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Home My WebLink About109014 R C HEATH CONSTRUCTION CO - INSURANCE CERTIFICATEClient#: 25306 HEAC04 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 9/27/2011 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 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 CONTACT NAME: Cindy Zimmerman Flood & Peterson PHONE 970-266-7155 A 970-506-6845 A/C No Eat : MC, Na : P. O. Box 578 AUDREss: Cindy.zimmerman@floodandpeterson.com Greeley, CO 80632 FHVUUULH 970 356-0123 CUSTOMER ID p: I INSURER(S) AFFORDING COVERAGE NAIC 0 INSURED INSURER A: Travelers Insurance Company R. C. Heath Construction Co. INSURER B National Union Fire Insurance dba Heath Construction Assurance PO Drawer H INSURER CPinnacol INSURER D: Allianz Global Corporate & Spec Fort Collins, CO 80522 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. LIJL TYPE OF INSURANCE GRI POLICY NUMBER MWDONFF MWDU/YXP " LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL ABILITY Fvi CLAIMS -MADE I OCCUR X PD Ded: 5,000 DTCO298N6651 9/30/2011 09/30/2012 EACH OCCURRENCE $1 000OOO DAMAGE TO REWED PREMISES jEa occurrence s3000OO MED EXP (Any one person) $5,000 PERSONAL& ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENL AGGREGATE LIMIT APPLIES PER: POLICY X PRO- LOC PRODUCTS - COMP/OP AGG $2,000000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS DT810298146651 9/30/2011 09130/2012 COMBINED SINGLE LIMIT (Ea accident) $11000,000 X BODILY INJURY (Per Person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X $ $ B )( UMBRELLA LIAB EXCESS LIAB 1( OCCUR CLAIMS MADE BE020690765 9/30/2011 09/30/201 EACH OCCURRENCE $6 QQQ OOO AGGREGATE S6,000,000 DEDUCTIBLE RETENTION 10000 $ X IS C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEY� OFFICERIMEMBER EXCLUDED? (Mandatory in NH) ( describe us, DESCRIPTION OF OPERATIONS below N/A 4033691 10/01/2011 10/01/201 X WCS TAru- oTH- JER E.L. EACH ACCIDENT 51 OOO OOO E L DISEASE- EA EMPLOYEE $1,000,O00 EL.DISEASE - POLICY LIMIT $1 000000 D Blanket Builders Risk MX198471771 9/30/2011 r 09/30/2012 $10,000,000 Any One Site/ $1,000 Deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule. H more aimed is required) RE: Deicing Facility, Bid no 5909 City of Fort Collins, Engineer, Engineer's Consultants respective officers (See Attached Descriptions) City of Fort Collins Admin Services Purchasing Division PO Box 580 Fort Collins, CO 80522-0580 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) 01988-2009 ACORD CORPORATION. All rights reserved. 1 of 2 The ACORD name and logo are registered marks of ACORD