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Home My WebLink About129302 HAGEMAN EARTH CYCLE - INSURANCE CERTIFICATE (14)Client#: 24703 HAGEA ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE 112/05/2014S/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 T NHeidi Mink NAME: NAME, Flood & Peterson Ins., Inc. PHONE 970 356.0123 FAX 9705066836 JC No Eat : Alt No P. O. Box 578 E-MAIL n//l1 ADDRESS: hmik@flood Peterson.com Greeley, CO 80632 970356-0123 INSURERS) AFFORDING COVERAGE NAIC# INSURER A: Continental Western Group INSURED INSURER B: Plnnacol Assurance Hageman Earth Cycle, Inc. 3501 E. Prospect Road INSURER C: Fort Collins, CO 80525 INSURER O : INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE 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. INSR LTR TYPE OF ADDLSUBR INSR MD POLICY NUMBER POLICY EFF MMOD/YYYY POLICY EXP MM/DDIYYYY LIMITS A GENERALLIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE N OCCUR X PD Ded:500 CPA234489333 1210112014 12/01/201t EACH OCCURRENCE $1000000 PREMISES Eeocarrance $100000 MOD EXP (Any one Person) s5 O00 PERSONAL B ADV INJURY $1000,000 GENERAL AGGREGATE s2,000,OOO GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC PRODUCTS - COMPIOP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS CPA234489333 12101/2014 12/0112015 COMBINED SINGLE LIMIT Ea accident 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident)$ X PROPERTY DAMAGE Per acadent $ A X UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE CPA234489333 1210112014112JO112015 EACH OCCURRENCE s2 000 000 AGGREGATE s2,000000 DIED RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YINER ANY PROPRIETOWPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ (Mandatory In NH) If yes, desadbe under DESCRIPTION OF OPERATIONS below NIA 403621E 0/01/201410/01/201 WC $TATD- OTH- E.L. EACH ACCIDENT $SDD DDD E.L. DISEASE- EA EMPLOYEE $SOD OOO E.L. DISEASE - POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) City of Fort Collins is listed as an Additional Insured in regards to General Liability. City of Fort Collins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 215 N. Mason ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S954949/M954939 HYM