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Home My WebLink About455175 NATIONAL CENTER FOR CRAFTMANSHIP - INSURANCE CERTIFICATE (5)ACORD CERTIFICATE OF LIABILITY INSURANCE DAT/11/2011 ,M 03/11/2011 PRODUCER 970.679. 7333 FAX 866.456.4265 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Ewing -Leavitt Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4025 St. Cloud Dr. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 100 Loveland, CO 80538 INSURERS AFFORDING COVERAGE NAIC # INSURED National Center for Craftmanship INSURERA Penn Star Insurance Company 10673 c/o Neil Kaufman INSURERS: Pinnacol Assurance 41190 5680 N. Hwy 1 INSURER C: Fort Collins, CO 80524 INSURER D: COVERAGES 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. I LTR N RO TYPE OFINSURANCE POLICY NUMBER g DAOTE MMIFDDNYVY POLICY EXPIRATION DATE MMMD/YYYY LIMITS GENERAL LIABILITY PAC6901004 02/05/2011 02/05/2012 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE I X] OCCUR PREMISES EGE TO a occurrence S 100,000 MED EXP (Any me person) $ 1,000 PERSONAL S ADV INJURY $ 1,000,000 A GENERAL AGGREGATE $ 2,000,000 GENE AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ Included POLICY n PRO n LOC JECT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OW NED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accdent) $ HIRED AUTOS NONOWNEDAUTOS PROPERTY DAMAGE (Per accident) $ GAR AGE LIABILITY AUTOONLY-EAACCIDENT $ OTHER THAN EA ACC S ANY AUTO $ AUTO ONLY: AGG EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERAXECUTIVEO OFFICERIMEMBER EXCLUDED? 4128791 01/01/2011 01/01/2012 A TAIL, ER E. L. EACH ACCIDENT $ 100,000 E.L. DISEASE -EA EMPLOYE $ 100,000 (Mandatory In NH) 1(y E6 describe under SPECIAL PROVISIONS below EL DISEASE -POLICY LIMB $ 500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ity of Fort Collins, its officers, agents and employees are listed as an additional insured s respects work performed. e: Deconstruction for PFA Station 4 GEHI IFICATE HOLDER CANCELLATION City of Fort Collins Purchasing Dept John D. Stephen, Senior Buyer P 0 Box 280 Fort Collins, CO 80522 25 970.221.6707 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYSWRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR UABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED Sharon The ACORD name and logo are registered marks of ACORD IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.