The URL can be used to link to this page

Home My WebLink About129302 HAGEMAN EARTH CYCLE - INSURANCE CERTIFICATE (10)Client#: 24703 HAGEA ACORD. CERTIFICATE OF LIABILITY INSURANCE D1 E mwD010YY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Flood & Peterson Ins., Inc. Corporate Mailing Address: P. O. Box 578 CONTACT NAME: Kelly Beauvais PHONE 970 266-7121 FAX 9705066846 /C No El): A/C, No): (A/C, E-MAIL ADDRESS: PRODUCER CO 80632 CUSTOMER ID If:Greeley, INSURER(S) AFFORDING COVERAGE NAIC If INSURED Hageman Earth Cycle, Inc. 3501 E. Prospect Road Fort Collins, CO 80525 INSURER A: Continental Western Group INSURER B : Pinnacol Assurance INSURER C INSURER D: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R LT TYPE OF INSURANCE DDL nULWVD UBR POLICY NUMBER POLICY EFF MWDDNYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY MMERCIAL GENERAL LIABILITY 111p:01cCLAIMS -MADE 51 OCCUR Ded:500 CWP234489328 12/01/2010 12/01/2011 EACH OCCURRENCE $1 000 000 DAMAGE(RENTED PREMISESS Ea occurrence $100,000 MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Drive Other Car CWP234489328 12/01/2010 12/01/2011 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X $ X $ A UMBRELLA LIAB EXCESS LAB X OCCUR CLAIMS -MADE CU236140828 12/01/2010 12/01/2011 EACH OCCURRENCE s2,000,000 AGGREGATE s2,000,000 DEDUCTIBLE -RETENTION $ -- $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITYER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below WA 4036218 10/01/2010 10/01/2011 X WCSTATU- OTH- E.L. EACH ACCIDENT $100,000 E.L. DISEASE - EA EMPLOYEE $100,000 E.L. DISEASE - POLICY LIMIT $500 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Fort Collins Risk Management Dept. Attn: Darlene P.O. Box 580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S575347/M575340 KLB