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HomeMy WebLinkAbout184254 DURAN EXCAVATING INC - INSURANCE CERTIFICATEClient#: 28315 DUREX ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 12/15/2010 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: PHONE 970 356-0123 FAX 970 506-6836 A/C No Ext : A/C, No : ADDRESS: debra.morris@fpinsurance.com Greeley, CO 80632 CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Travelers Insurance Company Duran Excavating Inc 418 N 9th Ave INSURER B Pinnacol Assurance Greeley, CO 80631-2350 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. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY DTC08077BO49IND10 04/09/2010 04/09/2011 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FRI OCCUR DAMAGE TO RENTEDPREMISES Ea occurrence s300,000 MED EXP (Any one person) $10,000 - X PD Ded:2,500 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 r- 17 POLICY nPRO-JFCT LOC - $ A (AUTOMOBILE LIABILITY ANY AUTO - �•' DT8108077BO49TIL10 04/09/2010 04/09/2011 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X �.,_ 1.?`>•. �•., ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ NON -OWNED AUTOS X $ A X UMBRELLA LIAB OCCUR DTSMCUP8077BO49TIL 04/09/2010 04/09/2011 EACH OCCURRENCE s4,000,000 AGGREGATE s4,000,000 EXCESS LIAB CLAIMS -MADE DEDUCTIBLE $ X $ RETENTION $ 10000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ NIA 4110254 01/01/2011 01/01/2012 X WCSTATU- OTH- E.L. EACH ACCIDENT $1 OOO,OOO E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1 000,000 A Equipment' QT6601423C736TIL10 04/09/2010 04/09/2011 Blanket Limit DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) 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. O. Box 580 Fort Collins, CO 80522 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. The ACORD name and logo are registered marks of ACORD I oil1i