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HomeMy WebLinkAbout106039 GERRARD EXCAVATING - INSURANCE CERTIFICATE (2)•A -CORD CERTIFICATE OF LIABILITY INSURANCE DAiiz9izoo8) PRODUCER (970)679-7333 FAX (970)679-7377 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Ewing -Leavitt Insurance Agency 4025 St. Cloud Dr. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. c '*e 100 L :land, CO 80538 INSURERS AFFORDING COVERAGE NAIC # INSURED Gerrard Excavating, Inc. INSURER A: CNA G9124 1739 S. County Road 13c INSURER Pinnacol Assurance 41190 Loveland, CO 80537 INSURER INSURFR D NSURFR L 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. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY 4013200423 01/01/2009 01/01/2010 EACH OCCURRENCE $ 1,000,000 OMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000 MADE OCCUR 4XB]LKT PREMISES (EaCLAIMS MED EXP (Any one person) $ 10,000 A Addl Insureds PERSONAL BADVINJURY $ 1,000,000 X I BLKT Waiver Subrog GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICYFij JECTPRO LOC AUTOMOBILE LIABILITY 4013200390 01/01/2009 01/01/2010 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,000 X BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per person) A X BODILY INJURY $ HIRED AUTOS X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC ANY AUTO $ $ AU10 ONLY AGG EXCESSIUMBRELLA LIABILITY I-ACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND 4028598 01/01/2009 01/01/2010 X WCSIATU- OiH- EMPLOYERS' LIABILITY BLANKET WAIVER OF --- E.L. EACH ACCIDENT $ 1,000,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEE $ 1,000,000 OFFICER/MEMBER EXCLUDED? SUBROGATION It yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT ---- $ 1,000,000 OTHER 4013200423 01/01/2009 01/01/2010 Leased/Rented Equipment Commercial Inland A $500,000 limit - $5,000 ded arine I _LDESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS he City of Fort Collins is named as additional insured with regard to general liability. City of Fort Collins 281 N College Ave PO Box 580 Ft Collins, CO 805Z2-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE - Renee Stein/RESTEI ACORD 25 (2001/08) FAX: (970)221-6378 ©ACORD CORPORATION 1988