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Home My WebLink About429212 GLH CONSTRUCTION INC - INSURANCE CERTIFICATE (3)GLHCO-1 OP ID: DP AI R CERTIFICATE OF LIABILITY INSURANCE DATE03/26 DP/Y1'Y) 3/26112 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 endorsements). _ PRODUCER.- _ _ 970-356-8030 Rich & Cartmill Ins of CO 970-356-8032 of Colorado LLC ,, 8213 W. 20th Street ' Greeley, CO 80634 Michael J Schmitt CIC -�,1V ' CONTACT NAME: PNONE I FAX —'-- - A/C, No ExQ_ (AIC No)—: A DRIESS: I I- INSURER(S) AFFORDING COVERAGE NAIL N INSURER A:BituminousInsurance Cos 20095 INsuRED GLH Construction, Inc. INSURER Do Pinnacol Assurance _ INSURERc:Travelers Indemnity Co 002520 780 E. Garden Drive Windsor, CO 80550 INSURER 0 : INSURER E: _ INSURER F CERTIFICATE NI IMRFR: REVISION NUMBER: MVYCRMVCJ CERTIFICATE vim.-. .. �...��... 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 BYYjPAID CLAIMS. Y EXP INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MM DDTYYYY MM-POIPp/YYYY LIMITS LTR A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY X CLP 3568119 04/01112 04/01/13 EACH OCCURRENCE DAMAGE TO RENTED PREMISES Ca occurrence]_ $ 1,000,00 $ 100,00 MED EXP (Any one person) It 5,00 CLAIMS -MADE 1XI OCCUR PERSONAL d ADV INJURY S 1,000,00 X Ltd Pollution GENERAL AGGREGATE $ 2,000,00 - GEN'LAGGREGATE LIMITAPPLIES PER. PRODUCTS - COMPIOP AGG $ 2,000,00 Ltd Polll $ 500,00 - X POLICY JPRO- FCT LOC AUTOMOBILE LIABILITY �COMBINEDSINGLE - - A X ANY AUTO ALLOWNED SCHEDULEO AUTO $ _ AUTOs NON-OAMED HIRED AUTOS AUTOS CAP 3568120 04101112 04101/13 BODILY INJURY(Perperson) s BODILY INJURY(par accident) ----- $ ------- PROPERTY DAMAGE Per acc,dentl $ - - UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,00 AGGREGATE $ 5,000,00 A EXCEBB LIAB CLAIMS -MADE CUP 2592193 04/01/12 04/01/13 DIED J X I RETENTIONS 10000 S B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YI❑N OFFICER/MEMBER EXCLUDED? IMandalory in NH) N I A 4028616 07/01/11 07/01/12 X WC STATU OTH- T RYLIMITS _ER_. , EL EACH ACCIDENT $ 1,000,00 E. L. DISEASE - EA EMPLOYEES 1,000,00 E.L. nn FASE-- POLICY LIMIT S 1,000,00 If yes. Cescrioe uMer DESCRIPTION OF OPERATIONS below C Leased/Rented Equp QT-660-5895N629 04/01/12 114101113 Limit 400,00 C Installation Float Floater 50,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Project: 6115 Resource Recovery Farm Outlet Pipe. Certificate holders are named as additional insured as pertains to the general liability policy but only with respect to liability arising out of the insureds operations on any and all operations by the insured Tor the certificate holder. CITF-AN City of Ft. Collins & Anderson Consulting Engineers, Inc. Purchasing Division PO Box 580 Fort Collins, CO 80522-0580 L"--10 L! 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 Michael J Schmitt CIC 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD