HomeMy WebLinkAbout20020266.tiff ACORD CERTIFICATE OF LIABILITY INSURANC ID DY DATE(MMIDD YY)
LCO-1 01/25/02
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Linden/Bartels & Noe Agency GR HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
3459 W 20th Street Suite 224 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Greeley CO 80634
Phone: 970-356-1133 Fax:970-356-4086 INSURERS AFFORDING COVERAGE
INSURED INSURERA: EMC Insurance Companies
INSURER B: Pinnacol Assurance
H & L Concrete, Inc. INSURER C:
Herman Naranjo
651 28th Street INSURER 0:
Greeley CO 80631-8436
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.
LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DDIYY) DATE(MMIDD/YY) LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
A X COMMERCIAL GENERAL LIABILITY 2D44362 02/18/02 02/18/03 FIRE DAMAGE(Any one fire) $ 100,000
J CLAIMS MADE X OCCUR MED EXP(Any one person) $ 5,000
X PER PROJECT AGGREGATE PERSONAL BADV INJURY $ 1,000,000
X PRIMARY/NON- CONTRIBUTORY GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000
POLICY X PRO-
JECT LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $ 1,000,000
A X ANY AUTO 2E44362 02/18/02 02/18/03 (Ea accident)
ALL OWNED AUTOS (INCLUDES HIRED &
SCHEDULED AUTOSPer person)ILY $
NON-OWNED AUTOS) ( person)
HIRED AUTOS
BODILY INJURY $
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO N/A
OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $ 1,000,000
A X I OCCUR CLAIMSMADE 2J44362 02/18/02 02/18/03 AGGREGATE $ 1,000,000
DEDUCTIBLE
$
X RETENTION $ 10,000 $
WORKERS COMPENSATION AND X TORVLIMITSI IOER
EMPLOYERS'LIABILITY
B
1452910 06/01/01 06/01/02 E.L.EACH ACCIDENT $ 100,000
E.L.DISEASE-EA EMPLOYEE $ 100,000
E.L.DISEASE-POLICY LIMIT $ 500,000
OTHER
Installation
$150,000. Special
A Floater 2C44362 02/18/02 02/18/03 Perils, $1,000. Ded
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
PROJECT: Rehabilitation of Bridge Abutments. Weld County, Colorado by and
through the Board of County Commissioners of Weld County, its employees and
agents are an ADDITIONAL INSUREDS under the General Liability, but only with
respects to Liability arising out of the insureds operations.
CERTIFICATE HOLDER I Y I ADDITIONAL INSURED;INSURER LETTER:_ CANCELLATION
WCBOARD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL IIIIRIVISRXED MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFTsaleldielliall
Weld County Board
_
of County Commissioners
P.O. Box 758
Greeley CO 80632
I2n4 ,V . ZAz=,
CORD 25-S(/7197) ,/a/
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/ 39 - 6'Dr2 2002-0266
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