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Home My WebLink About129302 HAGEMAN EARTH CYCLE INC - INSURANCE CERTIFICATE (3)Clients: 24703 HAGEA ACORD.M CERTIFICATE OF LIABILITY INSURANCE Do9/2„2DDY 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 Flood &Peterson Ins., INC. P. O. Box 578 Greeley, CO 80632 970356-0123 Ov CONTACT NAME: Kelly Beauvais PHONE FAX A/C No Eat : 870 266-7121 ,C, No), 970 506-6846 ADDREss: kelly.beauvais@floodandpeterson.com CUSTOMER ID#: INSURER($) AFFORDING COVERAGE NAIL# INSURED Hageman Earth Cycle, Inc. 3501 E. Prospect Road Fort Collins, CO 80525 INSURER A: Continental Western Group INSURER BPinnacol Assurance : INSURER C INSURER 0: 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. TYPE OF INSURANCE NAP D POLICY NUMBER MWDMY MWDDNYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 51OCCUR X PD Ded:500 CWP234489329 12/01/2010 12/01/2011 EACH OCCURRENCE $1 OOOOOO DAMAGE To RENT PREMISES (E. occ,nence 5100000 MED EXP(Any one person) $5,000 PERSONAL &ADV INJURY S1,000,000 GENERALAGGREGATE $2,000,000 GEN-L AGGREGATE POLICY LIMIT APPLIES PER: X P1FQTRO LOG PRODUCTS - COMP/OP AGG S2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CWP234489329 12/01/2010 12/01/2011 COMBINED SINGLE UMIT (Ea emident) $1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accitlent) $ X X $ $ A X UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE CU236140829 12/01/2010 12/01/2011 EACH OCCURRENCE $2 000 000 AGGREGATE s2 OOO OOO DEDUCTIBLE RETENTION $ S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNEITEXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Myandatory in NH) (DESCRIPTION OF OPERATIONS below WA 4036218 10/01/2011 10/01/2012 X I WC STATU- OTH- M1" ER E L. EACH ACCIDENT $100,000 E.L. DISEASE- EA EMPLOYEE $100,000 IE. L. DISEASE -POLICY LIMIT $500000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, U more space Is required) Re: Snow Removal City of Fort Collins Purchasing Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 256 W. Mountain Ave. AUTHORIZED REPRESENTATIVE Fort Collins, CO 80521 '6lfti+��sc_ 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (200gtO9) 1 of 1 The ACORD name and logo are registered marks of ACORD #S647432/M647425 KLB