HomeMy WebLinkAbout184254 DURAN EXCAVATING INC - INSURANCE CERTIFICATE (4)A� CERTIFICATE OF LIABILITY INSURANCE
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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