HomeMy WebLinkAbout20022634.tiff ACORD CERTIFICATE OF LIABILITY INSURANC ID
�4 s] DATE(MM/DD/YY)
4 09/19/02
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
I - ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HRH/Linden l ?HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
4100 E. Mississippi Ave, #900 -ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Denver CO 80246
Phone: 303-756-6700 Fax:303-756-7300 r rz INSURERS AFFORDING COVERAGE
Z,LY Li
INSURED INSURERA St. Paul Fire & Marine
r- INSURER B: Pinnacol Assurance
Varra Companies, Inc. �i_UJ Ill SURER
P.O. Box 2049 INSURER D:
Broomfield CO 80038
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REOUIREMENT,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,
INSR DATE EFFECTIVE POLICY A 1 MM DWY)EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBERLIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1000000
A X COMMERCIAL GENERAL LIABILITY KK08301864 10/01/02 10/01/03 FIREDAMAGE(Anyanelre) $50000
CLAIMS MADE `XJ OCCUR MED EXP(My one person) $ 5000
CONTRACTUAL LIAR INCLUDED PERSONAL BADV INJURY $1000000
GENERAL AGGREGATE $2000000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2000000
POLICY X MT- LOC
JEC
AUTOMOBILE LIABILITY
A X ANY AUTO KK08301864 10/01/02 10/01/03 COMBINED SINGLE LIMIT $ 1DDDDGD
accident)
ALL OWNED AUTOS
BODILY INJURY $
SCHEDULED AUTOS (Per Person)
X HIRED AUTOS
BODILY INJURY
X NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $1000000
A X IOCCUR CLAIMS MADE KK08301864 10/01/02 10/01/03 AGGREGATE $1000000
X DEDUCTIBLE $
RETENTION $ 10,000 $
WORKERS COMPENSATION AND XI 0 VILIMITSI UER
B EMPLOYERS'LIABILITY 3248544 10/01/02 10/01/03 EL.EACH ACCIDENT $500000
COR? OFFICERS INCLUDED E.L.DISEASE-EA EMPLOYEE $500000
E.L.DISEASE-POLICY LIMIT $500000
OTHER
A Leased/Rented CK08307896 10/01/02 10/01/03 Max Any
Equipment One Item 300,000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
ALL OPERATIONS
CERTIFICATE HOLDER I N I ADDITIONAL INSURED;INSURER LETTER: CANCELLATION
WELDC-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 32 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
LD COUNTY IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
WEPO Box 756 REPRESENTATIVES.
GREELEY CO 80632 AiREEE E TIVE
ACORD 25-S(7/97) 188
C. t�A4-64 (74--(-7-764,k 2002-2634
Oc - -o._z
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