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Home My WebLink AboutDRILLPRO SERVICES - INSURANCE CERTIFICATE (3)CERTIFICATE OF LIABILITY INSURANCE 1 8/29/2014rr) 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 Moody Insurance Agency, Inc. 8055 East;Tufts Avenue Suite 1000 Denver CO 80237 CONTACT Christine Walker, CISR NAME: PHONE (303)824-6600 F=AX No: (303)370-0118 E-MAIL . christine.walker®moodyins.com INSURERS AFFORDING COVERAGE NAICa INSURER A:Cincinnati Indemnity Company 23280 INSURED DrillPro Services, Inc. 2220 H 74th Pl Unit A Thornton CO 80229 INSURER B:Pillnacol Assurance 41190 INSURER C: INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:14-15 With Forms 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. INSR LTR TYPE OF INSURANCE A POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/➢DNYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMSMAOE Mx OCCUR X EPP0208312 9/1/2014 9/l/2015 DAMAGE TO RENTED PREMISES Ea occurrence E 5o, 000 NED EXP(Any oneperson) $ 10,000 PERSONAL S ADV INJURY $ 1,000,000 dditional Insured Status GENERAL AGGREGATE $ 2,000,000 applies only to the GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP ADS $ 2,000,000 extent provided in form POLICY PRO 71 LOC X JPCT I PA233CO 05/11 - S LIABILITY _ COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED. SCHEDULED AUTOS AUTOS x BA0208312 /1/2014 9/1/2015 POMOBILE BODILY INJURY(Per accident) $ HIREDAUTOS X NON -OWNED OS PROPERTY DAMAGE $ E X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000.000 A EXCESS LIAB CLAIMS -MADE DED X RETENTION$ 0 $ PP0208312 /1/2014 /1/2015 B WORKERS COMPENSATION ANDEMPLOYERTLIABILITY Y/N ANY PROPRIETOWPARTNER/EXECUTIVE ❑ OFFICEWMEMBER EXCLUDED? (Mandatory in NH) N/A 023119 /1/2014 /1/2015 XI WC STATU- OTH- E.L. EACH ACCIDENT S 100,000 E.L. DISEASE - EA EMPLOYE E 100,000 N yes. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT E 500,000 x DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Seheduk, 0 more space is required) City of Fort Collins is included as additional insured with respect to General and Automobile Liability as required by written contract, and Pollution Liability. City of Fort Collins Operations Services 117 N Mason St Fort Collins, CO 80521 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 ACORD 25 (2010105) Walker, CISR/CHRWAL 1988-2010 ACORD CORPORATION_ All rinhtA sears ad INS025 (201005).01 The ACORD name and logo are registered marks of ACORD