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Home My WebLink AboutNIXCAVATING INC - INSURANCE CERTIFICATE (2)ACORD CERTIFICATE OF LIABILITY INSURANCE iM DATE (MMIDDIYYYY) 12/22/2014 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 Pa"c°NNn E=t: 970.679.7355 uc,Na):866.237.2178 Ao ess: karole-peters@leavitt.com INSURER($) AFFORDING COVERAGE NAIC It INSURER A: Cincinnati Insurance Co 10677 INSURED Nixcavating, Inc. P. 0. BOX 2232 Longmont, CO 80501 INSURERB: Pinnacol Assurance 41190 INSURER C: INSURER D: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: WC Update 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. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERALLIABILITY CLAIMS -MADE I A I OCCUR X Blkt Addl Insured EPP028OSS21010112014 10/01/2015 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ S00,00 MED EXP(Any one person) $ 10,00 PERSONAL &ADV INJURY $ 1,000,00 X Blkt Waiver of Sub GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PROECT LOG J PRODUCTS-COMP/OP AGG $ 2,000,00 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUTOS X No,-OWNED Blkt AI X Blkt WOS EPP012484 1BIU112014 10/0112015 Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X Per accident)$ X $ A X UMBRELLA LIAB EXCESSXU X OCCUR CLAIMS -MADE EPP028055210101/2014 1010112015 EACH OCCURRENCE $ 2,000,00 AGGREGATE $ 2,000,00 DED X RETENTION$ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY OFFICER/MEM EREXCLUDR]E ECUTIVF (Mandatory In NH) If Y eescdbe under DESCRIPTION OF OPERATIONS below N/A 211310 BLKT WAIVER 0 SUBROGATION 01/0112015 0110112016 X TORV LIMITS ER E.L. EACH ACCIDENT $ 1,000,00 EL DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1, OOO, OO A Leased or Rented Equipmen EPP012484 10/01/2014 10/01/2015 $200,000 Limit with $500 ded DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is required) ity of Fort Collins is additional insured on the general liability policy as regards work performed by he insured. van IrIVMI C nVLVCR IiMIYL CLLN 11V1Y 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 K Karole All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD