HomeMy WebLinkAbout112296 SCHMIDT EARTH BUILDERS INC - INSURANCE CERTIFICATE (2)A RDDATE
CERTIFICATE OF LIABILITY INSURANCE
OATS/200/YY)
4 2n
PRODUCER
Van Gilder Insurance Corp
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
700 Broadway Suite 1000
HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR
Denver CO 80203
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 Nati onal Union Fire Ins Co AIG
INSURERc
Windsor CO 80550
INSURER D
INSURER E
COVERAGES 7WTC rr,DTTDTOATD CTTnD.ocll C7
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
I114 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
DATE tMMIDDMI DATE IMMIDn1YYI
LIMITS
A GENERAL LIABILITY GL0375719403 3/1/2008 3/l/2009
EACH OCCURRENCE $1000000
X COMMERCIAL GENERAL LIABILITY
FIRE DAMAGE (Any one fire) $100000
CLAIMS MADE il OCCUR
MED EXP(Any one person) $10000
PERSONAL B ADV INJURY $1000000
GENERAL AGGREGATE E
GEN L AGGREGATE LIMIT APPLIES PER
PRODUCTS COMPIOPAGG $2000000
POLICY X PRO X LOC
A
AUTOMOBILE
LIABILITY
BAP375719303
3/1/2008
3/1/2009
X
ANY AUTO
COMBINED SINGLE LIMIT
(Ea ecudanq
$1000000
ALL OWNED AUTOS
BODILY INJURY
$
_
SCHEDULED AUTOS
(Per person)
HIRED AUTOS
BODILY
$
X
NON OWNED AUTOS
(Per accident)
accident)
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
AUTOONLY EAACCIDENT
$NY
OTHER THAN EA ACC
E
AUTO A
$
AUTO ONLY AGG
$
EXCESS LIABILITY
BE4403686
3/1/2008
3/l/2009
EACH OCCURRENCE
$4000000
X I- OCCUR a CLAIMS MADE
AGGREGATE
$4QQQQQO
1
DEDUCTIBLE
8
RETENTION $
$
A
WORKERS COMPENSATION AND
WC375719203
3/1/2008
3/l/2009
X WC STATU OTH
B_
EMPLOYERS LIABILITY
EL EACH ACCIDENT
_
$1000000
EL DISEASE EA EMPLOYE
$1000000
EL DISEASE POLICY LIMIT
$1
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSMEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
dditional Insured (excluding workers Compensation) and Waiver of Subrogation applies
as required by written contract
11 coverage terms conditions exclusions and limitations of policy apply
City of Fort Collins
256 W Mountain
Fort Collins CO 80521
LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
RE 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
25S
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