous Casualty Corp 02075 Naranjo Civil Constructors, Inc. INSURER B:Plnnacol Assurance 41190 H&L Concrete, Inc. INSURER C: 1863 2nd Avenue INSURERD: Greeley CO 80631 INSURER E: rrn11Conn1=c 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 BEE A REDUCED BY PAID CLAIMS INSR ADD'L TYPE OF INSURANCE POLICY NUMBER PDATEYMM/DD/YYE POLICY MM/DDNY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 100, 000 X COMMERCIAL GENERAL LIABILITY A CLAIMS MADE aOCCUR CLP3261599 2/18/2009 2/18/203.0 MEDEXPAn oneperson) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 Additional Insured Form GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG $ 2,000,000 #GL 3084 01-06 attahced POLICY X JE OT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS CAP3528228 2/18/2009 2/18/2010 X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA A ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE$ 1,000,000 AGGREGATE $ 1,000,000 X OCCUR CLAIMS MADE $ A DEDUCTIBLE CUP2584983 2/18/2009 2/18/2010 X RETENTION 10,000 B WORKERS COMPENSATION AND X WC STATU TH- IMIT ER EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 OFFICER/MEMBEREXCLUDED? 1452910 6/l/2009 6/1/2010 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A OTHER Installation Floater CLP3261599 2/18/2009 2/18/2010 Limit: $30,000 Deductible: $1, 000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: 6082 Horsetooth - Ziegler Roundabout and Ziegler Road Improvements - Proj. #6082 City of Ft. Collins, its Servants, agents, citizens and employees are listed as additional insured under the General Liability. This insurance is primary. Contractual liability is included. A waiver of subrogation applies in favor of the same with regards to the general liability when required by written contract. This certificate is subject to the terms, conditions, and exclusions of the policies. A 10-day notice of cancellation will apply in the event of CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Fort Collins EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 215 North Mason Street 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT 2nd Floor Coll Fort Collins, CO 80524 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Kara Smith, CISR,� ACORD 25 (2001/08) I ', I : I U © ACORD CORPORATION 1988 INS025 (0108).08a Page 1 of 2 COMMENTS/REMARKS non-payment of premium. OFREMARK COPYRIGHT 2000, AMS SERVICES INC.