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Home My WebLink About480487 RISING SUN FENCE & CONSTRUCTION LLC - INSURANCE CERTIFICATE (3)307-637-4266 03: 27:18 p.m. 01-04-2013 1 / 1 T ® CERTIFICATE OF LIABILITY INSURANCE ACORO kk.� GATE (MM OOIYYYY) 1 01/0412013 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 endorsement(s). PRODUCER CONTACT NAME: Diane E. Martin Timberline Insurance Agency, Inc. acC Este 307-637-4757 ac, No,.. 307-637-4266 AoGRESS: demartin@timberlineins.com P. O. Box 20007 INSURERIS) AFFORDING COVERAGE NAIC N Cheyenne, WY 82003 INSURER A: Scottsdale Insurance Company INSURED INSURER B INSURER C Rising Sun Fence & Construction, LLC 1274 Cole Road INSURER 0: INSURER E: Cheyenne, WY 82009 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. LTR TYPE OF INSURANCE INSR WVO POLICY NUMBER MMIDDIYYYY MM/DD/YYYY LIMITS A GENERAL LIABILITY GENERAL LIABILITY CLAIMS -MADE ® OCCUR X CPS1547489 114114/2012 04/14/2013 EACH OCCURRENCE $ 1,000,000 -DAIRAGCOMMERCIAL PREMISES (Ea occurcence $ 100,000 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: POLICY jE'CT- LOC PRODUCTS -COMPIOP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NONOWNED AUTOS Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident $ Per accident) $ 8 UMBRELLA LIAB EXCESS LIAR HOCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE[:1 OFFICERIMEMBER EXCLUDED? u (Mandatory In NH) If Gyyes, describe under DESCRIPTION OF OPERATIONS below NIA WCSTA I U- OT - TORYLIMITS ER E.L.EACH ACCIDENT $ E.L. DISEASE - EA EMPLOY $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Aftaeh ACORD 101, Additional Remarks Schedule, if more space is required) Fencing Contractor Additional Insured Status when required by contract form CG 203307 04 applies to the certificate holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Purchasing ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 580 Fort Collins, CO 80522 Fax 970 221-6707 AUTHORIZED REPRE ATNE Diane E. Martin Ut,( t ACORD 25 (2010105) 01988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD