The URL can be used to link to this page

Home My WebLink About129302 HAGEMAN EARTH CYCLE - INSURANCE CERTIFICATE (18)ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 11/28/2017 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 CONTACT Brianne Danielson CISR NAME; Flood and Peterson .PH NE Ext: (970)266-7118 IC No;(970)506-6846 Corporate Mailing Address: ADDRESS:BDanielson@F1oodPeterson.com P.O. Box 578 INSURER(S) AFFORDING COVERAGE NAIC p Greeley CO 80632 INSURERA.Union Insurance Company 25844 INSURED INSURERB:Pinnacol Assurance 41190 Hageman Earth Cycle, Inc. 3501 E. Prospect Road IFOrt Collins CO 80525 I INSURERF: cnvFRA(;FR CFRTIFICATF NtIMRFR-CL17112820677 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 LTRlullalba TYPE OF INSURANCE ADOL U POLICY NUMBER MMLDDY FIF MM/DD/Yl'YYY LIMITS X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE X OCCUR F$500 DAMAGE NTE PREMISES Ea occurrence $ 300,000 FX MED EXP (Any one person) $ 10,000 Deductible - CPA 2344893-36 12/01/2017 12/01/2018 Property Damage PERSONAL & ADV INJURY $ 1,000,000 GEVIL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000, 000 X POLICY PRO- LOC JECT PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ A IANY AUTO ALL OWNED SCHEDULED AUTOS AUTOSNON-OWNED CPA 2344893-36 12/01/2017 12/01/2018 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED AUTOS X AUTOS Medical payments $ 5,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 A EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ CPA 2344893-36 12/01/2017 12/01/2018 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE g STATUTE ER E.L. EACH ACCIDENT $ 500,000 B OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) NIA 4036218 10/01/2017 10/01/2018 E.L. DISEASE - EA EMPLOYE $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 A Leased/Rented Equipment CPA 2344893-36 12/01/2017 12/01/2018 Limit $230,000 Deductible $1 , 000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 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. CERTIFICATE HOLDER UANctLLA I IUN 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. AUTHORIZED REPRESENTATIVE Danielson, CISR/BDA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INR025rgmami