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<br /> ATE
<br /> A 1 07/06
<br /> CERTIFICATE OF LIABILITY INSURANCE DIDDtYYYY)
<br /> 07/06/2012
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
<br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to
<br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br /> certificate holder in lieu of such endorsement(s).
<br /> PRODUCER 1-432-570-3456 CONTACT Angela Goff
<br /> Arthur J. Gallagher Risk Management Services, Inc. PHONE i806) 748 2014 iFAX
<br /> _(A0.No,.EXO i.(A/C,,No):........
<br /> 110 N. Marienfeld E-MAIL
<br /> Suite 330 ADDRESS: angels goffeajg_com
<br /> 1
<br /> Midland, TX 79701 __ INSURERjSSSSSS),AFFORDING COVERAGE NAIC#
<br /> Ron Stroman INSURERA: TRAVELERS IND CO 125658
<br /> INSURED INSURERS: WESTCHESTER FIRE INS CO 121121
<br /> ASI Constructors, Inc. COMMERCE & INDUS
<br /> INSURER C: TRY INS CO 119410._...__.........___._ __.a_._._.__._...._... .
<br /> 1850 E. Platteville BlvdINSURER O: AGCS MARINE INS CO 122837
<br /> Pueblo West, CO 81007 (NSURERE:
<br /> INSURER F: I
<br /> COVERAGES CERTIFICATE NUMBER: 28209726 REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 10 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR -- ....,...-- -� ADDU5UB-ft' POLICY EFF POLICY EXP —
<br /> LTR TYPE OF INSURANCE J8SR}I WVn I POLICY NUMBER (MMIDD/YYYY) (MMIDD/YYYY) UMRS
<br /> A GENERALLIABILITY X I X:54638489 07/01/12 07/D1/13 _EACH.00CUIRRENCE I$1,000,000
<br /> X PREMISES Faoccurr0ence) i$300,000
<br /> —_ COMMERCIAL GENERAL LIABILITY
<br /> CLAIMS-MADE X_OCCUR MED EXP(Any one person) is 5,00D
<br /> X AI 4CGD246(0805) __._._.._ --...._..._....__..__
<br /> I i PERSONAL&ADViNJURY I$1,000,000
<br /> X WS tICGD 316(0704) GENERAL AGGREGATE $2,000,000
<br /> •
<br /> GE_N'L AGGREGATE LIMIT APPLIES PER: i PRODUCTS-COMP/OP AGG s 2,000,000
<br /> I g.�IN
<br /> g __._.-.--AAAA s-._._............ ...__...
<br /> POLICY': i JF�T LOC I
<br /> A AUTOMOBILE LIABILITY X X 5463B557 07/01/12 07/01/131 COMBINED SINGLE LIMIT
<br /> I(Eaaccideng ;1,000,400
<br /> X !ANY AUTO BODILY INJURY(Per Person) $
<br /> •
<br /> —I ALL OWNED SCHEDULED
<br /> AUIUS AAAA__ 1800ILY INJURY per occident) $
<br /> NON-OWNED I PROPERTY DAMAGE
<br /> _:HIRED AUTOS AU(OS I LesLecidien0 (S
<br /> JAI 4CAT3S3(0310) iS WS t1CAT353(0310)
<br /> .
<br /> B IX UMBRELLALIAB I OCCUR X X 622059063006 07/01/12 07/D1/13 EACH OCCURRENCE 1510,000,000
<br /> EXCESS LIAB I CLAIMS-MADE AGGREGATE $10,000,000
<br /> - DEO j X RETENTIONS 10,000 ! s
<br /> WORKERSCOMPENSATION 1 IWCSTATJ- I 'DTH-1
<br /> C x WC 3589-6356 07/01/12 07/01/13 i X 1 TORY_..JMITS 1 ER
<br /> AND EMPLOYERS LIABILITY Y/N I F
<br /> 111 AAAA__ __.._....
<br /> ANY PROPRILTOiLPARINLR,EXECOTIVE�� ( I I EL.EACH ACCIDENT 1 S 1,000,000
<br /> OFFICER/MEMBER EXCLUDED? [ILI N/Ai
<br /> (Mandatory in NH) ( EL.DISEASE-EA EMPLOYE4 S 1,000,000
<br /> If res,describe under 1{ I 1,000,000
<br /> D-SCRIPTION OF OPERATIONS blow E.L.DISEASE-POLICY LIMIT;S
<br /> D Rented & Leased Equipment X MXI93033038 07/01/12 07/O1/131.5MM per item/occ 10,000ded
<br /> i 1
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more apace N required)
<br /> ***SEE ATTACHED SUPPLEMENTAL PAGE FOR ADDITIONAL WORDING INCLUDING TEE CANCELLATION CLAUSE.***
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Terrace Irrigation Company THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> PO Box 109
<br /> AUTHORIZED REPRESENTATIVE n
<br /> Monte Vista, CO 81144 ..
<br /> USA ���' �O���OOO��'����..../J.
<br /> ©1988-2010 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD
<br /> agoff
<br /> 28209726
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