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Home My WebLink About20023061 ACORD CERTIFICATE OF LIABILITY INSURANCcoal. Li DATE 1 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Brown & Brown Inc - Longmont HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR I 825 Delaware, Suite P-102 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Longmont CO 80501 - -1 Phone: 303-776-3421 INSURERS AFFORDING COVERAGE INSURED INSURER A: MOUNTAIN STATES MUTUAL J INSURER B: Pinnacol Assurance I Bowen Enterprises DBA Centennial Backhoe INSURER c: P.O. Box 184 INSURER D'. Longmont CO 80501 I INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRTR POLICY EFFECTIVE POLICY EXPIRATION - -- ) L TYPE OF INSURANCE POLICY NUMBER DATE IMMIDD/YYI DATE IMM/DDYI I IY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CPP006954901 11/01/02 11/01/03 FIREDAMAGE(Anyonefire) I $ 100,000 I CLAIMS MADE I X OCCUR MED EXP(Any one person) $ 10,000 I PERSONAL&ADV INJURY $ 1,000,000 I GENERAL AGGREGATE $ 2,000,000 GENII AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 I X POLICY MT- I LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 00G 000 A X ANY AUTO BAP0069550 11/01/02 11/01/03 (Ea accident) r r ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) j GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ I ANY AUTO EA ACC $ I OTHER THAN AUTO ONLY: AGG $ I EXCESS LIABILITY EACH OCCURRENCE $ ) OCCUR CLAIMS MADE AGGREGATE ; $ I $ I DEDUCTIBLE $ I RETENTION $ $ il WORKERS COMPENSATION AND IXI TORY LIMITSI i-PER B EMPLOYERS'LIABILITY 1085770 04/01/02 04/01/03 I EL EACH ACCIDENT $ 100000 i I E.L.DISEASE-EA EMPLOYEE $ 100000 E.L.DISEASE-POLICY LIMIT $ 500000 OTHER A Inland Marine CPP0069549 11/01/02 11/01/03 Owned Eq. $443,000 Rental Eq $ 50,000 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER I N ADDITIONAL INSURED;INSURER LETTER: CANCELLATION WELDCOU SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL _1_0_DAYS WRITTEN WELD COUNTY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL DEPT. OF PUBLIC HEALTH S ENV. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 1555 N. 17TH AVE. GREELEY CO 80631 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE - - Reaina Casey ACORD 25-S(7/97) ©t.------- -- C�7 �u, .o 2002-3061 Hello