HomeMy WebLinkAboutCD INC - INSURANCE CERTIFICATE (2)ACORO® DATE (MM/DDNYYY)
CERTIFICATE OF LIABILITY INSURANCE 4/1/2011 6 1/2010
PRODUCER Lockton Companies, LLC Denver THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
8110 E Union Avenue ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Suite 700 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Denver CO 80237 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
(303) 414-6000
INSURERS AFFORDING COVERAGE
NAIC #
INSURED CD Inc.
1055025 Consolidated Divisions, Inc.
5585 W. Airport Road
Sedalia, CO 80135
INSURER A: The Travelers Indemnity Company
25658
INSURERB: Travelers Property Casualty Co of America
25674
INSURER C : Pinnacol Assurance Company
41190
INSURER D :
INSURER E :
COVERAGES CONDI03 VX THIS
CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING
In liCrt1 rl\./i1C u K.
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 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
INSRD
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD/YY)
POLICY EXPIRATION
DATE (MM/DD/YY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE F OCCUR
DTC07884P11A1 OIND
4/1/2010
4/ l/2011
DAMAGE TO RENTED
P EMI E Ea occurence
$ 250,000
MED EXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2 000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRO -
POLICY Fx_1 JECT F LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
B
AUTOMOBILE
X
LIABILITY
ANY AUTO
DT8107884PI IAIOTIL
4/1/2010
4/l/2011
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
BODILY INJURY
(Per person)
$ XXXXXXX
ALL OWNED AUTOS
SCHEDULED AUTOS
X.
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$ XXXXXXX
X
PROPERTY DAMAGE
(Per accident)
$ XXXXXXX
GARAGE LIABILITY
ANY AUTO
NOT APPLICABLE
AUTO ONLY - EA ACCIDENT
$ XXXXXXX
OTHER THAN EA ACC
$ XXXXXXX
AUTO ONLY: AGG
$ XXXXXXX
B
EXCESS/UMBRELLA LIABILITY
X OCCUR CLAIMS MADE
DTSMCUP7884P1 IAIOTIL
4/1/2010
4/1/2011
EACH OCCURRENCE
$ 5,000,000
AGGREGATE
$ 5,000.000
$ XXXXXXX.
El UMBRELLA
DEDUCTIBLE FORM
$ XXXXXXX
$ XXXXXXX
RETENTION $
C
WORKERS COMPENSATION. AND
EMPLOYERS' LIABILITY Y / N
4069626
6/1 /2010
6H /2o11
X WC STATU- OTH-
-.
E.L. EACH ACCIDENT
]
$ ,000,000
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFF,EXCLUDED? N /M
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
(Mandatory in
If yes, describe under
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: Poudre Trail Rehabilitation.
10709787 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
0of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
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
AUTHORIZED
ACORD 25 (2009101)
1988-2009 ACORD COR00RATION All rinhtc rocnrvcrl
Tne ACURD name and logo are registered marks of ACORD
For mnostians renardinn this rnrtifiratnu . contact the nmher li .d in the'Prn nrer nertinn ahnue anti ,nar if, the client Code'CONn10.T_