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Home My WebLink AboutEXPRESS CONCRETE INC - INSURANCE CERTIFICATEClient#- 35316 FXPC00I�e.1 ACOR& CERTIFICATE OF LIABILITY INSURANCE 08/20//08D'"YYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4821 Wheaton Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P O Box 270370 — Fort Collins, CO 80527 INSURERS AFFORDING COVERAGE NAIL # INSURED Express Concrete, Inc. PO Box 273209 INSURER A: United Fire & Cas. INSURER B' "'— Fort Collins, CO 80527-3209 INSURER C: INSURER D: -- INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD/YY POLICY EXPIRATION DATE MMIDDNYI, LIMITS A GENERAL LIABILITY 60079838 07/13/08 07/13/08 EACH OCCURRENCE $1 QQQ 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE O OCCUR CANCELLED IF DAMAGE TO RENTED SESEoccurrence) $100000 MED EXP (Any one person) $5 000 PERSONAL &ADV INJURY $1 QQQ 000 X PD Ded:500 GENERALAGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OP AGG $2000000 POLICY PRO- JECT 0 LOC A AUTOMOBILE LIABILITY ANY AUTO 60079838 07/13/08 CANCELLED 07/13/08 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIREDAUTOS NON OWNED AUTOS X PROPERTY DAMAGE (Per accidenl) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ DEDUCTIBLE $ RETENTION _ $ _ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC BTATD-s F OTH- Y T E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYE $ OFFICER/MEMBER EXCLUDED? yes, describe E.L. DISEASE -POLICY LIMIT $ PRO SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS **All Policies Cancelled Effective 7/13/2008.** City of Fort Collins 215 Mason Street Fort Collins, CO 80521 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_ DAYS WRITTEN E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE P-16 ci 7- ��.ytuSaawl cuA.srawven o 2ea+C. AUUKU LJ tLUUT/UB) 1 of 2 #M423530 JZS 0 ACORD CORPORATION 1988 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. AULMU Zo•s (zuuvus) 2 of 2 #M423530