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Home My WebLink About112296 SCHMIDT EARTH BUILDERS INC - INSURANCE CERTIFICATE (3)DATE ACORD. CERTIFICATE OF LIABILITY INSURANCE 3 4 /14 /2008M08 RODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Tan Gilder Insurance Corp ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 100 T+roadway Suite 1000 HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR )eI CO 60203 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE NSURED IN5URERA Zurich American Insurance Com an chmidt Earth Builders Inc INSURERS National Union Fire Ins Co AIG 1250 Greenridge Road INSURER lindsor CC 80550 INSURER D INSURER E 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 ERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS JSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITSJJL GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE KI OCCUR GLO375719403 3/1/2008 3/1/2009 EACH OCCURRENCE $1000001 FIRE DAMAGE (Any one fire) $100000 MED EXP(Any one person) $10000 PERSONAL &ADV INJURY $1000000 GENERAL AGGREGATE $qnnnoon GEN L AGGREGATE LIMIT APPLIES PER POLICY j,' PRO X LOC PRODUCTS COMPIOP AGO $2000000 L AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS BA2375719303 3/1/2008 3/1/2009 COMBINED SINGLE LIMIT Be accident) $1000000 BODILY INJURY (Per person) $ lX X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY AGG $ $ I EXCESS LIABILITY X1 OCCUR 171 CLAIMS MADE DEDUCTIBLE RETENTION $ BE4403686 3/1/2008 3/l/2009 EACH OCCURRENCE $4000000 AGGREGATE $400 000 $ $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY WC375719203 3/l/2008 3/1/2009 WCSTATU OTH X I EL EACH ACCIDENT I $1000000 EL DISEASE EA EMPLOYE $1000C 00 EL DISEASE POLICY LIMIT 1 $1000000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL 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 4CORD 25 S (7197) AUTHORIZED REPRESENTATIVE O 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 )RD 25 S