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Home My WebLink About157655 WATTLE & DAUB CONTRACTORS INC - INSURANCE CERTIFICATE (4)16. R CERTIFICATE OF LIABILITY INSURANCE DATE (MMro0/Y� 4/16/2014 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: N the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. H 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 Denver Agency 210 University Blvd, Suite 600 Denver CO 80206-4661 CONTACT NAME: Laura Melee PHONE (303) 892-6900 FAICAX (303)892-6938 EMAILRS,S.laura@denveragency. cm INSURERS AFFORDING COVERAGE NAIC a INSURER A:Gemini Ins Co %Burns 6 Wilcox INSURED Wattle S Daub Contractors, Inc. 15965E 8 Gibbs Rd. Laramie WY 82070 INSURER B:Phoenix Insurance Co INSURERC:Pinnacol Assurance INSURER D: INSURER E : INSURER F: 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. IN TYPE OF INSURANCE am U OR POLICY NUMBER POLICY EFF POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PREMISES Ea n $ 50, 000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR CP050020 /24 /2014 /1 /2015 MED EXP (My one arson $ 5,000 PERSONAL $ ADV INJURY $ 1,000,0001 GENERAL AGGREGATE $ 2,000,0001 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOP AGG $ 2,000,000 17 POLICY X PIFCTRO LOC $ LIABILITY COMBINED SINGLE LIMA accident)Ea 11000,000 BODILY INJURY(Per person) $ B ANY AUTO ALL OWNED SCHEDULED AUTOS -1281YO79-14-SEL /1/2014 /1/2015 POMOBILE (Per xddanl BODILY INJURY )AUTOS E HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE $ $ 1 000 000 Uninsured motonst combined UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETIXUPARTNER/ ECIJUVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If Yes, describe under DESCRIPTION OF OPERATIONS below NIA 093011 /1/2014 1/1/2015 X WC STATU- OTH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 11000,000 E.L. DISEASE -POLICY LIMIT 1 E 11000,000 7 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ARuh ACORD 101, Adddonal Remarks Schedule, S more space is required) Certificate Holder is included as Additional Insured regarding General Liability. This Certificate replaces prior Certificate issued on 12-27-2013. City of Fort Collins P.O. Box 580 Fort Collins, CO 80524 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 25 (2010105) McKeever, CIC/LAURA 1988-2010 ACORO CORPORATION. All rights