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Home My WebLink AboutNIXCAVATING INC - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE 1M DATE 30/2014 09/30/2014 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(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 Ewing -Leavitt Insurance Agency 4025 St. Cloud Dr. Suite 100 Loveland, CO 80538 CONTACT NAME: Karole Peters PFAX AI"C"oE,t:970.679.735S AIc.Ne:866.237.2178 n oREss: karole-peters@leavitt.com INSURER(S) AFFORDING COVERAGE NAIC0 INSURER A: Cincinnati Insurance Co 10677 INSURED Nixcavating, Inc. P. 0. Box 2232 Longmont, CO 80SO1 INSURER B: Pinnacol Assurance 41190 INSURER C: INSURER D: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 14-15 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 CONTRACTOR 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. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/YYYY MMIDDIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS-MADE � OCCUR X Blkt Addl Insured EPP028OSS210/0112014 10/01/2015 EACH OCCURRENCE $ 1,000,000 PREMISES( Eaoccunence) $ 100,00 MED EXP (Any one person) $ 10,00 PERSONAL B ADV INJURY $ 1,000,00 X Blkt Waiver of Sub GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X JECOT E LOC PRODUCTS - COMP/OP AGO $ 2,000,00 $ A AUTOMOBILE LU181LITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON-OWNED X HIRED AUTOS NAUTOS X Blkt AI Blkt WOS EPP012484 10/01I2014 10101/2015 COMBINED Ea accident $ 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ Per accident) $ $ A X UMBRELLA LIAB EXCESS LNB X OCCUR CLAIMS -MADE EPP028055210/0112014 10101/2015 EACH OCCURRENCE $ 2,000,00 AGGREGATE $ 2,000,00 LIED X RETENTION$ 01 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PRO/MEMBEREXCLUDFU ECUTIVED (Mandatory in NH) If yyes, describe under DESCRIPTIONOFOPERATIONS below NIA 21131090110112014 BLANKET WAIVER OF SUBROGATION 01101/2015 X TORV LIMITS ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE S 1,000,000 E.L. DISEASE -POLICY LIMIT - $ 1,000,000 A Leased and Rented Equipment EPP012484 10101/2014 10/01/2015 $200,000 limit with $500 ded DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) ity of Fort Collins is additional insured on the general liability policy as regards work performed by he insured. CERTIFICATE HOLDER CANCELLATION City of Fort Collins PO Box S80 Fort Collins, CO 80522 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 ./ Karole likl:f:6I1➢DFAorsl NeIeffl:lYUr7AItUr:I`lrrrrr T:1;7S.6rf ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD