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Home My WebLink About108976 L & M ENTERPRISES - INSURANCE CERTIFICATEACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 12/13/2016 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 Ewing -Leavitt Insurance Agency, Inc. 4090 Clydesdale Parkway Suite 101 Loveland CO 80538 CONTANAME, Renee McReynolds q/CNN .Exq: (970) 679-7344 (AC No): (866)425-6180 AIL ADDRESS:renee-mcreynolds@leavitt.com INSURER 5 AFFORDING COVERAGE NAIC # INSURERA:Cincinnati Insurance Co 10677 INSURED L & M Enterprises, Inc. 735 E Highway 56 PO BOX W Berthoud CO 80513 INSURER B :Pinnacol Assurance 41190 INSURERC: INSURERD: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER:17-18 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM DD POLICY EXP MM D LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE � OCCUR DAMAGE To PREMISES ( a RENTED $ 500,000 x MED EXP (Any one person) $ 10,000 Blanket Waiver of Subrog X ENP0224898 1/1/2017 1/1/2018 x Blanket Addl Insureds PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO- ❑ X X JECT LOC PRODUCTS - COMP/OPAGG $ 2r000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident_ $ 1,000,000 X BODILY INJURY (Per person) A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X ENP0224898 1/1/2017 1/1/2018 $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS X AUTOS X $ Blkt Add] Insds X Blanket WOS X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 A EXCESS LIAB CLAIMS -MADE DED X RETENTION$ 0 $ ENP0224898 1/1/2017 1/1/2018 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? 7 (Mandatory in NH) N / A including Blanket Waiver of Subrogation endorsement 4188429 1/l/2017 l/l/2018 X SPER OTH- TAT UTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,00 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Contractors' Equipment ENP0224898 1/1/2017 1/1/2018 Leased/Rented Equipment $85,000 Installation Fltr $150,000Limit $1,000 deduct DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) re: BID 8095 Weed Cutting & Rubbish Removal; Certificate holder, its officers, agents and employees are named additional insured as respects both general and auto liability policies. The insurance evidenced by this certificate will not reduce coverage or limits and will not be cancelled except after thirty (30) days written notice has been received by the certificate holder. CERTIFICATE HOLDER CANCELLATION City of Fort Collins Attn: Purchasing Dept 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 R McReynolds/RESTEI` ACORD 25 (2014/01) NS025 (201401) ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD