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Home My WebLink About210366 GROWLING BEAR CO INC - INSURANCE CERTIFICATEClient f: 49185 GROBE2 ACORO. CERTIFICATE OF LIABILITY INSURANCE D TEMMIDo;2YY) 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 Kim Parker NAME: Flood & Peterson Ins., Inc. PHONE A% , C NoI970 506.3213 Ate, No): 970 506-6865 P. O. Box 578 -MA L Greeley, CO 80632 ADDRESS: 970 356-0123 CUSTOMER ID p: INSURER(5)AFFORDING COVERAGE NAICM INSURED INSURER A: CNA Insurance Company Growling Bear Co., Inc. Pinnacol Assurance: 2330 4th Avenue INSURER e Greeley, CO 80631-7113 INSURER C: INSURER D : INSURER E: 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 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 UBR IVV�POLICY NUMBER POLICY MM/DD/YYYY POLICY I MWDDNYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X PD Ded:1,000 C2095216232 7/01/2012 07/01/2013 EACH OCCURRENCE $1 000 OOO PREMISES Eaoccu ante $100,000 MED EXP(Any one person) $5,000 PERSONAL d ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE POLICY LIMIT APPLIES PER: X PRO LOC PRODUCTS - COMP/OP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS AUTOS C2095216246 7/01/2072 07/01/201 COMBINED SINGLE LIMIT (Ea accident) $ 1000000 BODILY INJURY (Per person) $ 1XX BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Peracciden)NON-OWNED S A )( UMBRELLA LIAB I EXCESS LIAB OCCUR CLAIMS MADE C2095216229 7/01/2012 07/01/201 EACH OCCURRENCE $4 000 000 AGGREGATE s4,000,000 DEDUCTIBLE RETENTION 1000( $ X S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVEY� OFFICER/MEMBER EXCLUDED? (Mandntory in NH) If yes, describe under DE SCRIPTION OF OPERATIONS below N/A 1436910 (Uninsured Subcontractors) ]/Q1/QQ12 Q]/Q1/QQ1 )( V`'C STATU- OTH- E.L. EACH ACCIDENT $1 00O 000 E.L. DISEASE - EA EMPLOYEE $1,000,000 EL.DISEASE - POLICY LIMIT $1,000000 A Property C2095216232 7/01/2012 07/01/201 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (attach ACORD 101, Additional Remarks Schedule, if more space is required) License Number: B-310 City of Fort Collins I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO Box 580 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522-0580 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 e`^s�+enu7D6304 KFP