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Home My WebLink AboutTEH BAUEN CORPORATION - INSURANCE CERTIFICATEh. o CERTIFICATE OF LIABILITY INSURANCE `,� 1on2m 1 DATE 4/28/2011 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 Lockton Companies, LLC Denver 8110 E Union Avenue Suite 700 Denver CO 80237 (303) 414-6000 CONTACT NAME: PHONE A AIC No Eat): AIX No E-MAIL ADDRESS: INSUREFUS1 AFFORDINGCOVERAGE C e INSURER A: National Fire Insurance Co of Hartford 20478 INSURED The Bauen Corporation 1034102 801 E. 52nd Ave. Denver, CO 80216 INSURER B: Valley Fore Insurance Company 20508 INSURERC: Continental Casualty Compariv 20443 IN RERD: PIDnaC01 Assurance Company 41190 IN RER E INSURER CfTVFRAGFS RAITM03 IIll CERTIFICATENUMBER: 1991907 REVISION NUMBER: XXXXXXX 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. LT R TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MMID rEFF PM% ICY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx—] OCCUR N N 4021109791 5/1/2011 5/1/2012 EACH OCCURRENCE 1,000,000 PREMISESOEa oNcourD nce 100,000 MED EXP lAry oneperson) 5,000 PERSONAL a ADV INJURY $ 1000 000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY X JECT LOG PRODUCTS - COMPIOP AGO $ 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO AUTOSNEO SCHEDULED HIRED AUTOS X AUTOS NON -OWNED N N 4021110598 5/1/2011 5/1/2012 COMBINED mitSINGLE LIMIT $ 1,000000 BODILY INJURY(Per person) $ XXXXXXX BODILY INJURY(Per accident $ XXXXXXX P pe,aciitlen DAMAGE $ XXXXXXX $XXXXXXX C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE N N 4021109807 5/1/2011 5/l/2012 EACH OCCURRENCE $ 5000000 AGGREGATE $ 5,000,000 DED I I RETENTION$ $ XXXXXXX D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY OFFICEOPRIETER EARTNERRrEECUTIVE (Mandator, In NH) DESLFIPTION OF OPERATIONS W. NIA N 2127630 10/12010 10/l/2011 WC STATU- OTH- X TORV LIMITS E.L. EACH ACCIDENT $ 1.000000 E.L. DISEASE - EA EMPLOYEE 1,000,000 E.L. DISEASEPOLICYLIMIT 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I(Abach ACORD 101, Additional Remarks Schedule, If more apace Is required) 1991907 City of Fort Collins 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 DELNERED IN ACCORDANCE WITH THE POLICY PROVISIONS, ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD C