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ACORD <br />CERTIFICATE OF LIABILITY INSURANCE <br />,~ <br />page 1 of 2 06/30/2007 <br />PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Willie North Ameriea, Sac. I'-~ HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />E~~;VED <br />26 century Blvd. K ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P. O. Boz 305191 <br />Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAICR <br />INSURED AIDerioan Civil Constructors, Inc. INSURERA: ASCh IasuranCe Company 11150-001 <br />Divieioa 201 Division of Reclarnation. <br /> <br />1601 w <br />e <br />ll <br />i <br />st <br />d Safet INSURER B: National Onion Pire Ins. Co. of Pittsburg 19445-001 <br />. <br />e <br />ev <br />ew <br />y <br />. Mining an <br />Littleton, CO 80120 INSURERC: <br /> INSURER D: <br /> INSURER E' <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 MAV 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 MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />IN$R DD' rypE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />A GENERAL UnaILITY _ 71PRG2133603 7/1/2007 7/1/2008 EACH OCCURRENCE $ 2 ppp ppp <br /> X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence $ 300 000 <br /> <br /> CLAIMS MADE OCCUR MED E%P (Anyone person) $ 5 QQO <br /> PERSONALB ADVINJURV $ 2 QQQ QQQ <br /> GENERAL AGGREGATE $ 4 OOQ OOO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS~COMP/OP AGG $ 4 QQQ QQQ <br /> POLICY X PRO LOC <br />A AUT OMOBILE LIAmLITY 71PRG2133603 7/1/2007 7/1/2008 COMBINED SINGLE LIMIT <br /> <br />(Ee eccitlent) $ 1,000,000 <br /> X ANV AUTO <br /> ALL O WNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> HIRED AUTOS <br />BODILY INJURY <br /> <br />NON-OWNED AUTOS <br />(Per amitlan[) $ <br /> PROPERTY DAMAGE <br /> <br />(PeraxitlenQ $ <br /> GAfU1GE LIABILITY AUTOONLV~EAACCIDENT $ <br /> ANYAUTO OTHERTHAN EA ACC $ <br /> AUTOONLY: AGG $ <br />B E%CESSNMBRELLALIABILRY HE5685788 7/1/2007 7/1/2008 EACH OCCURRENCE $ 5 pOQ Opp <br /> <br /> X OCCUR ~ CLAIMS MADE AGGREGATE $ $ OOO OOO <br /> <br /> DEDUCTIBLE $ <br /> X RETENTION $ 1O OO $ <br />_ <br />A WORKERB COMPENSANON AND <br />'- - ~ -^ <br />' <br />$ <br />O <br />•u <br />73-WCI2133503-~. _ _~- <br />7-/1~-2007 _ <br />.7/1/2008-- WC STATU- OTH- <br />X T IMIT R <br /> EMi <br />L <br />yeRS <br />ABlcm <br /> ANY PROPRIETOWPARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1 OOO 000 <br /> OFFICERMIEMBER E%CLUDED? E.L. DISEASE-EA EMPLOYEE $ 1 000 OOO <br /> It yes, tlescribe antler <br /> SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT $ 1 QQQ QQQ <br /> OTHER <br />DESCRIPTION OF OPERATION$A.OCATIONS/VENICLE&EXCLUSIONS ADDED BY ENDOR$EMENT/$PECIAL PRDVISIONS <br />Re: Permit #C89-074 <br />Certificate Holder is named as Additional Insured on the General Liability per the attached <br />endorsement. Additional endorsements attached are applicable only as required by written contract <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />GATE THEREOF, THE ISSUING INSURER WILL Xah~7610XXal MAIL 3O DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LE L <br />7fe1lIS6~X173 <br />Colorado Divieioa of Miaerale and Geology i~l[I%4FXX <br />1313 Sherman, NOOm 215 AUTHORIZED REPRESENTATIVE <br />Deaver, CO 80203 <br />ACORD 25 (2001/081 Co11:2031762 TD1:650132 Ce :9151070 ®ACORD CORPORATION 1988 <br />