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OP ID KH DATE(MM/DD/YYYY) <br /> goa <br /> ,d C CERTIFICATE F LIABILITY I cGRs--1 l2/17 08 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> LEN Insurance-JT HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> 4848 Thompson Pkwy, Ste 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Johnstown CO 80534 <br /> Phone: 970-635-9400 Fax:970-635-9401 INSURERS AFFORDING COVERAGE NAIC 4 <br /> INSURED INSURERA: ACE Westchester <br /> INSURER B: ACs American Insurance Company <br /> C G R S Inc. INSURER C: Pinnacol Assurance 41190 <br /> PO BOX $489 INSURER D: St;. Paul Travalera Insurance <br /> Ft. Collins CO 80522 <br /> INSURER E: Argonaut Insurance <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MWDDIYY)E I PATE MWDD CY TION LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $1,000,000 <br /> A X COMMERCIAL GENERAL LIABILITY G22071798-003 03/01/08 03/01/09 PREMISES(Esoccurence) 550,000 <br /> CLAIMS MADE ® OCCUR MED EXP(Any one person) $5,000 <br /> X POLLUTION/PROF BLKT ADD-L INS - ENV3100 PERSONAL&ADV INJURY $1,000,000 <br /> CLAIMS MADE eArvsR -mw31ol (aa-04) GENERALAGGREGATE 02,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG 52,000,000 <br /> POLICY X JECT LOC Ben. 1,000,000 <br /> AUTOMOBILE LIABIUTY <br /> COMBINED SINGLE LIMIT $1000000 <br /> B ANY AUTO H0841564A 03/01/08 i 03/01/09 (Ea accident) gg <br /> ALL OWNED <br /> AUTOS i <br /> BODILY <br /> INJ._URY <br /> Pa,remar}SCtD'L_^rtTnS 4 ( � .CRrXX .._..._._ l a <br /> __.._.. ......_..__ <br /> ; <br /> I HIR EDAUTOS �"500 DED C.�'rLL <br /> Y' SODI�Y I!JURY <br /> I <br /> ,'a'sj N6I!-ONi,avG�nJTC.5 j E ) <br /> PROPERTY DAMAGE <br /> Blanket Waiver <br /> i I }n (Per accident) s <br /> GARAGE LIABILITY i AUTO ONLY-EA ACCIDENT i$ I <br /> ANY AUTO i OTHER THAN FA ACC(5 <br /> AUTO ONLY: AGG J S <br /> EXCESSIUMBRELLA LIABILITY i EACH OCCURRENCE S <br /> OCCUR CLAIMS MADE AGGREGATE 15 <br /> is <br /> DEDUCTIBLE S <br /> RETENTION S S <br /> WORKERS COMPENSATION AND X TORY LIMITS XI ER <br /> C EMPLOYERS'LIABILITY 40294.80 CO 01/01/09 01/01/10 E.L.EACH ACCIDENT S1000000 <br /> ANY PROPRIETORIPARTNER/EXECUTIVE <br /> E OFFICER/MEMBEREXCLUDED? WC47678823233- CA E.LDISEASE-EAEMPLOYEE S1000000 <br /> SDes describe under <br /> SPEC IAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $1000000 <br /> OTHER <br /> D Equipment Floater BP02050277 03/16/08 08/16/09 Rented/ $200,000 <br /> A Professional 622071798-003 03/01/08 03/01/09 Leased $500 Dad <br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> Certificate holder is named as additional insured with respects to t)ie Ra r( L <br /> general liability, auto liability and the contractors pollution per IDI ° ~" � 1 `I !; <br /> referenced forms. <br /> I t-E r <br /> CERTIFICATE HOLDER CANCELLATION <br /> FORINFP SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF,THE ISSUING INSURER WILL ENWAVORTO MAIL 10 DAYS WRITTEN <br /> NOTICE TO THE CERTIFICATE HOLDER NAMMTO'THE LEFT,BUT FAILURE TO DO SO SHALL <br /> For Information Purposes IMPOSE NO OBLIGATION OR LIABILITY OF AM MNO UPON THE INSURER,ITS AGENTS OR <br /> Only <br /> REPRESENTATIVES. <br /> AUTLPVjtE(IRESE�i'AYR/f's-- _ <br /> ACORD 25`2001108, / cACCM CORPORATION 1988 <br />