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Home My WebLink About109445 CONNELL RESOURCES INC - INSURANCE CERTIFICATE (91)ACORD® 7T/E (MNVDDhYYY) ��. CERTIFICATE OF LIABILITY INSURANCE 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 NAME: Dana Stewart, CIC, CISR Flood and Peterson PHONE Ext. (970)266-7149 a N0: (970)506-6845 1PO Box 578 AAIL DDRESS: DStewartilfloodpeterson.com Greeley CO 80632 INSURED Connell Resources, Inc. 7785 Highland Meadows Parkway Suite 100 Fort Collins CO 80528 INSURERA:Charter Oak Fire Insurance Company 25615 INSURERB:Travelers Indemnity Company 25658 INSURERC:Travelers Property Casualty Company 25674 INSURERD:Pinnacol Assurance 41190 INSURERE: INSURERF: COVERAGES CERTIFICATE NUMRFR-2017 GL/AU/XS/WC REVISION 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER M D Y Y M DD YYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) DTC04794N532COF17 6/1/2017 6/1/2018 $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENT GENERAL AGGREGATE $ 2,000,000 AGGREGATE LIMIT APPLIES PER: POLICY jER� �' LOC X PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ B X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS DT8104794N532IND17 6/1/2017 6/1/2018 BODILY INJURY (Per accident) $ PROPE T DAMAGE NON -OWNED X HIRED AUTOS AUTOS X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 10, 000, 000 AGGREGATE $ 10, 000, 000 C, EXCESS LIAB CLAIMS -MADE DIED X I RETENTION$ 10,000 $ CUP4J906749-17-26 6/1/2017 6/1/2018 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N X PER OTH- STATUTE ER D ANY PROPRIETOR/PARTNER/EXECUTIVE � OFFICER/MEMBER EXCLUDED? I `• (Mandatory in NH) N/A 4029651 6/1/2017 6/1/2018 E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYE -- - $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below 1 $ 500,000 E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: CRI# 2161048 - Lincoln Avenue Corridor- Phase 5 The City of Fort Collins, its officers, agent and employees are included as Additional Insured as required by written contract with respects to liability arising out of work performed by the named insured. City of Fort Collins PO Box 580 Fort Collins, CO 80522 WG\IN1►1 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)