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Home My WebLink AboutTHE BAUEN CORPORATION - INSURANCE CERTIFICATE (3).aco�zo CERTIFICATE OF LIABILITY INSURANCE Io/uzola °ADD/YYYY) 4/30//30/2014 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: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) 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 Lockton Companies 8110 E Union Avenue Suite 700 Denver CO80237 (303) 414-6000 AX A/C No): A No E,d :INC. E-MAIL ADDRESS' INSURER(S) Ic INSURER A: Valley Forge Insurance Comoany 20508 INSURED The Bauen Corporation 1034102 801 E. 52nd Ave. Denver, CO 80216 INSURER e : Continental Casualty Comomy 20443 INSURERC: Pinnacol Assurance Cornnany 41190 11.The Continental Insurance Company 35289 :,&!,,BEg E CnvFRAnFR RAI 1cnni CFRTIFICATF NIIMRFR- 1991907 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 OF INSURANCE ADDLTYPE INSD WVDSUBR POLICY NUMBER MM/DDI EFF PODGY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS-MADEa OCCUR N N 4021109791 5/1/2014 5/1/2015 EACH OCCURRENCE 1000000 DAM TO ES(., ante 100000 MED EXP (Any onePerson) 5,000 PERSONAL S ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. POLICVff] PRO- JECT LOC OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCT$ - COMPIOP AGG $ 2 000 000 $ D AUTOMOBILE LIABILITY ANYAUTOBODILY AUTS$ ED SCHEDULED HIREp AUTO$ i{ AUTNO�NMED N N 402110598 5/1/2014 5/1/2015 OMBBrnNEDSINGLE LIMIT $ 1000000 X INJURY IPelperson) $ }{}{}{j{yM BODILY INJURY IPer accident $ J{}{}{J{}{j{j{ X (Per aP�TeYRDAMAGE $ XXXXXXX H X UMBRELLA LIAB EXCESS UAB X OCCUR 1CLAIMS-MADE N N 4021109807 5/1/2014 5/1/2015 EACH OCCURRENCE s 5,000,000 AGGREGATE $ 5,000,000 DEO I RETENTION $ $ XXXXXio{ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OFFICERIMEMSERPPARTNE OiECUrArE 'Mandatary In NH) If "s fhtscrMe U. DESCRIPTION Of OPERATIONS babes NIA N 2127630 10/1/2013 10/1/2014 PER OTH- X STATUTE EL.EACH ACCIDEHT $ 1000000 E.L.DISEASE-EAEMPLOYEE .1000000 E__2SFASE POLICY LIMIT 1000000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addltlonal Remarks Schedule, may be attached N more space is required) GEK I IHI(:A I E HOLUER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 991907 AUTHORIZED REPRESENTATIVE City of Fort Collins P.O. Box 580 Fort Collins CO 80522 rle rv/ ACORD 25 (2014101) ©1 98BA2014 ACORD CORPOKATION. All rights reserved .... _ ThdAcnwn ...nn....a inns a.e .e..lero.ed nn. r. r.f Annwn _ . .