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Home My WebLink About109445 CONNELL RESOURCES INC - INSURANCE CERTIFICATE (76)ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE (MM1OD(YYYY) 05/31/2018 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 Flood and Peterson CONTACT Dana Stewart, CIC, CISR NAME: PHONE (970) 266-7149 FAX (970) 506-6845 A1C No Ext : A/C, No EMAIL DStewart@floodpeterson.com ADDRESS: PO Box 578 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Charter Oak Fire Insurance Company 25615 Greeley CO 80632 INSURED INSURER B : Travelers Indemnity Company 25658 Connell Resources, Inc. INSURER C : Travelers Property Casualty Company of America 25674 7785 Highland Meadows Parkway INSURER D : Pinnacol Assurance 41190 INSURER E : Suite 100 INSURER F : Fort Collins CO 80528 e1nvc0encc CFRTIFIrATF KIHMRFR- GUAU/XS1WC x6/2U19 REVISION NUMBER: 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 I LTR TYPE OF INSURANCE ADDLISUBRI INSO WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDDJYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 $DAMAGE CLAIMS -MADE ® OCCUR TO RENTt:7- PREMISES Ea occurrence $ 300.000 MED EXP (AnY one person) $ 10,000 A Y DT-CO-4794N532-COF-18 06/0112018 06/01/2019 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000,000 PRODUCTS - COMPIOP AGG $ 2,000,000 POLICY JECT LOC S OTHER: AUTOMOBILE LIABILITY CCM1IBINED SINGLE LIMIT 'Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ B OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Y DT-810-4794N532-IND-18 06/01/2018 06/01/2019 PROPERTY DAMAGE Per accdent $ $ X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1.000,000 AGGREGATE $ 1,000,000 C EXCESS LIAB CLAIMS -MADE CUP4J906749-18-26 06101/2018 06/01/2019 RED I X RETENTION $ 10'000 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERWEMBER EXCLUDED? (Mandatory In NH) NIA Y 4029651 06/01/2018 06/01/2019 H X STATUTE ER E.L. EACH ACCIDENT $ 5001000 E.L. DISEASE - EA EMPLOYEE 500,000 S E.L. DISEASE -POLICY LIMIT 5 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) CRI Job # 2181006 - Lemay Avenue Bridge Certificate holder is included as Additional Insured as required by written contract with respects to liability arising out of work performed by the named insured. C�lGtIa:N�414;/ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 580 AUTHORIZED REPRESENTATIVE Fort Collins CO 80522� V 1988-201bAGUKU GUKrUKAIIUN. AU ngnis reserves. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD