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455175 NATIONAL CENTER FOR CRAFTMANSHIP - INSURANCE CERTIFICATE (4)
A RD CERTIFICATE OF LIABILITY INSURANCE 03iio//2010 PRODUCER (970)679-7333 FAX (866)456-4265 Ewing -Leavitt Insurance Agency 4025 St. Cloud Dr. Suite 100 Loveland, CO 80538 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 National Center for Craftmanship c/o Neil -Kaufman.— __ _ .... ,� _... _. .._.. ..... _ 5680 N.--Hwy '1--- - Fort, ,Co.11,ins, NCO 80524 i INSURER A: Penn Star Insurance„Company- 10673--- wsuRER B: Pinnacol- Assurance._. _........ _._ ...-:- 41190-_- -•-- . ' INSURERC: INSURERD: --•-- _ ._____.._ _... _ __.__ __..._....___ INSURER E: I �• 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 ADDT KWIC TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DDIYYi LIMITS GENERAL LIABILITY PAC6816847 02/05/2010 02/05/2011 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMPREAGE TO RENTED $ 100,000 CLAIMS MADE a OCCUR MED EXP (Any one person) $ 1,000 A PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Included )( POLICY PRO LOC JECT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY ,.'. �. (Per person).. .- • .. $ ' �" `' 'ALL OWNED AUTOS ;SCHEDULED AUTOS , , " ..- ,•. -• ..... BODILY INJURY (Per accident). .�-.----'--•' _ ._. ..._.... ..... $ --- . ....... _.... - ____—.__ .__.__.. _.._.__. HIREDAUTOS'..., �.._..._.......,.....__. NON-OWNED,AUTOS _...M_._.e___. _ .. _„ .__...._._..._.._ ... ....__.....� ..... -._._ ._ • -o.,. PROPERTY DAMAGES (Per accident) GARAGE LIABILITY - AUTO -ONLY - EA ACCIDENT EA ACC OTHER THAN -$ .. .. .ANY AUTO . - ...'_ $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ❑ CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND 4128791 01/01/2010 01/01/2011 X I vvC sTATu- OTH- I ER B EMPLOYERS' LIABILITY ANY PROPRIETOR/PARI'NER/EXECUIIVE OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ity of Fort Collins, its officers, agents and employees are listed as an additional insured s respects work performed. e: Deconstruction for PFA Station 4 City of Fort Collins Purchasing Dept John D. Stephen, Senior Buyer P 0 Box 280 Fort Collins, CO 80522 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 Aaron Eide ACORD 25 (2001/08) FAX: (970)221-6707 ©ACORD CORPORATION 1988