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Home My WebLink About184254 DURAN EXCAVATING INC - INSURANCE CERTIFICATE (9)A� �� CERTIFICATE OF LIABILITY INSURANCE DATE(MM�YY) 06/28/2019 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. It 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 IAIC, PHONE. Ert : 888-333-4949 FAX No : 507-446-4664 ADDRESS: CLIENTCONTACTCENTER FEDINS.COM OWATONNA, MN 55060 INSURERS) AFFORDING COVERAGE NAIC # INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 397432-6 INSURER e: 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: 11 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 POLICY NUMBER POLICY EFF MMIDDIYYYV POLICY EXP MM/DD/YYYV LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Y N 9911663 01/01/2019 D1/01/2020 EACH OCCURRENCE $1,D00,000 PREMIATO RENTED SES Ea occurrence $100,000 MED EXP (Any one person) EXCLUDED i GEN'L �P.LIICY PERSONALS ADV INJURY $1,000,000 AGGREGATE LIMIT APPLIES PER: ❑ ECT ❑ LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMPIOP AGO $2,000,000 A AUTOMOBILE X LIABILITY ANY AUTO OWNED AUTOS ONLY AUTOSULEO NON -OWNED HIRED AUTOS ONLY AUTOS ONLY Y N 9911663 01/01/2019 01/01/2020 COMBINED SINGLE LIMIT Ea aecldent $1,000,000 BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE Per acci tlent A X UMBRELLA LIAR EXCESS LIAR 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 / ry ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED, 7 (Mandatory in NH) It yea, describe under DESCRIPTION OF OPERATIONS below NIA N 9911667 01/01/2019 01/01/2020 X PER STATUTE OTH- 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 alteehed it more spate i5 required) SEE ATTACHED PAGE CERTIFICATE HOLDER CANCELLATION 397-432-6 CITY OF FORT COLLINS PO BOX 580 FORT COLLINS, CO 80522-0580 11 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 (2016103) The ACORD name and logo are registered marks of ACORD