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Home My WebLink About254363 SASQUATCH INC - INSURANCE CERTIFICATEClient#: 163668 KRSWERDF ACORD.. CERTIFICATE OF LIABILITY INSURANCE o 110312IDDIryrY) 1 /03/2013 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 Mary Ann Eurich HUB International Ins Svcs Inc ac, Eat: 719-546-6836 A , Ne): 866.908.2103 1414 W 4th St SS: maryann.eurich@hubinternational.com ADDRESS: P.O. Box 58 Pueblo, CO 81002 INSURER(S)AFFORDING COVERAGE NAICM INSURER A: Phoenix Insurance Company 25623 INSURED B: Travelers Property Casualty Co SasquINSURER tch Inc INSURER C: Travelers Property Casualty Co 25674 868 2868 R uffina St Santa Fe, NM 87305 INSURER D INSURER E: INSURER F: CA Resident License #0757776 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. INSR LTR TYPE OF INSURANCE ADDLSUBR, INSR MD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY E%P MMIDD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X PD Ded:2,500 DTC05643B507PHX13 1/01/201301/01/2014 EACH OCCURRENCE $1,000,000 PREMISES EaEo TTiEr ance $ 300 000 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 PRO- JECT OC PRODUCTS - COMPIOP AGG $2,000,000 8 O AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON-0WNED AUTOS DT8105643B507TIL13 1101/201301101/2014 COMBINED SINGLE LIMIT Eaa. an, 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accieanD $ X PROPERTY DAMAGE Per, a.Id $ $ B X UMBRELLA LIAR EXCESS LIAR X J OCCUR CIAIMS-MADE DTSMCUP5643B507TIL 1/01/2013 01/01/2014 EACH OCCURRENCE $10,000,000 AGGREGATE $10 00O 000 E. I X RETENTION$10000 $ A WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE OFFIGERIMEMBER EXCLUDED? (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below NIA DTKUB5643B50713 1/01/201301I01/2014X Wcsrnru- oiH- E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE -POLICY LIMIT S1,000,000 $1 000,000 $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) PROJECT: WATER, WASTEWATER, & STORMWATER UTILITY PROPOSAL #P951 CITY OF FT. COLLINS 215 N. Mason St FT. COLLINS, CO 80522.0000 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 'Ic— ACORD 25 (2010105) 1 of 1 #S2017349/M2017280 91988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DCO2