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Home My WebLink About521604 KECI COLORADO INC - INSURANCE CERTIFICATE (4)AGORDrM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 1 on /2019 1 12/20/2018 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 Lockton Companies 8110 E Union Avenue Suite 700 Denver CO 80237 CONTACT NAM FAX A/C No Ext : A/C No): E-MAIL ADDRESS: INSURER AFFORD NCOVERAGE NAIC # (303) 414-6000 INSURER A : The Charter Oak Fire Insurance Company 25615 INSURED K.E.C.I. Colorado, Inc. 1050899 5750 W. Airport Rd. Sedalia, CO 80135 INSURER B : 'Travelers Indemnity Co of CT 25682 INSURER C : Pinnacol Assurance INSURER D ; Travelers Property Casualty Co of America 25674 INSURER E : I INSURER F COVERAGES KECCO03 CERTIFICATE NUMBER: 12439811 REVISION NUMBER: XXXXXXX 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 ADDL INSO SUBR WVD POLICY NUMBER POLICY EFF MM D /YYYY POLICY EXP / D/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR Limited Jobsite Y N DTC06C647481COF19 1/l/2019 1/l/2020 EACH OCCURRENCE 1000000 PREMISES (ETO a occurrence) $ 300,000 X MED EXP (Any oneperson) 5,000 Pollution PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. Y LOC POLICPE � OTHER. GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO AWNED UTOS ONLY AUTOSULED AUTOS ONLY X AUTOS ONLY Y N DT8103LO69831TCT19 I/l/2019 I/l/2020 COMBINED (EaMBIN DtSINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXX X Pe�accRdTYtDAMAGE $ XXXXXXX $XXXXXXX D X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE N N CUPOJ4047221926G 1/l/2019 rI/1/2020EACH OCCURRENCE $ 5 000 000 AGGREGATE $ 5000 000 DED X RETENTION $ 10,000 $ XXXXXXX (✓ WORKERS COMPENSATION AND EMPLO ERS' LABILIITY Y/N OFFICER/MEMBERI/EXCLUD EXCLUDED? 1 (Mandatoryfyes,d in NH)and If yes, describe under DESCRIPTION OF OPERATIONS below N / A N 4048534 10/l/2018 X STATUTEANY oEli E.L. EACH ACCIDENT $ 500 000 E.L. DISEASE - EA EMPLOYEE 500,000 E.L. DISEASE - POLICY LIMIT s500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: 7519 Lemay Ave Bridge Expansion Joint. The City, its officers, agents and employees are additional insured as respects General and Auto Liability if required by written contract per policy terms and conditions. Ten(] 0) Day Notice of Cancellation will be provided to the City for non-payment. LaK I WIL A I t MULUtK LoANGtLLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 12439811 AUTHORIZED REPRESENTATIVE City of Fort Collins Purchasingg Department PO Box 2810 Ft Collins CO 80522 ----' ACORD 25 (2016103) @11988-20A ACORb CORP RATION. All rights reserved The ACORD name and logo are registered marks of ACORD