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Home My WebLink About109445 CONNELL RESOURCES INC - INSURANCE CERTIFICATE (18)Client#: 14427 CONREI ACORM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDWYYII 5/31/2012 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 pollcy(les) must be endorsed. N SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this ceRlfleate does not confer rights to the certificate holder In lieu of such endorsemem(s). PRODUCER Flood & Peterson Ins., Inc. P. O. Box 578 Greeley, CO 80632 970 35"123 �� NAME: Nikki Mosbrucker NAME: Eat: 970 266-7123 ,A, Ne . 970 506-6823 ii:nikki.mosbrucker@floodandpeterson.com ADOikkl.mosbrucker®floodandpeterson.com REss: n PRUOUCLH CUSTOMER 10 INSURERS AFFORDING COVERAGE NAIC a INSURED INSURER A: Travelers Insurance Company Connell Resources, Inc. 7785 Highland Meadows Parkway #100 - Fort Collins, CO 80528 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 POLICY NUMBER MAY EFF M�CCY EXP UMR9 A GENERALUABKTTY X COMMERCIAL GENERALLIABILRV CLAIMS -MADE 7 OCCUR DTC04794N632- IND13 6101/201201IM1/201 EACH OCCURRENCE $1000000 0A`"UE To PREMISES Eaomunence $300000 MED EXP (Arty one person) $10,000 PERSONAL&ADVIWURY $1000000 GENERAL AGGREGATE $2,000 OOO GENL AGGREGATE POUCY UMIT APPLIES PER: X PRO LOC PRODUCTS - COMP/OP AGG $2000000 $ A AUTOMOBILEUABILTTY ANYAUTO AU-OWNEDAUTOS SCHEDULED AUTOS HIRED AUTOS AUTOS Drive Other Car DT8104794N532- TIL13 6/01/2012 06/01/2013 COMBINED SINGLE UMIT (a=ident) $1006000 BODILY INJURY(Per person) $ BODILY INJURY(Per amdent) $ 1XXX PROPERTY DAMAGE (Per emident)NON-OWNED $ $ A X UMBRELLA LIAB EXCESS UAB X OCCUR CLAIMS -MADE DTSMCUP4794N- 532TIL13 6/01/2012 06/01/201 EACH OCCURRENCE $1000O 000 AGGREGATE $10000 000 DEDUCTIBLE RETENRON I $ X Is B WORKERS COMPENSATION AND EMPLOYERS' UABILRY ANY PROPRIETOR/PARTNER/EXECUTIV YIN OFFICER/MEMBER EXCLUDED'! Eil (Mandatory In NH) If yes, descdEe under DESCRIPTION OF OPERATIONS Ieb NIA 4029651 6/01/2012 06/01/201 X TVIC ORYIl IY oTH- E.L.EACH ACCIDENT $50O OOO E.L.DISEASE - EA EMPLOYEE $5O0 OOO E.L. DISEASE - POLICY LIMIT s500000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (AtMdl ACORD 101, AWItIonal Ramada SeOW ul4 N Arse apace Is ropulred) RE: Asphalt Supply Certificate holder Is named as additional insured, but only as respects (See Attached Descriptions) City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Purchasing DIVISIOn THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9 ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Fort Collins, CO 80522 I AUTHORIZED REPRESENTATIVE 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 of 2 The ACORD name and logo are registered marks of ACORD #S698983/M698847 NIK Client#: 14427 CONREI ACORQ.., CERTIFICATE OF LIABILITY INSURANCE °"", o,°2YYY' 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(les) 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 endoreement(s). PRODUCER Flood & Peterson [no., Inc. P. O. Box 578 Greeley, CO 80632PU 97035"123 CONTANAME. Nikki Mosbrucker PNONE 970 266-7123 970 508-8823 Etl: AK:, No: Knikki.mosbrucker@floodandpeterson.com ADORFss: nikki.mosbrucker@floodandpeterson.com T MEfl ID a: INSURER(S) AFFORDING COVERAGE NAIC8 INSURED INSURER A: Travelers Insurance Company Connell Resources, Inc. 7785 Highland Meadows Parkway #100 Fort Collins, CO 80528 INSURER B: Pinnacol Assurance INSURER C INSUflER 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. TYPE OF INSURANCE POLICY NUMBER MN 2 EFF POLICY UP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR DTC04794N532- IND13 6/01/2012 06/01/2013 EACH OCCURRENCE $1 OOO 000 PREMISES Eaoccunence s3000OO MED UP (Any one person) $10 000 PERSONAL & ADV INJURY $1 000 000 GENERALAGGREGATE $2 GOD 000 GENL AGGREGATE POLICY LIMIT APPUES PER: X PRa LOC PRODUCTS - COMP/OP AGG s2000000 It A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS AUTOS Drive Other Car DT8104794N532- TIL13 6/01/2012 06MI/2013 COMBINED SINGLE MIT (Ea accident) $, 000 000 BODILYINIURY(Perperson) $ BODILY INJURY (Per accident) $ 1XXX PROPERTY DAMAGE (Per acodent)NON-OWNED $ I $ A )( UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE DTSMCUP4794N- 532TIL13 5/0112012 0610112013 EACH OCCURRENCE $10ODOODo- AGGREGATE $10000 000 DEDUCTIBLE RETENTION $ X B WORKERS COMPENSATION ANDEMPLOYERS' LIABILITY Y/M ANY PR PRAETOR ERCLTIUER/E EC(mVF—? OFMCE(Mandatory In NH) (J, If ea, describe under DES RIPTT N OF OPERATIONS below WA 4029661 6/01/2012 06101/2013 X IWCSTATU- I OTH- MITS ER E.L.ACH ACCIDENT E.L.E.L $500000 DISEASE - EA EMPLOYEE $500,000 E.L DISEASE - POLICY LIMIT $500000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, AddlBon d Remarks Schedule, N more apace Is required) RE: CRI# - Annual Snow & Ice Removal The City, Its officers, agents and employees are named as additional insured, but only as respects liability arising out of work performed by the named insured. A waiver of subrogation applies. City of Fort Collins PO Box 580 Fort 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. ACORD 25 (2009/09) 1 of 1 #SG98972/MG98847 01988-21109 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ITM Client#: 14427 CONREI ACORM CERTIFICATE OF LIABILITY INSURANCE DATE �,""" 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: N the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. H SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certNlcate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Flood & Peterson Ins., Inc. P. 0. Box 578 Greeley, CO 80632 970356-0123 NONE, Nikki Mosbrucker PHONE 970 266-7123 970 506-6823 Exl : NC No i&:iikki.mosbrucker@floodandpeterson.com AODREss: nikkl.mosbrucker@floodandpeterson.com PKODUChK CUSTOMS ID INSURER(SAFFORDING COVERAGE NAIC, INSURED INSURER A: Travelers Insurance Company Connell Resources, Inc. 7785 Highland Meadows Parkway #100 Fort Collins, CO 80528 INSURER B: Pinnacol 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 POUCY NUMBER POLICY EFF Mw0 POLICY EXP Mw LINKS A GENERALUABILRV X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR DTC04794N532- IND13 6/01/2012 O6/01/201 EACH OCCURRENCE $1 000000 PREMISES Eao urrerxe s3000OO MEDEXP(Anyonepereon) $10000 PERSONAL $ ADV INJURY $1 OOO OOO GENERAL AGGREGATE s2,000,000 GENL AGGREGATE UMIT APPUES PR6 PER: LOC PRODUCTS-COMP/OP AGG A AUTOMOBILE UABILTIY ANY AUTO ALL OWNED AUTOS AUTOS AUTOS NON-0WNED AUTOS Drive Other Car DT8104794N532- TIL13 8/01/2012 O6/01/201 COMBINED SINGLE UMN (Ea amident) BODILY INJURY(Per Person) ts2,000,OOOPOLICYX BODILY INJURY(Peramident)SCHEDULED 1XXX PROPERTY DAMAGEHIRED (Per amident) $ A X UMBRELLA LIAR EXCESS Me X OCCUR CLAIMS -MADE DTSMCUP4794N- 532TIL13 6/01/2012 06101/2013 EACH OCCURRENCE $10000000 AGGREGATE $1 O 00O 000 RETENTION $ HDEDUCTIBLE X $ B WORKERS COMPENSATION AND EMPLOYERS' LUBIUfYER ANY PROPRIETOWPARTNER/EXECUTI Y/N OFFICER/MEMBER EXCLUDED? (Mandatory In NMI It yea,d rib under OE RIPI N FOPERATIONSInel. WA 4029651 6/01/2012 06/01/201 X och'Y w OTH. E.L. EACH ACCIDENT $5000OO E.L DISEASE -EA EMPLOYEE $500 000 E.LDISEABE-POLICY LIMIT $500000 DESCRIPTION OF OPERATONS / LOCATIONS / VEHICLES (AtMch ACORD 101, Addldonal Remark, Schedule, B more apace M required) RE: CRI#2121013; Bryan & Mulberry Sewer The City of Fort Collins, its officers, agents and employees are (See Attached