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HomeMy WebLinkAbout106039 GERRARD EXCAVATING - INSURANCE CERTIFICATE (3)`A -CORD CERTIFICATE OF LIABILITY INSURANCE D12/29/2008' PRODUCER (970)679-7333 FAX (970)679-7377 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Ewing -Leavitt Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4025 St. Cloud Dr. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. S:- to 100 L A and, CO 80538 INSURERS AFFORDING COVERAGE NAIC # INSURED Gerrard Excavating, Inc. INSURER A: CNA G9124 1739 S. County Road 13c INSURERS: Pinnacol Assurance 41190 Loveland, CO 80537 INSURERC: INSURER D INSURER E rnVFRARFC 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 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR DAMAGE TO RENTED RE-MISFS (Fa, om renc $ 100 000 r MED EXP (Any one person) $ 10,000 A X BLKT Addl Insureds PERSONAL & ADV INJURY $ 1,000,000 X BLKT Waiver Subrog GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PRO LOC JECT AUTOMOBILE LIABILITY ANY AUTO 4013200390 01/01/2009 01/01/2010 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONI'Y-. AGG $ ' ANY AUTO $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND 4028598 01/01/2009 01/01/2010 X wcsrnru- OTH- I ER B EMPLOYERS' LIABILITY. ANY PROPRIETOR/PARTNER/EXECUTIVE BLANKET WAIVER OF E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 OFFICER/MEMBER EXCLUDED? It yes, describe under SPECIAL PROVISIONS below SUBROGATION E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER Commercial Inland 4013200423 01/01/2009 01/01/2010 Leased/Rented Equipment A Marine $500,000 limit - $5,000 ded DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS he City of Fort Collins is named as additional insured with regard to general liability. o City of Fort Collins 281 N College Ave PO Box 580 Ft Collins, CO 80522-0580 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