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