Descriptions) City of Fort Collins P.O. Box 580 Fort 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. AU ORRED REPRESENTATIVE ACORD 25 (2009/09) 1 Of 2 #S698977/M698847 01988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD M Client#: 14427 CONREI ACORM CERTIFICATE OF LIABILITY INSURANCE DA7ED/YYYY) 5/31/20/2012 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endoreemem. A statement on this certificate does not confer rights to the certificate holder In Ileu of such endorsement(s). PROWLER Flood & Peterson Ins., Inc. P. O. Box 578 Greeley, CO 80632 970356-0123 COWACT NAME: Nikki Mosbrucker PHONE 970 266-7123 970 506-6823 Ert : A/C, No ADORES nikki.mosbrucker@floodandpeterson.com E�ilkki.mosbrucker@floodandpeterson.com CUSTOMER ID r: INSURER(SAFFORDING COVERAGE NAIC• INSURED INSURER A: Travelers Insurance Company Connell Resources, Inc. 7785 Highland Meadows Parkway #100 Fort Collins, CO 80528 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. LUL TYPE OF INSURANCE POUCYNUMBER POLICY EFF MMM POLICY UP MW LIMITS A GENERAL LIABILITY X COMMERCIAL GENERALUAMUiY CLAIMS -MADE 51OCCUR DTC04794N532- IND13 S/01/2012 06/01/201a EACHOCCURRENCE $1000000 PREMISES Ea=u"me s3000OO MED UP(A"one Person) $10,000 PERSONAL$ ADV INJURY $1,000 000 GENERAL AGGREGATE s2 o0O,000 GENL AGGREGATE POLICY UMIT APPLIES PER: X PRO LOC PRODUCTS - COMP/OP AGO s2,000,000 $ A AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS AUTOS NON -OWNED AUTOS Drive Other Car DT8104794N532- TIL13 8/01/2012 06/01/2013 COMBINED SINGLE UMIT $1 000000 BODILY INJURYPer ( person) $ BODILY INJURY(Per aaitlnt) $ 1XXX PROPERTY DAMAGEHIRED (Per accident)$ $ $ A X UMBRELLA LIAR EXCESS LAB X OC CUR CLAIMS -MADE DTSMCUP4794N- 532TIL13 6/01/2012 06/01/201 EACH OCCURRENCE $1000O 000 AGGREGATE $1000O 000 DEDUCTIBLE RETENTION $ X $ B WORK ERSCOMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNERE ECUIV YIN OFFICEWMEMBER EXCLUDED? EY (Man"ory In NH) It yyes, dexdbe under OESCRIP ION OFOPERATIONS be WA 4029651 6/01/2012 OB/01/201 X WOSTATU OTH- E.L EACH ACCIDENT $500000 E.L DISEASE - EA EMPLOYEE $500,000 E.L DISEASE POLICY LIMIT $500O00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aaech ACORD 101, AddMowl Remake Schedule. It mots spaw Is required) RE: CRI# 2111048 - N. College Improvements Project Vine -Conifer The City of Fort Collins, its officers, agents and employees and Stantec Consulting Services, Inc. are (See Attached Descriptions) City of Fort Collins 215 N Mason St Fort Collins, CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009I09) 1 Of 2 The ACORD name and logo are registered marks of ACORD #S898981/M898847 NIK Client#: 14427 CONREI ACORQ CERTIFICATE OF LIABILITY INSURANCE F I;, o,°Z"""' 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: H the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 970366-0123 CONTACT CANE: Nikki Mosbrucker P"°NE 970 266-7123 970 508.6823 Eal: A/C No: ADORFss: nikkl.mosbrucker@floodandpeterson.com ii:�ikki.mosbrucker@floodandpeterson.com CUSTOMER ID a: INSURER(S) AFFORDING COVERAGE NAIC0 INSURED INSURER A: Travelers Insurance Company Connell Resources, Inc. 7785 Highland Meadows Parkway #100 Fort Collins, CO 80528 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 POUCYNUMBEfl MWDCDNYFYYI POwCYEXP UNITS A GENERALIJABILm' X COMMERCIAL GENERALUABIDTY CLAIMS -MADE OCCUR DTC04794N532- IND13 6/01/2012 OSM1/2013 EACH OCCURRENCE $1 OOOOOO DAMAGE TO RENTED PREMISES Ea occurrence $300000 MEDEXP(AnyoneWrson) $10,000 PERSONAL&ADV INJURY $1 000,OOO GENERALAGGREGATE s2,000,000 GENL AGGREGATE POUCV LIMIT APPLIES PER: X PRO- LOC JECT PRODUCTS - COMP/OP AGG $2000000 $ A AUTOMOBILELIABILITY