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HomeMy WebLinkAboutDURAN EXCAVATING INC - INSURANCE CERTIFICATEClient#: 28315 DUREX ACORDTM CERTIFICATE OF LIABILITY INSURANCE 03131/2010 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood $ Peterson Ins., Inc. Corporate Mailing Address: p g ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Box 578 Greeley, CO 80632 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER& Travelers Insurance Company Duran Excavating Inc INSURER B: Pinnacol Assurance 418 N 9th Ave Greeley, CO 80631-23SO INSURER C: INSURERD: INSURER E: 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE D D POLICY EXPIRATION D LIMITS A GENERAL LIABILITY DTC08077BO49IND10 04/09/10 04/09/11 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPREMISES (E. $300OOO CLAIMS MADE 51 OCCUR MED EXP (Any one person) $1 O 000 PERSONAL & ADV INJURY $1 000 000 X PD Ded: $2,500 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 POLICY PE t T LOC A AUTOMOBILE LIABILITY ANY AUTO DT8108077BO49TIL10 04/09/10 04/09/11 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ . ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS/UMBRELLALIABILITY DTSMCUP807713049TIL 04/09/10 04/09/11 EACH OCCURRENCE $2 000 000 X OCCUR CLAIMS MADE AGGREGATE s2,000,000 $ DEDUCTIBLE -$ X RETENTION $ 10000 B WORKERS COMPENSATION AND 4110254 01/01/10 01/01/11 OTH- X WC STATU- JIR EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $1 OOO OOO E.L. DISEASE - EA EMPLOYEE $1 000 000 If es, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 1 $1 000 000 A OTHER Equipment QT6601423C736TIL10 04/09/10 04/09/11 Blanket Limit DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Project: Construction of the 7048 Mason Bike/Pedestrian Trail - Spring Creek to Prospect Road City of Fort Collins and CDOT are named as Additional Insured. City of Fort Collins Purchasing Division 215 N. Mason Street 2nd Floor P. 0. Box 580 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 An DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE ACORD 25 (2001108) 1 Of 2 #S519013/M518995 DSM O ACORD CORPORATION 1988