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Home My WebLink AboutINGRAM DRILLING INC - INSURANCE CERTIFICATEINGDR Client#: 25458 ACORD CERTIFICATE OF LIABILITY INSURANCE DTE YY) 7/15/2011 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 pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certaln policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). vnooucER Flood & Peterson Ins., Inc. P. O. Box 578 Greeley, CO 80632 970 356-0123 CONTACT NAME: Kelly Beauvais PHONE g70 266-7121 ° 973 506-6846 "I EXt: 141c No): ak aDOREss: Kelly.Beauvais@fpinsurance.com PRODUCES CUSTOMER ID C INSURER(S) AFFORDING COVERAGE NAICN INSURED INSURER A: The Hartford Insurance Ingram Drilling, Inc. P O Box 342 INSURER B Estes Park, CO 80517 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED IiEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I TYPE OF INSURANCE NSR POLICYNUMBER POLICY ERE MIDDNYYV POLICY EXP MMIDOIYYW LIMITS A GENERALUABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 04UUNOJ3239 6/01/2011 06/01/2012 EACH OCCURRENCE $1 DOD OD0 DAMAGE 10HENIED PREMISES Ea o=rw 1 $3000OO MED EXP(Any one Person) $10000 PERSONAL&ADV INJURY $1000000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE POLICY LIMIT APPLIES PER: LOC PRODUCTS-COMP/OPAGG $2000000 RO PECT $ A AUTOMOBILE LABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS AUTOS 04UUNOJ3239 6/01/2011 06/01/2012 COMBINED SINGLE LIMIT (Eaacldenp $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per actlaenp $ 1XX PROPERTY DAMAGE (Per ucotland)NON-OWNED $ $ UMBRELLA LIAB EXCESS LIAB H OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ is A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROP RIETO WPART.NE WEXECUTIVEYIN OFFICERWEMBER EXCLUDED? EJ (Mandatory In NET 11 yes, doxrlbe under DE SCPIPTIONOF OPERATIONS b4. NIA 04WBOJ3240 6/01/2011 06101/2012 X WC STATU-OTH- R E L. EACHACCIDENT S1,000,000 E. L. DISEASE EAEMPLOYEE1 $1000000 E.L. DISEASE-POLICYLIMIT $1000000 DESCRI PTION OF OP ERATIONS I LOCATIONS I VEHICLES (Attach AM RD 101. AddlXonal Ronmrka Scl,pdule, U more apaw la required) City of Fort Collins Attn: Purchasing PO Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2009/09) 1 Of 1 #S630192/M617785 01988.2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KLB