ANYAUTO ALLOWNEDAUTOS SCHEDULED AUTOS HIRED AUTOS NON-0WNED AUTOS Drive Other Car DT8104794N532- TIL13 6/01/2012 06Ml/2012 1 COMBINED SINGLE LIMB (Ea amident) $1,000,000 BODILY INJURY(Per pemon) $ BODILY INJURY(Per accident) $ 1XXX PROPERTY DAMAGE (Per accident) $ $ $ A X UMBRELLA LIAR EXCESS DAB X OCCUR CLAIMS -MADE DTSMCUP4794N- 532TIL13 6/01/2012 06/01=13 EACH OCCURRENCE $10000000 AGGREGATE $10000 000 DEDUCTIBLE , RETENTION a $ X $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNEPo ECUTIVF�IY�/yN� OFFICERMIEMBER EXCLUDED? LJ (Mandatory In NH) If Yee, ds.r I,e under DESCRIPTION OF OPERATIONS below WA 4029651 6/01/2012 06/01/201 X WCSTATU- oTH- EL EACH ACCIDENT $500000 E.L. DISEASE- EA EMPLOYEE $506 OOO E.L. DISEASE - POLICY OMIT 1 $500000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Ateu% ACORD 101, Additional Remarks Schedule, It none spew Is required) RE: CRI#2121033; BRT Phase 4 — Lake Street The City, its officers, agents and employees; and CDOT are named as additional Insured, but only as (See Attached Descriptions) City of Fort Collins - Purchasing Department PO Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 of 2 The ACORD name and logo are registered marks of ACORD #S698974/M698847 NIK Client#: 14427 CONREI ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE'm D,D2 n 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: N the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) 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(a). PRODUCER Flood & Peterson Ins., Inc. P. O. Box 578 Greeley, CO 80632 97035"123 NCONTACT AME Nikki Mosbrucker Ext: 266-7123 ,� Np; 970 506-6823 nikki.mosbrucker@floodandpeterson.com E::�ikki.mosbrucker@floodandpeterson.com ADORES:: U TOMERID a: INSURER(S) AFFORDING COVERAGE NAICF INSURED - - INSURER A; Travelers Insurance Company Connell Resources, Inc. 7785 Highland Meadows Parkway #100 Fort Collins, CO 80528 INSURERS: Pinnacol 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. NSR TYPE OF INSURANCE NSR 0POUCYNUMBEfl POLICY EFF MWD POLICY EXP MMIDffAGGREGATE UMrrS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR DTC04794N532- IND13 6/01/201206I01/201ENCE $1000000 .."me s3000OO onepereon) $10000 DV INJURY $1000000 REGATE $2,000 OOO GENL AGGREGATE POUCY LIMIT APPU ES PER: X PRa LOG OMP/OP AGG s2,000,000 $ A AUTOMOBILELIABILTIY AAUTO ALLOWNEDAUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS Drive Other Car DT8104794N532- TIL13 W/O1/2012 06/O1/201 COMBINED SINGLE UMIT (Ea aaidem) $100p000 BODILY INJURY(Perperson) E BODILY IWURY(Per accident) $ 1XXXNY PROPERTY DAMAGE (Perecciderd) $ $ $ A X UMBRELLALULB EXCESS UAS X OCCUR CLAIMS -MADE DT$MCUP4794N- 532TIL13 SX11/20112 OSM1/20111 EACH OCCURRENCE $10000000 AGGREGATE $10000 000 RETENTION $ $ ---XDEDUCTIBLE B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUDV Y/N OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, descdbe under DESCRIPTION OF OPERATIONS below N/A 4029651 D610112012 06/01/2013 X WC STATU. OTH- E.L EACH ACCIDENT $500000 E.L DISEASE - EA EMPLOYEE $50D,DD0 E.L DISEASE - POLICY LIMIT I $500000 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Attach ACORD 101, Addrdoml Remarks Schedule, N rem space Is required) RE: CRI# 2111024 - 7044 Misc Street Improvements The City, its officers, agents and employees are named as additional Insured, but only as respects liability arising out of work performed by the named insured. A waiver of subrogation applies. City of Fort Collins Purchasing Department 215 N Mason St, 2nd Floor PO Box 580 Fort 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. 