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Home My WebLink About357129 H & L CONCRETE INC DBA NARANJO CIVIL CONSTR - INSURANCE CERTIFICATEAC"R" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 02/08/2019 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 Jennifer Winter, CISR NAME: Flood and Peterson AIC, o Ext : (970) 506-3206 FAX No): (970) 506-6846 E-MAIL JWinter@floodpeterson.com ADDRESS: PO Box 578 INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Phoenix Insurance Company 25623 Greeley CO 80632 INSURED INSURER B: Travelers Property Casualty Company of America 25674 INSURER C : Pinnacol Assurance 41190 H & L Concrete, Inc. INSURER D : dba Naranjo Civil Constructors, Inc. INSURER E : 627 27th Street INSURERF: Garden City CO 80631 COVERAGES CERTIFICATE NUMBER: CL192827604 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 ADDLSUBR INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DDNYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 �/ CLAIMS -MADE OCCUR AMA N E PREMISES Ea occurrence 300,000 $ X MED EXP (Any one person) $ 10,000 PD Ded:500 PERSONAL & ADV INJURY $ 1,000,000 A DTCO1J14711APHX19 02/18/2019 06/01/2019 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ❑X JEa LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANYAUTO BOWNED SCHEDULED AUTOS ONLY AUTOS HIRED �/ NON -OWNED AUTOS ONLY /� AUTOS ONLY rXXX 8103L4620021926G 02/18/2019 06/01/2019 BODILY INJURY (Per accident) $ PROPERTYDAMAGE Per accident $ $ DOC UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 8,000,000 AGGREGATE $ 8,000,000 B EXCESSLIIAB CLAIMS -MADE CUP1J2532431926 02/18/2019 06/01/2019 X DED RETENTION $ 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUIlVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA 1452910 06/01/2018 06/01/2019 eNI STATUTE PER __F7EORH E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE-POLICYLIMIT 1,000,000 $ If yes. describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: 8727 Harmony and Strauss Cabin Intersection Improvements City of Fort Collins, its officers, agents, and employees, are listed as Additional Insureds as respects General Liability, including ongoing and completed operations, and Auto Liability. Insurance is primary and non-contributory. A 30-day written notice of cancellation applies. CERTIFICATE HOLDER GANCLLLAI IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins CO 80522 I @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD