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Home My WebLink About112606 ROCKY MOUNTAIN WILDLIFE SERVICES INC - INSURANCE CERTIFICATE (2)O1/17/2013 10:27:04 PM PINNACOL ASSURANCE PAGE 1 OF 3 PIMNAA COL ASSURANCE Date: 01 /17/2013 To: City of Fort Collins Fax Number: 970-221-6707 From: Brett E. Boddicker Phone Number: Subject: Document: UW135 37935600 Policy #: 4081583 Total Pages: 3 Notes: Please contact us if you do not receive any portion of this transmission. 7501 E. Lowry Blvd. Denver, CO 80230-7006 Phone:303-361-4000 www.pinnacol.com The information contained in this telecopy transmission is confidential or privileged and is intended to be for the use of the individual or entity named on this transmission sheet. If you are not the intended recipient, be aware that any disclosure, copying, distribution or use of the contents of this telecopied information is prohibited. If you have received this telecopy in error, please notify us by telephone immediately so that we can arrange for the retrieval of the original transmission. 01/17/2013 10:27:04 PM PINNACOL ASSURANCE PAGE 2 OF 3 ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(M/1,DDm / 01/1 ]/2013 Pin nuc Pin I Assu ranee THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY 1 E Lowry 7501 E Lowry Blvd Denver, CO 80230-7006 AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED Rocky Mountain Wildlife Services Inc 9446 Wcr 78 80524 INSURERA. Pinnacol Assurance 41190 INSURER B INSURER Windsor, CO 80550 INSURER D INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDNG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMMENT 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. NOR ADD POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE(MM/DDM'YY) DATE(MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY CIAIMSMADE OCCUR PREMISES RED EXP(Any one person) PERSONALBADV INJURY GEN'LAGGREGATE LIMITAPPLIERS PER GENERAL AGGREGATE PRODUCTS-COMP/OPAGO POLICY PROJECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANYAUTO (Ea Aooltlent) BODILYINJURY ALL OWNED AUTOS SCHEDULED AUTOS (Perpersan) BODILYINJURY HIRED AUTOS NON OWNED AUTOS Ceraomdent) PROPERTY DAMAGE (Peraw dent) GARAGE LIABILITY AUTO ONLY- EA ACCIDENT OTHER THAN EAACC ANYAUTO AUTO ONLY AG E%CEBB/LWBRELLA LIABILITY EACH OCCURRENCE AGGREGATE OCCUR CIAIMSMADE DEDUCTIBLE RETENTION $ WORKERS COW ENSATION AND WCSTATU- OTHER A EMPLOYER'S LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 4081583 05/01/2012 05/01/2013 TORY LI MI TS ELEACH ACCIDENT $100,000 OFFICER/MEMBER Excwoeov EL DISEASEEAEMPLOYEE $100,000 Iryes, please describe under SPECIAL PROVISIONS below ELDISEASE-PoucYUMT 500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHI CLES/E XCLUSI ONE ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 1430933 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins Purchasing Division PO Box 580 Fort Collins, CO 80522 THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR T MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO TH LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OI LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Lena Elwood ACORD 25(2001/08) Underwriter ACORD CORPORATION 1988 01/17/2013 10:27:04 PM PINNACOL ASSURANCE PAGE 3 OF 3 CERTIFICATE HOLDER COPY City of Fort Collins Purchasing Division PO Box 580 Fort Collins, CO 80522 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.