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Home My WebLink About129302 HAGEMAN EARTH CYCLE INC - INSURANCE CERTIFICATEClient#: 24703 HAGEA ACOR1Dre CERTIFICATE OF LIABILITY INSURANCE DATE (m—DNYYY) ,1/15/2011 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 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 TA NAME: Kelly Beauvais PHONE 970 266-7121 FAX 970 506-6846 A/C No Est : aooaess: Kelly.Beauvais@floodandpeterson.com PRODUCER CUSTOMER ID If: INSURER(S) AFFORDING COVERAGE NAICa INSURED Hageman Earth Cycle, Inc. 3501 E. Prospect Road Fort Collins, CO 80525 INSURER A: Continental Western Group INSURER BPinnacol Assurance 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 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. INSR TYPE OF INSURANCE DDL NSR UBR WD POLICYNUMBER POLICY EFF NUWDDNYY POLICY EXP MWDDNYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 51OCCUR X PD Ded:500 CWP234489330 2/01/2011 12/01/2012 IS EACH OCCURRENCE $1000000 DAMAGE TO RENTED PREMISES (Ed occurence $100000 MED EXP (Any one person) $5,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 17 POLICY PRO LOGI PRODUCTS - COMP/OP ADS $2,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CWP234489330 2/01/2011 12/01/2012 COMBINED SINGLELIMIT E. acdeen,) $1,000,000 X BODILY INJURY (Per person) S BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X $ $ A )( UMBRELLA LIAB EXCESS DAB OCCUR CLAIMS -MADE CU236140830 2/01/2011 12tOl/2012 EACH OCCURRENCE $2 OOD 000 AGGREGATE s2,000,000 DEDUCTIBLE. - RETENTION $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORMARTNEWEXECUTIVEY)N OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS Imio r N/A 4036218 10/01/2011 10/01/201 WCSTATU- OTH- E.L EACH ACCIDENT $100,000 E.L. DISEASE -EA EMPLOYEE $100,000 E.L. DISEASE -POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Fort Collins Risk Management Dept. Attn: Darlene P.O. Box 580 Ft 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 @1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) 1 of 1 The ACORD name and logo are registered marks of ACORD #S658449/M658441 KLB