01 SM2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S698961/M698847 NIK Clinnta• 14A27 CONREI ACORa CERTIFICATE OF LIABILITY INSURANCE DA��/ Diaz ' 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: H the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) 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 8: Peterson Ins., Inc. P. O. Box 578 Greeley, CO 80632 97035"123 CONTACT NAME: Nikki MOsbrucker NAME: 970 266-7123 970 508�823 EH: AIC No: ADDREss, nikkl.mosbrucker@floodandpeterson.com R:iikki.mosbrucker@floodandpeterson.com PHODUCEw— CUSTOMER 10e, INSURER(S) AFFORDING COVERAGE NAIC• INSURED INSURER A: Travelers Insurance Company Connell Resources, Inc. 7785 Highland Meadows Parkway #100 Fort Collins, CO 80528 INSURERS: Pinnacol 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. TYPE OF INSURANCE MIL POLICY NUMBER MWDY EFF MWDY UP LIYffB A GENERALUABILTTY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR DTC04794N532- IND13 6/01/2012 06/01/2013 EACHOCCURRENCE $1000000 PREMISES Ea occurrence $300000 MEDEXP(MVonemmn) $10000 PERSONAL S ADV INJURY $i 000,000 GENERAL AGGREGATE $2 OOO OOO GENL AGGREGATE 17 POLICY UMR APPLIES PER: X PRO LOC PRODUCTS -COMP/OP AGO $2,000 OOO $ A AUTOMOBILE LIABILITY ANYADTG ALL OWNED AUTOS SCHEDULEDAUTOS HIREDAUTOS AUTOS Drive Other Car DT8104794N532- TIL13 6/01/2012 06/01/2013 COMBINED SINGLE LIMY (Eaa¢iEent) $1000000 BODILY INJURY(Per person) $ BODILY INJURY(Per acdderH) $ 1XXX PROPERTY DAMAGE (Per accident)NON-OWNED $ $ A X UMBRELLA LIAR EXCESS LIAS OCCUR CLAIMS -MADE DTSMCUP4794N- 532TIL13 6101/201206/011201 EACH OCCURRENCE $10000000 N AGGREGATE $10000 000 RETENTION $ HDEDUCTIBLE X $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNER/EXECI.TIV Y/N OFFICER/MEMBER EXCLUDED? Eil (Mandetor,, In NH) It ea. describe under DESCRIPTION OF OPERATION bw WA 4029651 6/01/2012 OM1/2013 X WCSTATU- OTH' E.L EACH ACCIDENT $500000 E.L. DISEASE - EA EMPLOYEE $500,000 E.L. DISEASE - POLICYLIMIT $500000 DESCRIPTIONOFOPERATIONS/LOCATIONS/VENICLES(Attecb ACORD101,AWIUOMIRe "SchWYl%HmacspecYrequlre0) RE: CRI# 2121032 - Mason Storm Sewer Rehabilitation The City of Fort Collins, its officers, agents and employees are named as additional insured, but only as respects liability arising out of work performed by the named Insured. A waiver of subrogation applies. City of Fort Collins P.O. Box 680 Fort 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. ACORD 25 (2009I09) 1 Of 1 #S698971/M698847 01988-20[19 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NIK IMinnta- 14427 CONREI ACORD. CERTIFICATE OF LIABILITY INSURANCE °5/3,'D,w 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: N the certificate holder Is an ADDITIONAL INSURED, the policypes) 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 80832PH 97035641123 NAME: Nikki Mosbrucker PHONE 970 266-7123 970 506-6823 En: AX No: ADDREss, nikki.mosbrucker®fioodandpeterson.com Enikki.mosbrucker@floodandpoterson.com DUCE" CUSTOMER ID INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Travelers Insurance Company Connell Resources, Inc. 7785 Highland Meadows Parkway #100 Fort C011ins,'CO 80526 --_ -- - INSURER BPlnnacolAssurance 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 REOUIREMENT, 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 POUCIES 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 POLICY NUMBER POLICY EFF MMIO POLICY UP MMID LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7X OCCUR DTC04794N532- IND13 S/01/2012 06/01/2012 EACH OCCURRENCE $1000000 PREMISES Faeccuance S3000OO MED UP (Any ma wiser) $10000 PERSONAL&ADVIMURY &1 000 000 GENERAL AGGREGATE 12 OOO 000 GENL AGGREGATE LIMIT APPLIES PER: POLICY FRI PRO- 71 LOC PRODUCTS - COMP/OP AGO s2000000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULEDAUTOS HIREDAUTOS NONOWNED AUTOS Drive Other Car DT8104794N532- TIL13 - 6/01/2012 06/01/201 COMBINEDSINGLEUMIT (Ea acdeenp &1000000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accdent) $ X X $ X a A X UMBRELLA WB EXCESS LIAR J( OCCUR CLAIMS -MADE OTSMCUP4794N- 532TIL13 6/01/201206/01/201 EACH OCCURRENCE $10000000 AGGREGATE $10000 000 DEDUCTIBLE RETENTION $ X $ B WORKERS COMPENSATION AND EMPLOYERS' UABILMY ANY PROPRIETOR,PARTNER/EXECLM YIN OFFICER/MEMBER EXCLUDED? (Mysnd ry In NH) OES FIPTIONOFOPERATIONS Uebw NIA 4029651 W1/2012 08/01/201 X WCSTATU} gH- E.L EACH ACCIDENT $SOD OOO E.L DISEASE - EA EMPLOYEE $500000 E.LDISEASE - POLICY LIMIT $500000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AtbeN ACORD 101, AddMaal RemaM Scaedule,"nwe spew M required) RE: CRI# 2111043 - City of Fort Collins - BRT Utilities The City, its officers, agents and employees are named as additional Insured, but only as respects liability arising out of work performed by the named insured. A waiver of subrogation applies. City of Fort Collins PO Box 580 Fort 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 01988.2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 Off The ACORD name and logo are registered marks of ACORD #S698980/M698847 NIK Clients: 14427 CONREI ACORIM CERTIFICATE OF LIABILITY INSURANCE "An" "'YYY"' 5/31/2012 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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 Ileu of such endomement(s). PRODUCER Flood & Peterson Ins., Inc. P. 0. Box 578 Greeley, CO 80632 970356-0123 CONTACT NAME; Nikki Mosbrucker PNOME 970 266-7123 970 508�823 Er: AIC No: ADDREss: nikki.mosbrucker@floodandpeterson.com ii:�ikki.mosbrucker@floodandpeterson.com CUMeRto INSURER(S) AFFORDING COVERAGE NAIC4 INSURED INSURER A: Travelers Insurance Company Connell Resources, Inc. 7785 Highland Meadows Parkway #100 Fort Collins, CO 80528 WsuRERa;Pinnacol 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. TYPE OF INSURANCE POLICY NUMBER MWDWYY YEFF UP ME22 LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXIOCCUR DTC04794N532- IND13 6Ml/2012 05/01/2012 EACH OCCURRENCE $1000000 PREMISES Me occurrence $300OOO MEDEXP(Anymeperson) $10000 PERSONAL& ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GENL AGGREGATE POUCY LIMIT APPLIES PER: X PRO LOC PRODUCTS -COMP/OPAGG $2000000 $ A AUTOMOBILE 1XXX LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON-0WNED AUTOS Drive Other Car DT8104794N532- TIL13 6/01/2012 oeffil/2013 -PROPERTY COMBINED SINGLE LIMIT (Ea accident) $100g000 Per BODILY INJURY(Parson) $ BODILY INJURY(Per accident) $ DAMAGE (Par accident) $ $ $ A X UMBRELLA LIAB EXCESS LIAR J( OCCUR CLAIMS -MADE DTSMCUP4794N- 532TIL13 S/01/2012 OSM11201 EACH OCCURRENCE ODO $1ODOO AGGREGATE $10000 000 DEDUCTIBLE RETENDON $ X B WORKERS COMPENSATION ANDEMPLOYERS'LIABILTTY YIN ANY PROPRIETO RAEMBER(EXC NRIEEEC�� OFF(Mendetory In NH) If yyes, deacdhe under DESCRIPTON OF OPERATIONS Debw WA 4029651 SM112012 06/01=1 X WC STATLL OTH- EL. EACH ACCIDENT $500000 E.L. DISEASE - EA EMPLOYEE $500 000 E.L DISEASE- POLICY LIMIT $500000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AddMonal Ramerb ScheduW N more sped M reRulred) RE: CRI# 2111044 - North College Sanitary Sewer Phase II The City of Fort Collins, its officers, agents and employees and Stantec Consulting Services, Inc. are (See Attached Descriptions) City of Fort Collins _ PO Box 580 '• Fort 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. ACORD 25 (2009109) 1 of 2 #S698962/M698847 01988.2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NIK