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HomeMy WebLinkAbout184254 DURAN EXCAVATING INC - INSURANCE CERTIFICATE (10)AGENCY CUSTOMER ID: 397-4: LOC #: ACORD® �-� ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AOENCY NAMEDINSURED FEDERATED MUTUAL INSURANCE COMPANY DURAN EXCAVATING INC 14332 COUNTY ROAD 64 GREELEY, CO 80631-9317 POLICY NUMBER SEE CERTIFICATE # 11.2 CARRIER N41C CODE SEE CERTIFICATE # 11.2 ErEECTNE DATE SEE CERTIFICATE # 11.2 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE nF LIABILITY ITY INSURANCE THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOUR ENDORSEMENT FOR GENERAL LIABILITY. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED BY CONTRACT ENDORSEMENT FOR BUSINESS AUTO LIABILITY. ADDITIONAL INSURED ALSO INCLUDES THE STATE OF COLORADO AND THE CITY OF FORT COLLINS. PROJECT: 8125 INTERSECTION IMPROVEMENTS AT VINE & SHIELDS ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD