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Home My WebLink About184254 DURAN EXCAVATING INC - INSURANCE CERTIFICATE (6)'4t� Ro® CERTIFICATE OF LIABILITY INSURANCE DATE,hTAosrzarmis,2019YV) 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 endorsements . PRODUCER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 CONTACT NAME: CLIENT CONTACT CENTER LA C, No, a Ext : 888-333-4949 n/c No : 507-446-4664 E-MAIL ADDRESS: CLIENTCONTACTCENTER FEDINS.COM OWATONNA, MN 55060 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 397-432-6 INSURER a: 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: 45 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUER WVD pOLICV NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYVV LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Y N 9911663 01/01/2019 01/01/2020 EACH OCCURRENCE $1,000,000 PRE IGE TO RENTED SES Ea occurrence $100,000 MED EXP (Any one person) EXCLUDED G X PERSONAL& ADV INJURY $1,0I N'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ jECT LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMPIOP ACC $2,000,000 A AUTOMOBILE X LIABILITY ANV AUTO SCHEDULED OWNED AUTOS ONLY AUTOS HIRED AUTOS ONLY NON -OWNED AUTOS ONLY N N 9911663 01/01/2019 01/01/2020 COMBINED SINGLE LIMIT E.erdld_ $1,000,000 BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE N N 9911666 01/01/2019 01/01/2020 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 DED I I RETENTION B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y y N ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER MEMBER EXCLUDED' (Mandatory in NHI It yes, describe under DESCRIPTION OF OPERATIONS below NIA N 9911667 01/01/2019 01/01/2020 X PER STATUTE O7H- ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) RE: NON-STRUCTURAL CONCRETE ENDORSEMENT CONTRACTORS LICENSE CERTIFICATE HOLDER IS ADDITIONAL INSURED FOR GENERAL LIABILITY. CERTIFICATE HOLDER 397-432-6 CITY OF FORT COLLINS PO BOX 580 FORT COLLINS, CO 80522-0580 ACORD 25 (2016103) The ACORD r