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Home My WebLink About112606 ROCKY MOUNTAIN WILDLIFE SERVICE - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE American Family Insurance Company ❑ American Family Mutual Insurance Compar y if selection box is not checked. 6000 American Pky Madison, Wisconsin 53763-0001 Insured's Name and Address Rocky Mountain Wildlife Service P.O Box 550 Windsor, CO 80550 Agent's Name. Address and Phone Number (Agt./Dist.) Brian Binder (970) 674-3223 400 Main St. Ste B Windsor, CO 80550-5163 (028/316) This certificate is issued as a matter of information only and confers no rights upon the Certificate Holder. This certificate does not amend, extend or alter the coverage afforded by the policies listed below. COVERAGES This is to today that 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. TYPE OF INSURANCE POLICY NUMBER POLICY DATE LIMITS OF LIABILITY EFFECTIVE EXPIRATION Me Day. Yr(Mo. Day. Yr Honteuwners, B^day Inj; : and Property Damage Mobilehomeowners Liability Each Occurrence $ '000 Boatowners Liability Bodily Injury and Property Damage Each Occurrence $ '000 Personal Umbrella Liability Badly Injury and Property Damage Each Occurrence $ '000 Farm Liability & Personal Liability Farm/Ranch Liability Each occurrence $ '000 Farm Employers Liability Each Occurrence $ 000 Workers Compensation and Statutory ••'000 Each Accident $ Employers Liability f Disease- Each Employee $ '000 -i Disease- Policy Limit $ '000 General Liability General Aggregate $ - 000 Products- Completed Operations Aggregate $ .000 ❑ Commercial General t: Liability (occurrence) - �PersonalandAdvertisin Inu $ .000 ❑ Each Occurrence $ '000 ❑ Damage to Premises Rented to You $ 000 Medical Expense (Any One Person) $ 000 Businessowners Liability Each Occurrence}} $ ,000 Aggregatett $ ,000 Liquor Liability Common Cause Limit $ '000 Aggregate Limit $ ,000 Automobile Liability Bodily Injury - Each Person $ 1,000 .000 ❑ Any Auto ❑ All Owned Autos erwity Injury - Each Accident $ 1,000,000 ❑ Scheduled Autos 05-XF9274-01-00 4/30/2012 4/30/2013 $ ❑ Hired Auto Property Damage 1,000 ,000 ❑ Nonowned Autos ❑ Bodily Injury and Property Damage Combined $ ,000 Excess Liability ❑ Commercial Blanket Excess Ench occurrence/Aggregate $ '000 71 Other (Miscellaneous Coveraees) DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/RESTRICTIONS/SPECIAL ITEMS - fThe irxllvNualupaNers �oxn aimwed❑Hare ❑Havemt Ger i to Be comed as empbyses under this poky. ' ffProductwCorraffed Clarifiers ""was Is equal B each ocaner. cm, arda includedln pofry ag,r,.W CERTIFICATE HOLDER'S.NAME AND ADDRESS _.,. ., CANCELLATION - . • City of Fort Collins Y Should any of the above described policies be cancelled before the expiration date thereof, the company will endeavor to mail'( 20 days) Purchasing Division written notice to the Certificate Holder named, but failure to mail such P.O. Box 580 notice shall impose no obligation or liabilityy, of any kind upon the '10 representatives. days unless different numberoi days gentsshow Fort Collins, CO 80522 .or ❑ This certifie3 coverage on the date of issue only. The above described polic': as are subject to cancellation in conformity with their terms and by the laws of the state of issue. DATEISSUED q THO ED REPRES TATIVE 1/22i2l U-201 Ed. 5/00 Stock No. 06668 Rev. 7/02 ACORD,. CERTIFICATE OF LIABILITY INSURANCE OATE(MM7/2013 YY) ovmzo,a PRODUCER Pinnacol Assurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY 7501 E Lowry Blvd AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Denver, CO 80230-7006 