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Home My WebLink AboutDIAMOND EXCAVATING INC - INSURANCE CERTIFICATE (3)DIAMEXC-01 SFORSBEI ,4c�oRo~ CERTIFICATE OF LIABILITY INSURANCE o ATE 12/26/2013 (MMMDIYYYY) 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 Forsberg Engerrnan Cc 3575 S Sherman St Englewood, CO 80113 INSURED Diamond Excavating Inc 5940 W 59th Ave Arvada, CO 80003 C: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: .9 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 POLICY NUMBER MMIDDNYYY EXP MM/DDY /YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMSHdADE I OCCUR X ENP0172168 01/07/2014 01/07/2015 EACH OCCURRENCE $ 1,000,00 PREMISES lEaoccurence s 500,00 MED EXP (Arty one person) S 10,0 PERSONAL a ADV INJURY S 1,000,00 GENERAL AGGREGATE $ 2,000,0011 GENT AGGREGATE LIMIT APPLIES PER: POLICY X PRO-LOC JECT PRODUCTS-COMP/OPAGG $ 2,000,00 $ A AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS OS NON -OWNED X HIRED AUTOS M AUrroS ENP 0172168 01/07/2014 01/07/2015 COMBINED SINGLE LIMIT Me accident 1,000,00 BODILY INJURY (Per person) 3 BODILY INJURY (Per accident) $ PR PERTY DAMAGE PER ACCIDE $ A X UMBRELLALIAB EXCESS LIAB X OCCUR CLAWS -MADE ENP0172168 1 01/07/2014 01/07/2016 EACH OCCURRENCE $ 6,000, AGGREGATE $ 5,000,0 DED I X I RETENTION $ 10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOPWARTNER/EXECUTIVEY OFFICERIMEMBER EXCLUDE09 (Mandatory In NH) If yes. describe under DESCRIPTION OF OPERATIONS below NIA 2296640 04/0'1/2013 04/01/2014 X WC SLIM OTH- E.L. EACH ACCIDENT $ 1,000,0 E.L. DISEASE - EA EMPLOY $ 1,000+00 E.L. DISEASE -POLICY LIMIT $ 1,000,00 A Leased/Rented Equip ENP 0172168 01/072014 01/07/2015 Umlt 300,00 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, IF mom space Is required) RE: Right of Way Contractor License The City of Fort Collins is named as additional insured with respect to general liability per form GA233CO 05/11. City of Fort Collins PO Box 580 Ft Collins, CO 80522-0580 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 01988-2010 ACORD CORPORATION. All rights reserved ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD