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Home My WebLink About129729 EXOCUS MOVING & STORAGE INC - INSURANCE CERTIFICATEACCER CERTIFICATE OF LIABILITY INSURANCE DATE IMM7/2012 YY) ozn 7rzo, z PRODUCER Pinnacol Assurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY 7501 E Lowry Blvd AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Denver, CO 80230-7006 CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED Exodus Moving & Storage Inc 1730 E Prospect Rd. Ste 102, INSURER A: Pinnacol Assurance 41190 INSURER B. NSURERC Fort Collins, CO 80553 INSURER D. INSURER E' COVERAGES 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 DOCUMMENT 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 ADD POLICYEFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICYNUMBER DATEIMM,DDM'W) DATE(M"CNYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE DAMAGE i0 RENTED PREMISES COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR MEG EX Any one person) PERSONAL B ADV INJURY _ GENT AGGREGATE LIMIT APPLIERS PER: GENERALAGGREGATE PRODUCTS-COMP/OP AGO POLICY n PROJECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT NVAUTO (Ea Accident) BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (Per person) BODILY INJURY HIRED AUTOS NON OWNED AUTOS (Pal accldant) PROPERTY DAMAGE (Per accilenl) GARAGE LIABILITY AUTOONLY-EAACCIDENT OTHER THAN EA AGO ANY AUTO AUTO ONLY. AGG EXCESBNMBRELLA LIABILITY OCCUR CLAIMSMADE EACH OCCURRENCE AGGREGATE DEDUCTIBLE RETENTION S WORKERS COMPENSATION AND X: WC STATU-OTHER A EMPLOYER'S LIABILITY ANY PROPRIETOR/PARTNEWE%ECUTIVE 4082858 03/01/2012 03/01/2013 TORY LIMITS EL EACH ACCIDENT $1.000,000 OFFICER,MEMBER EXCLUDED' E. L DISEASE - EA EMPLOYEE $1,000,000 Ilyes,pinasadoarnbe undarSPECIAL PROVISIONS below E.L DISEASE - POLICY LIMIT 1000,000 OTHER DESCRIPTION OF OPERATIONS/LOCAnONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 1364283 City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO Purchasing Department MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE PO Box 580 LEFF, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR Fort Collins, CO 80522 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTATIVE Ryan Lanter ACORD 25(2001/08) Underwriter ACORD CORPORATION 1988 PIMA COL ASSURANCE INSURED: Exodus Moving & Storage Inc C/O Esg Entities 4844 N 300 W,#100 Provo, UT 84604 ENDORSEMENT: Waiver Of Subrogation 7501 E Lowry Blvd Denver, CO 80230-7006 Phone: (303) 361-4000 / (800) 873-7242 Fax: (303) 361-5000 1(888) 329-2251 NCCI #: WC000313 Policy #: 4082858 AGENT: Renaissance Insurance Group, LLC PO Box 478 Windsor, CO 80550 (970)674-8825 We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. SCHEDULE City of Fort Collins Purchasing Department PO Box 580 Fort Collins, CO 80522 Effective Date: February 17, 2012 Expires on March 1, 2013 Pinnacol Assurance has issued this endorsement February 17, 2012. Ryan Lanter Underwriter Pinnacol Assurance' 7501 E Lowry Blvd - Denver, CO 80230 Page l of LANTERR- Undenvnler 02/17/201219:02:26 4082858 Updated: 02/0112007 UW137