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Home My WebLink About521604 KECI COLORADO INC - INSURANCE CERTIFICATEACORD.CERTIFICATE OF LIABILITY INSURANCE'/12014 DA9/30 013 1 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 endomement(s). PRODUCER Lockton Companies, LLC Denver 8110 E Union Avenue Suite 700 Denver CO 80237 (303) 41"000 CONTACT EA No E.: A C No E-MAIL ADDRESS INSURER A : The Charter Oak Fire Insurance Company 25615 INSURED K.E.CIColorado, Inc. 1050899 5750 k Airport Rd. � j 216 0� Sedalia, CO 80135 INSURER B : Travelers Prop. Casual Co. of Am. INSURER C : Pinnac I Assurance N R ' INSURER Cnvc0A2E¢ KECC Y0'A CERTIFICATE NI IMRFR• 17d1081 I REVISION NUMBER' XXXXXXX 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 TYPE OF INSURANCE ADSR SUER WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX-1 OCCUR X Limped Jobsite Y N DTC06C647481 1/12013 1/1/2014 EACH OCCURRENCE s 1,000,000 DAMAGE TO RENTED PREMISESa occurrent 300 ODO MED EXP (Any one ermo 5,000 PERSONAL a ADV INJURY $ 1,000,000 Pollution GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 17 X PRO-JECT El DOC PRODUCTS - COMPIOP AGO s 2,000,000 $ R AUTOMOBILE LIABILITY X ANY AUTO AAUTOWNED AU,HrEDULED OOSS NON-pSSSANED X HIRED AUTOS X gUTOS Y N DT810325D9148 1/1/2013 1/l/2014 COMBINED' SINGLE LIMIT $ 1 000000 BODILY INJURY (Per mrson) S XXXXXXX BODILY INJURY (Per accident S XXXXXXX PROPEERTY DAMAGE $ XXXXXXX $XXXXXXX B X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE N N DTSMCUP325139148 1/1/2013 1/l/2014 1 EACH OCCURRENCE s 5000000 AGGREGATE s 5 000 000 DED I X I RETENTION $ 10.000 s XXXXXXX C: WORKERS COMPENSATION YIN AND EMPLOYERS' LIABILITY OFFICERPR1ETEFP-XDLMEFVE ECUTVE O a. (MyymWory In NH) OECRIPTIONOFOPERATIONSE NIA N 4048534 10/120I3 10/l/2014 X TVo$yTLTT _ OTH- R E.L. EACH ACCIDENT $ 500,000 E.L DTe M-EA EMPLOYEE 500000 E.L.DISEASE -POLICY LIMIT 500000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I(Adach ACORD 101, Additional Remarks Schedule, H more space is requm d), RE: 7519 Lemay Ave Bridge Expansion Joint. The City,, its officers, agents and employees are additional insured m respects General and Auto Liability if required by written contract per policy terms and conditions. Tem l0) Day Notice of Cancellahon will be provided to the City for non-payment. L:I=R I IFIUA I E HULUL:H L.Atlra.aL.n r wn SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 12439811 AUTHORIZED REPRESENTATIVE City of Fort Collins Purchasingg Department PO Box 280 Ft Collins CO 80522 ACORD 25120101051 ©1988 2010 ACORO CORPO ATION. All rights reserved Thu ArnOn .— —H 1au mnialururl mark. of ArnRn