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Home My WebLink About129729 EXODUS MOVING & STORAGE INC - INSURANCE CERTIFICATE (6)PINN/.ICOL ASSURANCE INSURED: EXODUS MOVING & STORAGE INC C/O ESG ENTITIES 4844 N 300 W, #100 PROVO UT 84604 ENDORSEMENT: Waiver Of Subrogation 7501 E Lowry Blvd Denver, CO 80230-7006 Phone: (303) 361-4000 / (800) 873-7242 Fax: (303) 361-5000 / (888) 329-2251 NCCI #: WC000313 Policy #: 4082858 AGENT: RENAISSANCE INSURANCE GROUP, LLC PO BOX 478 WINDSOR, CO 80550 (970)674-8825 We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. SCHEDULE City of Fort Collins Purchasing Department PO Box 580 Fort Collins CO 80522 Effective Date: February 16, 2011 Expires on March 1, 2012 Pinnacol Assurance has issued this endorsement February 16, 2011. Ryan Lanter Underwriter R unacol Assurance' 7501 E Lowry Blvd' Denver, CO 80230 Pagel Of SALADINR -CSR Support 02/16/201118:56.09 4082858 Updatec: 0210112007 UW137 ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE (MMVV) D2n612011 ,zD„ PRODUCER PINNACOL ASSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY 7501 E Lowry Blvd AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Denver, CO 80230-7006 CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED EXODUS MOVING & STORAGE INC INSURERA'. PINNACOL ASSURANCE 41190 INSURERB: 1730 E PROSPECT RD. STE 102. INSURER C'. FORT COLLINS, CO 80553 MSURER D. INSURER E'. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDNG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMMENT 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 ADYL POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICYNUMBER DATEIMMAXVYYTT DATE(MM/DDNYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR PREMISES MED EX Any one pe— PERSONALeADVINJURY T GENAGGREGATE LIMIT APPLIERS PER: GENERAL AGGREGATE PRODUCTS-COMP/OPAGG POLICY PROJECT LOG AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea AC¢itlenl) BODILY INJURY ALLOWNEDAUTOS SCHEDULEDAUTOS IP¢I p¢rmn) BODILY INJURY HIRED AUTOS NON -OWNED AUTOS (Per accNann PROPERTY DAMAGE (P¢�a<nitlenl) GARAGE LIABILITY AUTO ONLY- EA ACCIDENT OTHER THAN EAACC ANVAUTO AUTO ONLY: AG EXCESSIUMBRELLA LIABILITY OCCUR Ll CLAIMSMADE EACH OCCURRENCE AGGREGATE DEDUCTIBLE RETENTION S WORKERS COMPENSATION AND X WCSTATU OTHER A EMPLOYER'S LIABILITY ANY PROPRIETORIPARTNEWEXECUTIVE OFFICER/MEMBER EXCLUDED? 4082858 03/01/2011 03/01/2012 TORY LIMITS E.L EACH ACCIDENT $1,000,000 E.LOISEASE - EA EMPLOYEE $1,000.000 IIyes, pleasatlescnneU IIH SPECIAL PROVISIONS WIUw EL BISEASE-POLICY LIMIT 1000000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHIC LESIE XC LUSIONS ABIDED BY E NDORSE MENTISPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 1291356 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO Purchasing Department PO Box 580 MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR Fort Collins CO 80522 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Ryan Canter ACORD 25(2001I08) Underwriter ACORD CORPORATION 1988