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 W cr 78 80524 INSURERA: Pinnacol Assurance 41190 INSURER e: INSURER C 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. NOTWITHSTANDING 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. INSR ADDI POLICYEFFECTIVE POLICYE%PIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATEIMNVIDD Y DATEIMWDDNYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY CLAIMS MADE CCCUR PREMISES MED E%PIAn one person PERSONAL a ADV INJURY GEN'L AGGREGATE LIMIT APPLIERS PER GENERAL AGGREGATE POLICY PROJECT ❑ LOC PRODUCTS - OOMPIOP ADS AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO - (Ea Amidenl) BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (Per person) BODILY INJURY HIRED AUTOS NONOWNEDAUTOB (Ps'sew.nl) PROPERTY DAMAGE (Per acndentl GARAGE LIABILITY AUTO ONLY - EA ACCIDENT OTHER THAN FA ACC ANYAUTO AUTO ONLY: AG E%OEB&UMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE AGGREGATE DEDUCTIBLE RETENTION S WORKERS COMPENSATION AND WC STATU- OTHER A EMPLOYER'S LIABILITY ANY PROPRIETORNARTNER�E%ECUTIVE 4081583 05/01/2012 05/01/2013 roar LIMITS E.L EACH ACCIDENT $100,D00 OFFICERIMEMBER EXCLUDED4 E.L DISEASE - EA EMPLOYEE I $100,000 If yes. pleasedesenleuMer SPECIAL PROVISIONS belew E.LDISEASE-POLICYLIMIT Lsmos000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 1430933 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO Purchasing Division PO Box 580 MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR Fort Collins, CO 80522 . LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Lena Elwood ACORD 25(2001/08) Underwriter ACORD CORPORATION 1988 OP ID: GD ,4`oR0 CERTIFICATE OF LIABILITY INSURANCE DAT11231 013 01/23I273 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 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 lieu of such endomemen s . PRODUCER Phone:914-395-3131 Select Insurance Agency, Inc. Fax: 914-395-0200 95 Main Street Tuckahoe, NY 10707-2911 Glenn Dauberman CONTACT NAME: PHONE FAX -INC. N0, EV): IN,NNo : E�L ADDRESS: -PRODUCER ROCKY-3 CUSTOMER ID_R; INSURER( S)AFFORDINGCOVERAGE NAICN INSURED Rocky Mountain Wildlife INSURERA:ArNlmuranceC "ny 11150 Services, Inc 9696 County Road 78 Fort Collins, CO 80524 INSURER 9: 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. LTRR TYPE OF n1SURANCE INSK Ana B p YNUMBER MPMMONYF MIAW Ex DMA A GENERAL LVUM-TY X COMMEROALGENERALLIABILITY CLAIMS-MADEOCCUR X WPKGO519M 12/01/2012 12/01/2013 EACH OCCURRENCE $ 1,000,00 PREMISES E.OmXrertz S 100,00 MEDEXP(Anydmperaon) S 5,00 PERSONAL &AOV INJURY S 1,000,00 GENERALAGGREGATE $ 3,000,00 GENL AGGREGATE LIMIT APPUES PER: PRO- LOC X POLICY SECT F1 PRODUCTS-COMPAOPAGG $ 3,000,00 S AUTOMOBILE LUUNLITY ANY AUTO ALLOWNEDAUTOS SCHEDULED AUTOS HIREDAUTOS NON-OWNEDAUTOS COMBINED SINGLE LIMIT (Ea accidwa) $ BODILY INJURY (Per Person) S BODILY INJURY (Par aCC10Ml) S PROPERTY DAMAGE (Per aca n $ S E UMBRELLA LUIB EXCESS UAB OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE S DEDUCTIBLE RETENTION $ S $ WORKERS COMPENSATION AND EMPLOYERS UABILRY Y I N ANY PROPRIETOR/ARTNER ECUTIVE❑ OFFICER,MEMBER EXCLUDED? (Mandatory In NH) If yes, dimcnbe emer DESCRIPTION OF OPERATIONS below NIA WCSTATULOR E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Atbch ACORD 101, Add d RamaM Schedule, I nwm apace Is mieb04l City of Fort Collins is listed as additional insured with respect to work performed by Rocky Mountain wildlife Services, Inc per written contract. CITY033 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�REPRESENTATIME All riahts reserved ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD