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HomeMy WebLinkAbout184254 DURAN EXCAVATING INC - INSURANCE CERTIFICATE (4)A� CERTIFICATE OF LIABILITY INSURANCE ATE() osrzs/2o,s 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 INSUREII 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 endorsements . PRODUCER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 CONTACT NAME: CLIENT CONTACT CENTER PA CNNo ran : 888-333-4949 A C No : 507-446-4664 E-MAIL ADDRESS: CLIENTCONTACTCENTER FEDINS.COM OWATONNA, MN 55060 INSURER(S) AFFORDING COVERAGE NAIC it INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 397A32-6 INSURER B: FEDERATED SERVICE INSURANCE COMPANY 28304 DURAN EXCAVATING INC 14332 COUNTY ROAD 64 INSURER C: INSURER D: GREELEY, CO 80631-9317 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 35 REVISION NUMBER: 2 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. INSRI TR TYPE OF INSURANCE DL INSR SUBR WVD pOLICV NUMBER POLICY EFF MWDDIVYYV POLICY EXP MMIDDIYYYV LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS -MADE X OCCUR 71 AMAGE TO RENTED PDREMISES Ea occurrence $100,000 MED EXP (Any one person) EXCLUDED A Y N 9911663 01/01/2019 01/01/2020 PERSONAL& ADV INJURY $1,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER: POLICY ❑ JEC ❑ LOC PRO -OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMPIOP AGO $2,000,000 AUTOMOBILE X LIABILITY ANY AUTO COMBINED SINGLE LIMIT Ea .. disn $1,000,000 BODILY INJURY (Per person) -- A OWNED AUTOS ONLY SCHEDULED AUTODU N N 9911663 01701/2019 01/01l2020 BODILY INJURY (Par accident) _ HIRED AUTOS ONLY NON -OWNED AUTOS ONLY PROPERTY DAMAGE Per aeci Gen X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $10,000,000 A EXCESS LIAB CLAIMS -MADE N N 9911666 01/01/2019 01/01/2020 AGGREGATE S10,000,000 DED I RETENTION B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED NIA N 9911667 01/01/2019 01/01/2020 OTH. X PER STATUTE ER E.L. EACH ACCIDENT $1.000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE - POLICY LIMIT $1 000 0M DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attad ed it more space is required) RE: RIGHT OF WAY LICENSE AND CONTRACTORS LICENSE CERTIFICATE HOLDER IS ADDITIONAL INSURED FOR GENERAL LIABILITY. CERTIFICATE HOLDER CANCELLATION 397-432-6 CITY OF FORT COLLINS ENGINEERING DEPT PO BOX 580 FORT COLLINS. CO 80522-0580 35 2 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 O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD