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NUGENT MOVING SOLUTIONS LLC - INSURANCE CERTIFICATE
.1- 7 ® DATE (MM/DD/YYYY) Rn CERTIFICATE OF LIABILITY INSURANCE OPIDTJGNl 08/31/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Front Range Insurance Group HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1100 Haxton Drive Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins CO 80525 Phone i 970-223-1804 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Pinnacol Assurance 41190 INSURER B: Secura Insurance Companies 22543 Nugent Moving Solutions, LLC - Mist yy Nugent INSURERC: 825 E. 11th St Loveland CO 80537 INSURER D: I INSURER E: 191919d:7_CH=61 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. IN K LTR NSR AU TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DDIYYYY PO ICY EX ON DATE MMIDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 B X COMMERCIALGENERAL LIABILITY CP3153717 09/01/10 09/01/11 PREMISES (Ea occurence) $ 100,000 CLAIMS MADE X I OCCUR MED EXP (Anyoneperson) s5,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 X I POLICY PRO LOC JECT B X AUTOMOBILE X LIABILITY ANY AUTO A3153718 09/01/10 09/01/11 COMBINED SINGLE LIMIT (Ea accident) $ 1 OOO OOO i i BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS B B X X HIREDAUTOS NON-OWNED,AUTOS A3153718 A3153718 09/01/10 09/O1/10 09/01/11 - 09/O1/il BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $- RETENTION $ * WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE—] OFFICER/MEMBER EXCLUDED? L—1 (Mandatory In NH) 4129130 02/01/10 02/01/11 X TORY LIMITS ER E.L. EACH ACCIDENT $ $1,000,000 E.L. DISEASE - EA EMPLOYEE $ $1 , 000 , OOO H Yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 1 $ $1,000,000 OTHER B Caro iability CP3153717 09/01/10 09/01/11 Caro 100,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS City of Fort Collins is named as additional insured. CERTIFICATE HOLDER CANCELLATION City of Fort Collins Attn: David Carey 215 N. Mason St. Fort Collins CO 80522 ACORD 25 (2009101) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY OF DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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 REPRESENTATIVES. ©1988=2009 ACORD CORPORATION. All riahts reserved The ACORD name and logo are registered marks of ACORD