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Home My WebLink AboutDRILLPRO SERVICES INC - INSURANCE CERTIFICATE (3)Ac oG CERTIFICATE OF LIABILITY INSURANCE DATE / os129zsn019 Y) ols 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 endorsement(s). PRODUCER CONTACT Peter Foley, CIC NAME: Moody Insurance Agency, Inc. we No Eat : (303) 824-6600 FAX No : (303) 370-0118 8055 East Tufts Avenue E-MAIL ADDRESS: peter.foley@moodyins.com Ins.com Suite 1000 INSURER(S) AFFORDING COVERAGE NAIC # Denver CO 80237 INSURERA: Selective 12572 INSURED INSURER 8: Pinnacol Assurance 41190 DrillPro Services, Inc. INSURER C : Homeland Ins Co of NY 34452 2220 E 74th PI Unit INSURER D : INSURER E : Thornton CO 80229 INSURER F: rnvooer-cc rGRTIFIreTF NI IMRFR- 19-20 Master RFVLCIn NI NIIMRFP- 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 rypE OF INSURANCEAUULIbUbMI INSO WVD POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MM/DO/VYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE Fx_] OCCUR DAMAGE PREMISES Ea occurrence s 500,000 MED EXP (Any one person) $ 10,000 PERSONAL BADVINJURY $ 1,000,000 A Y S230574800 09/01/2019 09/01/2020 GEN'LAGGREGATE LIMITAPPLIES PER GENERAL AGGREGATE S 2,000,000 X POLICY ❑ PRO- JECT LOC PRODUCTS - COMP/OPAGG S 2,000,000 s OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ X ANYAUTO A OWNED SCHEDULED AUTOS ONLY AUTOS Y S230574800 09/01/2019 09/01/2020 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY S UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 A EXCESS LIA6 CLAIMS -MADE S230574800 09/01/2019 09/01/2020 DED I X RETENTIONS 0 S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NH) NIA 4023119 09/01/2019 09I01/2020 X PER OTH. STATUTE ER EL EACHACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 If yes, descnba under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 500,000 $ Each Pollution Condition $2,000,000 C Pollution Liability Y 7930002730008 09/01l2019 09/01/2020 Policy Aggregate Limit $2,000,000 Deductible $5,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) See additional pages for additional coverages. r rnTl rin wrr un1 nrn rAwlr Cl I ATlnwl SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins Operations Services ACCORDANCE WITH THE POLICY PROVISIONS. 117 N Mason St AUTHORIZED REPRESENTATIVE Fort Collins CO 80521 molnil V .-�PtO Inn,ri U 1966-ZU1b ACUKU CUKPUKAI IUN. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD