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1 <br /> AC�® 72/18/2019 <br /> (MM/DD/YYVY) <br /> CERTIFICATE OF LIABILITY INSURANCE <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER HE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must have A15DITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONT CT <br /> Commercial Risk Solutions NAME: Valerie Brown _ <br /> 6600 E Hampden Ave Ste 200 PH jku_"U.303-996-7847 • FaCNop303-757-7719 <br /> Denver CO 80224 E-MAIL VBrowngDcrsdenver.com <br /> INSURER(S1 AFFORDING COVERAGE m _NAIC S _ <br /> INSURER A:Travelers Prop Casualty of AM 25674 <br /> INSURED CASTL-1 INSURER B:Charter Oak Fire Insurance Co. 25615 <br /> Castle Rock Construction Company of Colorado, LLC INSURER c The Travelers Indemnity Co. 25658 <br /> 6374 S. Racine Circle INSURER D <br /> Centennial CO 80111 INSURERE <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:1521687988 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE AUD 8UBR w._. ..' _ POLICY EFF POLICY EXP LIMITS <br /> LTR POLICY NUMBER MM100 rD YY <br /> B X COMMERCIAL GENERAL LIABILITY Y C0325D9449 12/31/2D18 12/31/2019 EACH OCCURRENCE $1,000,000 _ <br /> CLAIMS-MADE C�OCCUR DAMAGE To RENTED <br /> PREMISES!Ea occurrenc'lj.v $300,000 _ <br /> MED EXP(Any one person) $5,000 <br /> _ PERSONAL&ADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2,000,000 <br /> X POLICY PE� l J LOC PRODUCTS-COMP/OP AGG $2,000,000 <br /> OTHER. $ <br /> C AUTOMOBILE LIABILITY Y 81011-610369 12/31/2018 12/31/2019 COMBINED SINGLE LIMIT $1,000,000 <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> X HIRED Ix <br /> NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY tPer <br /> A X UMBRELLA LIAB X OCCUR Y CUPIM148091 12/31/2018 12/31/2019 EACH OCCURRENCE $5,000,000 _ <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $5,000,000 <br /> DED I X I RETENTION$in nnn $ <br /> A WORKERS COMPENSATION U691113466A 1/1/2019 1/1/2020 X STATUTE �rH <br /> AND EMPLOYERS'LIABILITY Y/N <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE � N/A E.L.EACH ACCIDENT $500,000 <br /> OFFICER/ME MB E R EXCLUDED? <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE. $500,000 <br /> It yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $500,000 <br /> A Leased/Rented Equipment 660367M2732 12/31/2018 12/31/2019 Limit 1,500,000 <br /> Special Form/RC Deductible 5,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached if more space is required) <br /> RE: Colorado Project No.NH 2871-035, US 287 Passing Lanes South of Lamar,Project Code 20908 <br /> Colorado Department of Transportation is included as additional insured for ongoing operations on the General Liability and Included as additional insured on <br /> the Auto Liability with respect to operations of the named for the certificate holder as required by written contract.General Liability coverage is primary and <br /> non-contributory.All policy terms,conditions and exclusions apply. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Colorado Department of Transportation <br /> 4201 E Arkansas Ave., Suite 200 AUTHORIZED REPRESENTATIVE <br /> Denver CO 80222 Ad <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD <br />