Client#: 14427 CONREI ACORQa CERTIFICATE OF LIABILITY INSURANCE DAIS M DWYYY) 12 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: N the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) 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 Ileu of such endorsement(s). PRODUCER Flood & Paterson Ins., Inc. P. O. Box 578 Greeley, CO 80632 970356-0123 CONTACT NAME; Nikki Mosbrucker PHONE 970 266-7123 A� N,; 970 506-6823 Ert: ADDRESS: nikki.mosbrucker@floodandpeterson.com iR:iikki.mosbrucker@floodandpaterson.com STOCER CUME ID INSURER(Sl AFFORDING COVERAGE NAIC# INSURED INSURER A: Travelers Insurance Company Connell Resources, Inc. 7785 Highland Meadows Parkway #100 Fort Collins, CO 80528 INSURER B: Pinnacol Assurance INSURER C INSURER 0: INSUR ER RE: NSURER 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. ' LTJL TYPE OF INSURANCE POLICY NUMBER POUCY EFF MWO POLICY EXP MWD LIMITS A GENERALLWBILITY X COMMERCIAL GENERALUABIUTV CLAIMS -MADE 51OCCUA DTC04794N532- IND13 5/01/2012 06/01/2013 EACH OCCURRENCE $1000000 PREMISES Meaccu..e $300000 MED EXP(Any one person) $10000 PERSONAL & ADV INJURY $1 00O 000 GENERALAGGREGATE $2000,000 GEN'L AGGREGATE 17 POLICY UMfT APPLIES PER: 7X PRO- LOC PRODUCTS - COMP/OP AGG $2000000 $ A AUTOMOBILE UABILNY ANYAUTO ALLOWNEDAUTOS SCHEDULED AUTOS HIREDAUTOS AUTOS Drive Other Car DT8104794N532- TIL13 6M1/2012 OSMI/2013 COMBINED SINGLE LIMIT (Ea accident) $, 000 000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ 1XXX PROPERTY DAMAGE (Peraident)NON-OWNED $ $ A X UMBRELLA LIAR EXCESS UAB X OCCUR CLAIMS -MADE DTSMCUP4794N- 532TIL13 6M1/2012 OSM1/2013 EACH OCCURRENCE $10000000 AGGREGATE $1000O 000 DEDUCTIBLE RETENTION $ X B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIV YIN OFFICERIMEMBER EXCLUDED? (Mandatary In NH) If yes, descdbe under DESCRIPTION OF OPERATIN low Wra 4029661 6/01/2012 06/01/201 ' X we sTATu OTH- E.L EACH ACCIDENT $SOD OOO E.L DISEASE - EA EMPLOYEE $500,000 E.LDISEASE -POLICY LIMIT 1$500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AMMonal Press" SeaeduIC tf mass Spam Is required) RE: CRI# 2111042 - City of Fort Collins - Choice Center The City, its officers, agents and employees are named as additional Insured, but only as respects liability arising out of work performed by the named insured. A waiver of subrogation applies. City of Fort Collins PO Box 580 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S698973/M698847 INK Client#: 14427 CONREI ACORa CERTIFICATE OF LIABILITY INSURANCE 1DATE (MLVDq YYYV) F 5/31/2012 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: N the Certificate holder is an ADDITIONAL INSURED, the polk:y(les) 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 endoreement(s). PRODUCER Flood & Peterson Ins., Inc. P. O. Box 678 Greeley, CO 80632 97035641123 CONTACT NAME, Nikki Mosbrucker PNONE 970 266-7123 970 506-6823 AIC No EXt: AA: No: AODREss nikki.mosbruckerOfloodandpetereon.com FKOOUUftH CUSTOMER ID If, INSURER(S) AFFORDING COVERAGE NAIL# INSURED INSURER A: Travelers Insurance Company Connell Resources, Inc. 7785 Highland Meadows Parkway #100 Fort Collins, CO 80528 INSURERS, Pinnacol Assurance INSURER C INSURER 0: INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. OF INSURANCENSR POUCYNUMBER POLICY EFF fMM/DD0YYYYI POLICY UPTYPE fMM1DDrTYYYIUMITS A GENERAL uABILnY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxIOCCUR DTC04794N532- IND13 6/01/2012 06101/2013 EACHOCCURRENCE &1 o000O0 PREMISES occurrence 5300000 MEDUP("oneperson) $10000 PERSONAL&ADVIWURY $1000000 GENERALAGGREGATE s2,000,000 GENL AGGREGATE LIMIT APPUES PER: PRa 7 LOC pOUCY X JECT PRODUCTS- COMP/OP AGO s2000000 $ A AUTOMOBILE LIABILITY ANVAUTO ALLOWNEDAUTOSBODILYIWURY SCHEDULED AUTOS HIRED AUTOS NONvwNED AUTOS Drive Other Car I DT6104794N532- T1L13 I 6/01/2012 06/01/201 COMBINED SINGLE LIMIT (Eaamld t) &1000000 BODILY INJURY(Per person) S (Per ecddent) S 1XXX PROPERTY DAMAGE (Peraaldent) S & $ A X UMBRELLA LIAS EXCESS UAS X OCCUR CLAIMS -MADE DTSMCUP4794N- 532TIL13 6/01/201206101/201 EACH OCCURRENCE &10000000 AGGREGATE $10000 000 DEDUCTIBLE RETENn S X $ B WORXERS COMPENSATION AND EMPLOYERS' UABILfrY ANY PROPRIETOWPARTNERIEXECUnV Y/N OFFICER/MEMBER EXCLUDED? (Myyandatory In NH) IDESCRIPNONOFOPERATIONSI,ebw N/A 4029651 6/01/2012 06/01/201 X WG STATLL OTH- ELEACH ACCIpENT $500000 E.L DISEASE - EA EMPLOYEE &500O00 E.L. DISEASE - POLICY UMIT 1$500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ADsch ACORD 101, Addltlonel Remark, Schedule, H ones spece Is squired) RE: CRI# 2121532 - Emergency Repair Mobilization Certificate holder is Included as Additional Insured as required by written contract with respects to liability arising out of work performed by the named Insured. City of Fort Collins PO Box 580 Fort Collins, CO 90522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 01988.2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S69896S/M698847 NIK Clianttl: 14427 CONREI ACORM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDwyn 501/2012 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: N the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. N 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 CONTACT CANE; Nikki Mosbrucker PHONE 970 266-7123 970 506-6823 Etl: (A/C, No: E::�ilkkl.mosbrucker@floodandpeterson.com ADDREss: nikkl.mosbrucker®floodandpeterson.com CUSTOME ID#: INSURER(S) AFFORDING COVERAGE NAICa INSURED INSURER A: Travelers Insurance Company Connell Resources, Inc. 7785 Highland Meadows Parkway #100 Fort Collins, CO 80528 INSURER B: Pinnacol Assurance INSURER C INSURER O: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 INSURANCEMIL 0= POUCYNUMBER POUCY EFF MWD POUCYEXP MWDt LIMITS A GENERALUABILITY X COMMERCIAL GENERAL LIABILITY CLAIMSMADE OCCUR DTCO4794N532- IND13 6/01/201205/01/201 RENCE $1000000 occurrence $300000 one parson) $1O,000 DV INJURY $1,000 O00 REGATE $2,000,000 GENL AGGREGATE LIMIT APPLIES PER: POLICY X PRO- LAX: OMP/OPAGG $2000000 $ A AUTOMOBILE LIABILITY ANVAlITO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Drive Other Car DT8104794N532- TIL73 6/01/2012 06/01/2013 COMBIBIIN�EDentSINGLE LIMIT (EaBODILY $1.000.000 INIURY(Per parson) $ BODILY INIURY(Per accident) $ 1XXX PROPERTY DAMAGE (Peraccident) $ $ $ A X UMBRELLA LWB EXCESS LWB OCCUR CLAIMS -MADE DTSMCUP4794N- 532TIL13 6/01/201206/01/201 EACH OCCURRENCE $10000000 N AGGREGATE $10000000 DEDUCTIBLE RLTEN ION $ X $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITYER IV Y/N ANY PROPRIEfOR/PART,IER/EXECUT� OFRCER/MEMBER I EXCLUDED? T I (Mandatory In NH) If yea, dewnbe under DESCRIPTION OF OPERATIONS below NIA 4029651 6/O1/2012 06/01/201 X WC STATU- OTH- E.L EACH ACCIDENT s500000 E.L DISEASE - EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT 500O00 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remake, Schedule, N more apace Is required) RE: CRI# 2121021 - Mason & Myrtle Sanitary Sewer WO# SCP-MMSS-04062012 Certificate holder is included as Additional Insured as required by written contract with respects to liability arising out of work performed by the named Insured. City of Fort Collins PO Box 580 Fort Collins, CO $0622 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2009/09) 1 Of 1 #S698964/M698847 01988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Q