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Home My WebLink About480487 RISING SUN FENCE & CONSTRUCTION LLC - INSURANCE CERTIFICATE (2)05-27-11;09:07AM; ;207-627-4266 # 1/ 1 '4C017a CERTIFICATE OF LIABILITY INSURANCE D051272011 ) O5/27/2011 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 ADOITIONAL INSURED, the policy(ins) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsaman . A statamant on this carttllcato does not confer rights to the certificate holder in lieu of such endorsement s . PRODUCER Timberline Insumnco Agency, Inc. P. 0. Box 20007 Cheyenne, WY I12003 N'AMi�T Diane E. Martin arc ND 307-6374757 lily. N . 307-8371268 CDR, domanln@gmbarlinalns.com PRO ER roI INSURE fi AFFORDING COVERAaE NAICL INSURED IMSURERA: Scottsdalelnsurance Company Rising Sun Fence & Construction. LLC INSURER B; 1274 Cola Road INSURER C: Cheyenne, WY 82009 INBURETt D: INSURER E INSURER F; COVERAGES CERTIFICATE NUMBER: REVIRION NUMRFR- 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 OFANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO 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, INSRAM TYPE OF INSURANCE INfR YND POLICY NUMBER MMIDofvym 'MwDorfYYTI1 LIMITS A GENERAL J v LIABILITY COMMERCIAL GENERAL LIABILITY T"'� V cLAIMB•MADE L/i OCCUR X CPS1373248 04/14/2011 04/1412012 EACH OCCURRENCE $ 1,000.000 PR MI Ee Dccurmnee S 100,000 MED UP (Any on. Pawn) S 5.000 PFRSONAL A ADV INJURY f 11000.000 GENERAL AGGREGATE S 2,000,D00 MEWL AGGREGATE LIM IT APPLIES PER; POLICY EMT"' F7 LOC PRODUCTS -COMROPAGG f 2,000,000 AUTOMOBILE LIAMUTY ANY AUTO AILOWNEDAUI.OS SCHEDULED AUTOS HIRED AUTOS NON-OWNEOAUTOS COMBINED SINGLE UMfr (Ea accident) S BODILY INJURY(P pwacn) S BODILY INJURY(Perecciden) f PROPERTY DAMAGE (Per.eadrntl f $ f UMBRELLA LIAR IXCESS LIAL OCCUR CLAIMS.MADE EACH OCCURRENCE S AGGREGATE S DEDU( nBLE RETENTION S S S EMPRLOMCCILMNB�Lr YmON� V / N ANY PROPFtIETIXUPARTNERIE%ECImVE❑ R OFFICEMEMBER EXCLUDED? (Menfit"In NN) If yef. dex lta under DESCRIPTION OF OPERATIONS halo+ NIA TOR STATIT6 N* EL EACH ACCIDENT f EL DISEA;E•EA F11PlOtFE Is E.L. DISEASE• POLICY LIMIT 13 DESCRIPTIONOFOPEMYION /LOCATIONS/VEHICLES(Aaaah ACORD1D1.Mdmaml Remarhe Schedule, I/mwe eneae le rpuxed) Fence Erection Contractors SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Fort Collins EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE P.O.Box 500 WITH THE POLICY PROVISIONS. Fart Collins, CO. 80522 FAX 970 221.6707 Diane E. Marti 01938.2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD 1111 O CERTIFICATE OF LIABILITY INSURANCE � DATE27/2 Y011 OS/7/21 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 endorsements). PRODUCER - Timberline Insurance Agency, Inc. CONTACT Diane E. Martin NAME: APHONE IC, No, 307-637-4757 FA No : 307-637-4266 AJC, P. O. Box 20007 ADDRESS demartin@timberllnelns.com Cheyenne, WY 82003 PRODUCER CUSTOMER ID: INSURERS AFFORDING COVERAGE NAIC p INSURED INSURER A: Scottsdale Insurance Company Rising Sun Fence & Construction, LLC INSURER B: 1274 Cole Road INSURER C: Cheyenne, WY 82009 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. ILTR NSR TYPE OF INSURANCE INSR MD POLICY NUMBER MMIDDIYYYY WMIDDIYYYYI LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X CPS1373248 04/14/2011 04/14/2012 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Eaoccurrence $ 100.000 MED EXP(Anyone person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY n E�TO'1-11/1 F-1 LOC PRODUCTS - COMP/OP AGG $ 2,000,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Par person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE .-- _ - - - EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORMARTNER/EXECUTIVE❑ OFFICEPJMEMBER EXCLUDED? (Mandatory In NH) If as, describe under DESCRIPTION OF OPERATIONS below NIA WC STATU- OTH- TO RY LIMITS I I ER E.L. EACH ACCIDENT $ E.L. DISEASE En ELIIPLOYEE $ E.L. DISEASE- POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Fence Erection Contractors SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Fort Collins EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE P.O.Box 580 WITH THE POLICY PROVISIONS. Fort Collins, CO. 80522 ' AUTHORIZED REPRESENTATIVE" FAX 970 221-6707 Diane E. Martin @ 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD