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Home My WebLink About113060 MOUNTAIN CONSTRUCTORS INC - INSURANCE CERTIFICATE (7)Client#: 33585 MOUCONPC ACORD.CERTIFICATE F LIABILITY INSURANCE DATE 61261 IDDIYYMQ l2s/2o2o 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. If SUBROGATION IS WAIVED, subject to the terns and this certificate does not confer any rights to the certi is Holmes Murphy - Colorado 7600 East Orchard Road, Suite 230 South Property Casualty - Colorado Greenwood Village, CO 80111 INSURED Mountain Constructors, Inc. 622 Main Street PO Box 405 Platteville, CO 80651 of the li po cy, certain policies may require an endorsement „ statement on n lieu of such endorsement(s). MecT -Nick Brown FAX No Ext :,7.20-458-5770_ A/c No): 644-248-0468 ADDRE : nbrown@holmesmu-rphy.com INSURER(S) AFFORDING COVERAGE. _ NAIC A INSURER A: Travelers Indemnity Company 25658 itisuRER B : Travelers Property Casualty Co. America 25674 INSURER C.: Pinnacol Assurance Company 41190 ��..��...�.. - a4-ununr•e. DMQN°1W YI IaaQCQ- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD OR CONDITION OF ANY CONTRACTOR _OTHER DOCUMENT WITH RESPECT TO WHICH THIS AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,. SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INS SUB .POLICY NUMBER POLI MM/D POLICY P MMID LIMITS A X coMMERCIALGENERALuAahry CLAIMS -MADE �X OCCUR PD Ded: $1,000 X C032660332 D710112020 07/01/2021 $1 000000 pEAACCHHOECCCURRENCE PREMISES - e' ehce $300OOO X MED EXP (Any one person) $ 5 000 PERSONAL B ADV INJURY $1000000 GEN'L AGGREGATE LIMIT APPLIES PER: PROEC- �.LOC POLICY O OTHER: GENERAL AGGREGATE s2,000,000 PRODUCTS-COMP/OP AGG $2,000,000 $ B AUTOMOBILE LIABILITY AANYAUTOBODILYINJURY(Per AUTOSONLY SCHEDULED HIRED NON -OWNED X. AUTOS ONLY Ave Oth Car 8102N116946 01710112020 07/0'l/2021 "COMBINED SINGLE LIMB Eaacdldent 1,000,000 person) $ BODILY INJURY (Per accident) $ PROPERTYDAUTOS AMAGE Par accident sAUTOSONLY $ B X I UMBRELLA LIAR EXCESS U1B X OCCUR CLAIMS -MADE CUPSJ415805 01710112020 07/01/2021 EACH OCCURRENCE $8 000 000 AGGREGATE $8 00O 000 OED I X RETENTION $1 O OOO $ C _ WORicERSCOMPENSATION AND EMPLOYERS UABILRY YIN OFFICEORaAEMBER EXC DEiE� EOvE� (Mandatory In NH) area, describe urttder DESCRIPTION OF OPERATIONS below-- N/A I 3027994 D710112020 07/01/2021 X IsPTEARruTEI IOTH- E.L. EACH ACCIDENT $1 000000 E.L. DISEASE- EA EMPLOYEE $1 00O 000 E.L. DISEASE -POLICY LIMIT. 1111,000,000 B B LeasedlRented Eq. Installation Fit 016665659R618TIL QT6605059R618TIL 7/01/2020 7/01/2020 07/01/2021 07/0112021 $250,000; $1,000 Ded $210,000; $1,000 Ded DESCRIPTION OF OPERATIONS /.LOCATGNS / VEHICLES (ACORD 7a7, Additional Project: 9016 Timberline Road GWRR Crossing Improvements As required by written contract or written agreement, employees are included as Additional Insured under to the above referenced. Remarks Schedule, relay bo attached N more apace is required) the City of Fort Collins, its officers, agents, and General Liability and Automobile Liability with respect City of Fort Collins P.O. Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2016103) 1 of 1 The ACORD name >it¢aaaaruruaaaen� logo are registered marks of ACORD rmeuVII All rights reserved.