HomeMy WebLinkAboutCONSOLIDATED DIVISIONS INC. - INSURANCE CERTIFICATEACORD. CERTIFICATE OF LIABILITY INSURANCE 4/1/2010
DATE (MM/DD/YYYY)
10/30/2009
PRODUCER Lockton Companies, LLC Denver
81.10 E Union Avenue
Suite 700
Denver CO 80237
(303) 414-6000
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
NAIC #
INSURED CD Inc.
] 055025 Consolidated Divisions, Inc.
5585 W. Airport Road
Sedalia, CO 80135
-
INSURER A: Continental Western Insurance Company
10804
INSURER B : Pinnacol Assurance Company
41190
INSURER C :
INSURER D :
INSURER E :
COVERAGES CONDI03 VX THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING
INSURERISI. AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER.
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
POLICY EFFECTIVE
POLICY EXPIRATION
LTR
INSRD
TYPE OF INSURANCE
POLICY NUMBER
DATE (MM/DD/YY)
DATE (MM/DD/YY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE a OCCUR
CWP256376426
4/l/2009
4/1/2010
PREMGETOE.
RENTED"..,
TEDnce
$ 250000
MED EXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 2,000,000
PRO -
POLICY X JECT LOC
A,
AUTOMOBILE
LIABILITY
ANY AUTO
CWP256376426
-
4/1/2009
4/1/2010
COMBINED SINGLE LIMIT
(Ea accident)
$ ],000,000
X
BODILY INJURY
(Per person)
$ XXXXXXX
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Per accident)
$ XXXXXXX
HIRED AUTOS
NON -OWNED AUTOS
X
PROPERTY DAMAGE
(Per accident)
$ XXXXXXX
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$ XXXXXXX
ANY AUTO
NOT APPLICABLE
OTHER THAN EA ACC
$ XXXXXXX
$ XXXXXXX
.
AUTO ONLY: AGG
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$ 5,000,000
A
X OCCUR CLAIMS MADE
CU256948924
4/1/2009
4/1/2010
AGGREGATE
$ 5,000,000
$ XXXXXXX
UMBRELLA
Fx_1
$ XXXXXXX
DEDUCTIBLE FORM
$ XXXXXXX
RETENTION $
B
WORKERS COMPENSATION_ AND
4069626
6/1/2009
6/1/2010
X UMIT- WCSTATUO R
EMPLOYERS' LIABILITY
AN V PROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
OFFICER/MEMBER EXCLUDED?
If yes, describe under NO SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: Poudre Trail Rehabilitation.
10709787 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 �0 DAYS WRITTEN
300 Laporte Ave. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Fort Collins CO 80522 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRES T E ,
i e re+
ACORD 25 (2001 /08) For questions regarding this certificate, contact the number listed in the 'Producer section above and specify khe client code'CONDI03'. ACORD CORPORATION 1988