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L - _- <br />ACORD <br />,. CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 07/02/2008 <br />PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Willis North America, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P. O. Box 305191 <br />Nashville, TN 372305191 <br />- INSURERS AFFORDING COVERAGE NAIC# <br />INSURED American Civil Constructors, 710. <br />J INSURERA:Arch Insurance Company 11150-001 <br />Division 201 <br />O 1 00 <br />8' <br />1601 W <br />Belleview St INSURERB:National Union Fire Ins. Co. of Pittsburg 19445-001 <br />. <br />. <br />Littleton, CO 80120 DIV13iv11 ul K <br />INSURERC: <br />M1nJ? ? arwftk INSURER D: <br />?_?'T111? 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 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 />INSR <br />LTR NDD' TYPEOFINSURANCE POLICY NUMBER POLICY EFFECTIVE <br /> <br />DATE (MM/DD1YYI POLICY AXPIRDATION LIMITS <br />A GENERAL LIABILITY 71PKG2209?204 7/1/2008 7/1/2009 EACHOCCURRENCE $ 2,000,000 <br /> -- -.X- -COMMERCIALGENERALLIABILITY_ ."_? <br />- <br /> <br />- DAMAGE(Ea oc re <br />DAMAGE <br />-PREMISES (Ea <br /> <br />$ -30.0-.000 <br /> <br /> CLAIMS MADE FX I OCCUR MEDEXP(Any oneperson) $ 51000 <br /> PERSONAL & ADV INJURY $ 2,000,000 <br /> GENERAL AGGREGATE $ 4,000,000 <br /> GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 4,000,000 <br /> POLICY X PRO- LOC <br />A AUT OMOBILE LIABILITY 71PKG2209204 7/1/2008 7/1/2009 COMBINED SINGLE LIMIT <br /> <br />X <br />ANY AUTO <br />(Ea accident) $ 1,000,000 <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> $ <br /> SCHEDULED AUTOS (Per person) <br /> X HIREDAUTOS <br />BODILY INJURY <br /> $ <br /> X NON-OWNED AUTOS (Per accident) <br /> X $5,000 Comp Deduct PROPERTYDAMAGE <br /> $ <br /> X 5 000 Coll Deduct (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHERTHAN EAACC $ <br /> AUTO ONLY: AGG $ <br />B EXCESS/UMBRELLALIABILITY 4890448 7/1/2008 7/1/2009 EACHOCCURRENCE $ 51000,000 <br /> <br /> X OCCUR F1 CLAIMS MADE AGGREGATE $ 5,000,000 <br /> <br /> DEDUCTIBLE $ <br /> X RETENTION $ 10100( $ <br /> <br />A <br />S COMPENSATION AND <br />' <br />71WCI2209104 <br />7/1/2008 <br />7/1/2009 C STATU - OTH- <br />X TWRYLIMI ER <br /> EMPLOY <br />EMPLOYERS <br />LIABILITY <br /> ANY PAOPFIETOR/PARTNFREXECUTIVE- ' ' - - - --' _ - 'E.L.EACHACCIDENT---- = $- 1 000-000-. <br /> OFFICER/MEMBER EXCLUDED? <br />E. L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br /> It yes, describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT $ 1,000,000 <br /> OTHER <br />DESCRIPTION OF OPERATIONSJLOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <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 />DATE THEREOF, THE ISSUING INSURER WILL 2WtK75iG1 2tK MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFt= L <br />XelfB'I;1?7LI4>?i751CX17F;?QIX?I'7f?}61Q?1CiiGIIi?C?51Q7f?143C7I?617F9CZ?C <br />Colorado Division of Minerals and Geology <br />1313 Sherman, Room 215 <br />Denver, CO 80203 <br />ACORD 25 (2001/08) <br />Coll:2403806 Tpl:800207 Cert:10987696 <br />© ACORD CORPORATION 1988.„_ <br />I