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Home My WebLink About184254 DURAN EXCAVATING INC - INSURANCE CERTIFICATE (8)A� bP CERTIFICATE OF LIABILITY INSURANCE DAT06)282019 V, 06P282019 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 PHONE FAX IAIC, . Est): 888-333-4949 a/c Noe 507-446-4664 ADDRESS: CLIENTCONTACTCENTER FEDINS.COM OWATONNA, MN 55060 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 397-432-6 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: 43 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 I N S R SUOR WVD POLICY NUMBER POLICY EFF MM/DDlYYYY POLICY EXP MMIDDIYYYV LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS -MADE ❑X OCCUR DAMAGE TO RENTED PREMISES 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 F'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO JECT ❑ LOC GENERAL AGGREGATE $2.000000 PRODUCTS - COMP/OP AGO $2,000,000 OTHER: AUTOMOBILE X LIABILITY ANY AUTO COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY (Per person) A OWNED AUTOS ONLY AUTOSHE U�D N N 9911663 01/01/2019 01/01/2020 BODILY INJURY (Per accident) HIRED AUTOS ONLY NON -OWNED AUTOS ONLY PROPERTY DAMAGE Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $10,000,000 A EXCESS LIAR CLAIMS -MADE N N 9911666 01/01/2019 01/01/2020 AGGREGATE $10,000,000 DED I I RETENTION B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED, NIA N 9911657 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) If yes, describe under DESCRIPTION OF OPERATIONS below E.1- DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additonal Remarks Schedule, may be attached it more space is required) RE: ASPHALT ENDORSEMENT CONTRACTORS LICENSE CERTIFICATE HOLDER IS ADDITIONAL INSURED FOR GENERAL LIABILITY. CERTIFICATE HOLDER cANCFI I ATInN 397-432-6 432 CITY OF FORT COLLINS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO BOX 550 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN FORT COLLINS, CO 80522-058D ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE /1 O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD