HomeMy WebLinkAbout112296 SCHMIDT EARTH BUILDERS INC - INSURANCE CERTIFICATE (4)ACOR . . CERTIFICATE OF LIABILITY INSURANCE
DATE
7 13M/D9 /13/200
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Van Gilder Insurance Corp.
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
700 Broadway, Suite 1000
Denver CO 80203
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
INSURED
INSURERA: Zurich American Insurance Comp
Schmidt Earth Builders, Inc.
7250 Greenridge Road
Windsor CO 80550
INSURER B: National Union Fire Iris. Co.
INSURERC:
INSURER D:
INSURER E:
COVERAGES
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
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
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION DATE (MMIDDIYYI
LIMITS
A
GENERAL LIABILITY
GL0375719404
3/1/2009
3/1/2010
EACH OCCURRENCE
$1000000
FIRE DAMAGE (Any one fire)
$10 0 0 0 0
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE Fx_1 OCCUR
MED EXP (Any one person)
$10 0 0 0
PERSONAL & ADV INJURY
$1000000
GENERAL AGGREGATE
$qoonnoo
GENT AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$2 0 0 0 0 0 0
POLICY X PRO- X LOC
A
AUTOMOBILE
LIABILITY
ANY AUTO
BAP375719304
3/1/2009
3/1/2010
COMBINED SINGLE LIMIT
(Ea accident)
$1000000
10 0 0 0 0 0
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EAACC
$
ANY AUTO
$
AUTO ONLY: AGG
B
EXCESS LIABILITY
BE022672806
3/1/2009
3/1/2010
EACH OCCURRENCE
$4000000
X OCCUR CLAIMS MADE
AGGREGATE
$4 0 0 0 0 0 0
$
DEDUCTIBLE
$
RETENTION $
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
WC375719204
3/1/2009
3/1/2010
OTH-
X ORYLIMITS ER
E.L. EACH ACCIDENT
$I.000000
E.L. DISEASE - EA EMPLOYEE
$1000000
E.L. DISEASE -POLICY LIMIT
$1000000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLESIEXCLUSIONS 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.
The City of Fort Collins is named as an additional insured in regards to snow removal work.
ULK I II-ItL;A I r- MULULK I I ADDITIONAL INSURED: INSURER LETTER: C:ANL;hLLA I IUN
City of Fort Collins
P.O. Box 580
Fort Collins CO 80522
OULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
FORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER
LL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE
RTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO
ALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON
E INSURER, ITS AGENTS OR REPRESENTATIVES.*EXCEPT 10 DAYS
TICE FOR NON-PAYMENT OF PREMIUM.
AUTHORIZED
ACORD 25-S (7/97)
O ACORD CORPORATION 1988
J