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Home My WebLink About102829 DON KEHN CONSTRUCTION - INSURANCE CERTIFICATE (4)" CERTIFICATE OF LIABILITY INSURANCE ACoR DATE ) 10/1912018 018 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 have ADDITIONAL INSURED provisions or 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 CONTACT Dana Stewart, CIC, CISR NAME: Flood and Peterson PHONE (970) 266-7149 FA (970) 506-6845 A1C No Eat : A1C, No): E-MAIL DStewartefloodpeterson.com ADDRESS: PO Box 578 INSURER(S) AFFORDING COVERAGE NAIL INSURER A: Cincinnati Insurance Co 10677 Greeley CO 80632 INSURED INSURER B : INSURER C : Don Kehn Construction Inc. INSURER D : 6550 S. County Road 5 INSURER E : INSURER F : Fort Collins CO 80528 COVERAGES CERTIFICATE NUMBER: Master 2018-19 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 INSD WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE ® OCCUR DAMAGE To RF=NIFU- PREMISES Ea occurrence $ SOO,000 MED EXP (Any one person) s 10,000 PERSONAL SADVINJURY S 1,000,000 A EPP 0459666 11/01/2018 11/01/2019 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 POLICY © PEQ ❑ LOC PRODUCTS - COMPfOP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident s 1,000,000 BODILY INJURY (Per person) S ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS EPP 045 96 66 11/01/2018 11/01/2019 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY H $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 AGGREGATE S 3,000,000 A EXCESS LAB CLAIMS -MADE EPP 045 96 66 11/01/2018 11/011,2019 DED X RETENTION $ 0 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE I I ER ANY PROPRIETORr'PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ElN / A (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE S If yes, describe under DESCRIPTION OF OPERATIONS below I E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Project Description: 8310 Aggregate Supply Certificate holder is included as Additional Insured as required by written contract with respects to liability arising out of work performed by the named insured. L9LILL7301L'UL9f SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The City of Fort Collins Purchasing Department ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins CO 80522-0580 �ttuLL4G�Lt1 ©1988-2015 ACORD CORPORATION. All rights reserved- ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD