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LANDMARK SOLUTIONS - INSURANCE CERTIFICATE
Client#: 28954 LANDCONI ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD 4/03/2009m) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION IMA of Colorado, Inc. 1550 17th Street, Suite 600 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80202 303 534-4567 INSURERS AFFORDING COVERAGE INSURED Landmark Solutions, Inc. 1170 W Ash St#100 INSURER A: Navigators Specialty Ins Co(*) ' INSURER B: Pinnacol Assurance INSURERC: Continental Western Insurance Windsor, CO 80550 INSURER D: • INSURER E: *Swett & Crawford 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/ POLICY EXPIRATION N DATE MM/DDIYY LIMITS A GENERAL LIABILITY X COMM ERCIAL GENERAL LIABILITY CLAIMS MADE Ex-1 OCCUR X BI/PD Ded:10000 CE07CGLOO787502 Project Agg. 04/06/09 Policy Cap 04/06/10 EACH OCCURRENCE $1000000 FIRE DAMAGE (Any one fire) $50000 MED EXP (Any one person) $5 000 PERSONAL & ADV INJURY $1 000 000 X $5,000,000 Per GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIM ITAPPLIES PER: POLICY X j LOC PRODUCTS -COMP/OPAGG s2,000,000 C AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS. CWP269331925 . 04/06/09 _ 04/06/10 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X - BODILY INJURY (Per person) $ 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 $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 4098289 12/01/08. - 42/01/09 X WC STATU- I OTH- ER E.L. EACH ACCIDENT $500,000 E.L. DISEASE -EA EMPLOYEE s500,000 E.L. DISEASE -POLICY LIMIT I $500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS ltla:A112LK111:0:[*J49J:I _�.. City of Fort Collins P.O. Box 580 Fort Collins, CO 80522 SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES B E CANCELLED BEFORE TH E EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITYOF ANY KIND UPON THE INSURERJTS AGENTS OR REPRESENTATIVE ACORD 25-S (7/97)1 of 2 #S430138/M430110 ARE © 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 ACORD25-S(7/97)2 of 2 #S430138/M430110