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Home My WebLink About109445 CONNELL RESOURCES INC - INSURANCE CERTIFICATE (80)DATE (MWDDNYYY) ,a�oRo® CERTIFICATE OF LIABILITY INSURANCE F5/30/2017 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 ME: Dana Stewart, CIC, CISR NA Flood and Peterson PHONE (970) 266-7149 No: (970)506-6845 PO Box 578 n oaless:DStewartQfloodpeterson.com Greeley CO 80632 INSURERA:Charter Oak Fire Insurance Company 25615 INSURED INSURER B:Travel era Indemnity Company 25658 Connell Resources, Inc. INSURERC:Travelers Property Casualty Company 25674 7785 Highland Meadows Parkway INSURERD:Pinnacol Assurance 41190 Suite 100 INSURERE: Fort Collins CO 80528 INSURERF: OVERAGES CERTIFICATF NIIMRFR-2017 GL/AU/XS/WC RFVIRHnN NIIMRFR- 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 TYPE OF INSURANCE A DL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER YY M YY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE 7 J OCCUR $ 300,000 AMA ET RENTED PREMISES Ea occurrence MED EXP (Any one person) DTC04794N532COF17 6/1/2017 6/1/2018 $ 10,000 PERSONAL 8 ADV INJURY $ 11000,000 GEN'L GENERAL AGGREGATE $ 2,000,000 AGGREGATE LIMIT APPLIES PER: X POLICY JECT [xi LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY CEOMacc�M SINGLE LIMIT $ 11000,000 X BODILY INJURY (Per person) $ B ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 7 DT8104794N532IND1 6/1/2017 6/1/2018 BODILY INJURY (Peraccident ) $ X X NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10, 000, 000 AGGREGATE $ 10, 000, 000 C EXCESS LIAR CLAIMS -MADE DED I X I RETENTION$ 10,000 $ CUP4J906749-17-26 6/1/2017 6/1/2018 D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ® (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 4029651 I 6/1/2017 I 6/1/2018 X STATUTE E E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: CRI# 2171007 - East Community Park Underdrain System 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. LaFi I Ill -ILA I t MULUr-H City of Fort Collins 4316 Laporte Ave Fort Collins, CO 80521 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 D Stewart, CIC, CISR/ ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)