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THE BRICKMAN GROUP LTD LLC - INSURANCE CERTIFICATE
CORD WTE IMrADRMT 0612312010 PRODUCER Porter & Curtis, LLC HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND 225 State Road ONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE Media, PA 19063 OUCIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A ACE AMERICAN INSURANCE COMPANY INSURED THE BRICKMAN GROUP LTD. LLC 18227 D FLOWER HILL WAY COMPANY B EVEREST NATIONAL INSURANCE COMPANY COMPANY GAITHERSBURG, MD 20879 C INDEMNITY INSURANCE COMPANY OF NORTH AMERICA COMPANY Certificate Number. 245294 Branch: 448 D 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO ADUL TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTNE POLICYEXPIRATION LTF INSD DATE IMMDD/YY DAM(MMODYY LIMITS ENERAL LIABILITY GENERAL -AGGREGATE $ 15,ODD,000 PRODUCTS -COMPIOP AGG $ 2000000 ERCIAL GENERAL LIABILITY PERSONAL 4 ADV INJURY $ i ODO000 LAMS MADE © OCCUR A RB 6 CONTRACTORS' PROT tX XSL G2551921-8 07/01/2010 07/01/2011 EACH OCCURANCE $ 1,000,000 FIRE DAMAGE (Any Ona Final $ 5GO DD0 IDEIPESTILIOE INLL. MED EXP (Any One Person) $ 5,000 UTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ 1,000,000 x ALL OWNED AUTOS A scHEDmeo Amos ISA H08590059 07/01/2010 07/01/2011 BODILY INJURY (Per Person) $ BODILY INJURY (Per ACcIdenq $ HIRED AUTOS X NONOWNEDAUTOS PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDEN $ AGGREGATE $ B EXCESS LIABILITY $ 5,000,000 X UMRAFw FORM 71C4000203-101 07/01/2010 07/01/2011 $$C 5.000.000 oTNER Tn. UMBRELLA FORM $ RICERS COMPENBATONAND MpLOYERS LIABILITY WC STATU- OTH-/. X TOR'OMIT ER "' I'' C LR C4569952-4 07/01/2010 07/01/2011 EL EACH ACCIDENT $ 1,000,000 EL DISEASE-POLICY LIMIT $ 1000000 A HE PROPRIETON X RTHERSIEXECUTIVE NLL FsmERS ARE: L. CF GBIYB].i�WI: WLR rae. EL DISEASE -EACH EMPLOYEE $ 1,000,000 A I pp UM-PbyRiiwl m,A.B. -An o.,aa n ISA H08590059 07/01/2010 07/01/2011 Actual Cash Value Less $1,000 Ded. Comp 8 Coll onhaGuaWMeasional Liability XSL G2551921-8 07/01/2010 07/01/2011 Included in General Liability Limits DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I SPECIAL ITEMS The limits include applicable retentions. Re:Old Town Square Irrigation System Project #6084. The City of Fort Collins and Downtown Development Authority are named as Additional Insureds with regards to General Liability. CITY OF FORT COLLINS PURCHASING DIVISION HOULDANY OFTHE ABOVE DESCRIBED POLICIES BECANCELLED BEFORE THE 215 NORTH MASON STREET -DUDIRLATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 AYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT 2ND FLOOR 7AILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF FORT COLLINS, CO 80524-4402 NY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE