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Home My WebLink About109445 CONNELL RESOURCES INC - INSURANCE CERTIFICATE (16)Client#: 14427 CONREI ACORD. CERTIFICATE OF LIABILITY INSURANCE °o� /201°11 "' 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 polky(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, certain policies may require an endorsement. A statement an this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Flood & Peterson lns.,Inc. P. O. Box 578 Greeley, CO 80632 970356-0123 CONTACT NONE; Nikki Mosbrucker PnoNE 970-266-7123 970-506-6823 A/C No EXI: AA:, No: ADDRESS: nikki.mosbrucker@fpinsurance.com PRODUCER FTC full cert CUSTOMER ID If: INSURERS AFFORDING COVERAGE NAICa INSURED INSURER A: Travelers Insurance Company Connell Resources, Inc. 7785 Highland Meadows Parkway Fort Collins, CO 80528 INSURER B:PinnacolAssurance 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 MAYBE 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 kDDL3UBRPOLICY POLICY NUMBER EFF MM/D POLICY EXP MMA) LIMITS A GENERALLIABILRY X COMMERCIAL GENERALLIABILTY CLAIMS -MADE 17X OCCUR DTC04794N532_ IND11 6/01/2011 06/01/2012 EACH OCCURRENCE $1000000 WMIT -- PREMISES Ea occurrence $300000 MED EXP(Any one person) $10,000 PERSONAL B ADV IWURY $1,000,000 GENERALAGGREGATE $2,000,000 GEN'L AGGREGATE 17 POLICY UMIT APPLIES PER: X PRP LOC PRODUCTS - COMP/OP AGG $2 000 000 $ A AUTOMOBILE LIABILITY ANY AUTO AU-OWNEDAUTOS SCHEDULED AUTOS HIRED AUTOS NON-0WNEDAUTOS Drive Other Car DT8104794N532- TIL11 6/01/2011 06MJ/2012 COMBINED SINGLE LIMIT (Ea axident) $1000000 X BODILY INJURY (Per parson) $ BODILY IWURY(Per accident) $ PROPERTY DAMAGE (Per=ident) $ X X X $ $ A X UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE DTSMCUP4794- N532TIL11 6/01/2011 06101/201 EACH OCCURRENCE $10000000 AGGREGATE $10 DOD 000 D RETENTIONEDUCi1BLE $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITYS ANY PROPRIETOR/PARTNER/EXECUNVEY@ OFFICEWMEMBER EXCLUDED? n (Mandatory In NH) If yes, desnriW Under DESCRIPTION OF OPERATIONS bd. WA 4029651 6/01/2011 O6/01/201 X TW,IMIT oTH- PH E.L EACH ACCIDENT s5000OO E.L. DISEASE - EA EMPLOYEE s500,000 E.L. DISEASE -POUCY LIMIT $5000OO DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (AMeh ACORD 101, Addrdoml Remarks Sehedul% H mare space Is reAulred) RE: CRI# 2111003 DTRD Linden Street Utilities Improvement W.O. #SC-DTRD-01-18-2011 The City, its officers, agents and employees; and CDOT are named as additional insured, but only as (See Attached Descriptions) City of Fort Collins 700 Wood St Fort Collins, CO 80521 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 Ot 2 The ACORD name and logo are registered marks of ACORD #SB1594 /MB1 9 NIK