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Home My WebLink About539869 LIGHTFIELD ENTERPRISES DBA VOGEL CONCRETE - INSURANCE CERTIFICATEFax: (970)221-6776 ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 04/23/2016 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 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 TACT Tad Borrett CAM Security Security Insurance Group, LLC PHONE 970-378.4818 FAX 970.378-4820 E-MAIL ADDRESS: sig@securityinsurancegroup.net 8219 W 20th St, Ste A INSURERS AFFORDING COVERAGE MAIC Greeley, CO 80634 INSURER A: Colony Insurance Company INSURED Lightfield Enterprises, Inc INSURER B : Auto Owners Insurance DBA Vogel Concrete, Inc INSURER C: First Mercury Insurance Company 2601 Riverbend Ct INSURER D: Pennacol Assurance Fort Collins, CO 80626 INSURER E: INSURER F : COVFRAGFS CERTIFICATF Nt1MRFR- nnnnA2Q7-81AnA RFVICInPJ NI IMRFR• 9 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 -LMffia TYPE OF INSURANCE ADD SU POLICY NUMBER POLICY EFF M/DD POLICY EXP / LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ® OCCUR Y Y 3266216 04/21/2016 04/21/2016 EACH OCCURRENCE $ 1000000 DAMAGES ( Ea occurrence) RENTED $ 100,000 MED EXP (Any oneperson) $ 6.000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE POLICY LIMIT APPLIES PRO PER: LOC PRODUCTS-CCMP/DPAGG $ 2 000 000 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOSsaint) Y 60-33346"0 04/21/2015 04/21i2016 COMBINED SINGLE LIMIT BODILY INJURY (Per parson) $ Ix BODILY INJURY(Per accident) $ PROPERTY DAMAGE $ C UMBRELLA UAB EXCESS LAB X OCCUR CLAIMS -MADE Y Y CAEX0000053666 04/21/2015 04/21/2016 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 DED RETENTION $ D WORKERS COMPENSATION AND EMPLOYERS' UABILITV YIN ANY PROPRIETOPlPARTNER/EXECUTIVE [---I OFFICER/MEMBER EXCLUDED? (Mandatory In NH) describe unr DESCRIPTION OF�OPERATIONS bekn N/A Y 4173268 06/01/2015 06/01/2016 X WC 3TATU O R E.L. EACH ACCIDENT $ 100 0O0 E.L. DISEASE - EA EMPLOYE $ 100,000 E. L. DISEASE - POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) If required by written agreement, the certificate holder is included as additional insured for ongoing operations under general liability and auto liability. City of Fort Collins Purchasing Department PO Box 680 Fort Collins, CO 80622 L�1eiKaer_uL•�c SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. D 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Printed by TCB on April 23, 2015 at 02:38PM