HomeMy WebLinkAbout112296 SCHMIDT EARTH BUILDERS INC - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY
DATE(MMIDDIYY)
INSURANCE
PRODUCER
Van Gilder Insurance Corp
700 Broadway Suite 1000
Denver CO 80203
2 612008
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
INSURERS AFFORDING COVERAGE
INSURED
Schmidt Earth Builders Inc
7250 Greenridge Road
INSURER Zurich American Insurance Company
INSURERS Hartford Fire Insurance Co CL
INSURER National Union Fire Ins Co AIG
Windsor CO 80550
NSURER D _
INSURER E
rnvoonr_ec
HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED
OTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
ERTIFICATE 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 AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION
POLICY NUMBER
B
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ❑OCCUR
34UUMAK3867
3/1/2008
3/1/2009
LIMITS
EACH OCCURRENCE
$], 0Q0 Q00
FIRE DAMAGE (My one fire)
$100 000
MED EXP(Any one person)
$10 000
PERSONAL E AOV INJURY
$1 000 000
—
GENERAL AGGREGATE
$2,000.000
LIMIT APPLIES PER
GEN L AGGREGATE PRO
POLICY OC
PRODUCTS COMP/OP AGO
§2 OOO 000
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON OWNED AUTOS
BAP375719302
3/l/2008
3/l/2009
COMBINED SINGLE LIMIT
(Ea accident)
$1000000
BODILY INJURY
(Per person)
--
$
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY EA ACCIDENT
§
OTHER THAN EA ACC
AUTO ONLY AGG
$
$
C
EXCESS LIABILITY
X—j OCCUR L� CLAIMS MADE
_ DEDUCTIBLE
p RETENTION $ Q
BE8286208
3/1/2008
3/1/2009
EACH OCCURRENCE
$¢ 000 000
AGGREGATE
E¢ O
$
§
§
A
WORKERS COMPENSATION AND
EMPLOYERS LIABILITY
OTHER
WC375719202
3/1/2008
3/1/2009
WC STATU OTH
X
EL EACH ACCIDENT
_
$1000000
EL DISEASE EA EMPLOYE
$1000000
EL DISEASE POLICY LIMIT $1
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLEVEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Additional Insured (excluding workers compensation) and Waiver of Subrogation applies as required by written contract
11 coverage terms conditions exclusions and limitations of policy apply
CFRTIFICATC Unl mom I I .__._._.._.
City of Fort Collins
256 W Mountain
Fort Collins CO 80521
ILD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
IRE THE EXPIRATION DATE THEREOF THE ISSUING INSURER
ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE
'IFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO
L IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON
INSURER ITS AGENTS OR REPRESENTATIVES
AUTHORIZED REPRESENTATIVE
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED the policy(ies) must be endorsed A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s)
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)
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s) authorized representative or producer and the certificate holder nor does it
affirmatively or negatively amend extend or alter the coverage afforded by the policies listed thereon
ACORD