HomeMy WebLinkAbout20020463.tiff ACORD CERTIFICATE OF LIABILITY INSURANCkW RS DATE(MM/DD/YY)
ARNE 3 02/19/02
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Linden/Bartels & Noe Agency FC HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
1614 Oakridge Drive, Unit A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80525
Phone: 970-229-9304 Fax:97.0-229-1398" ._ INSURERS AFFORDING COVERAGE
INSURED ' INSURER A: Bituminous Insurance
INSURER B: CCIA/Pinnacol Assurance
Farner Enterprise§;`Inc. INSURER C:
12280 Sable Blvd. INSURER D:
Brighton CO 80601
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.
INSR '_POLICY EFFECTIVE- LI Y E PI TION
LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) I LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
A XX I COMMERCIALGENERaL LIABILITY CLP3086277B 04/25/01 04/25/02 FIRE DAMAGE(Any one are) $ 100,000
CLAIMS MADE X OCCUR MED EXP(Any one person) $ 10,000
BLANKET ADDITIONAL PERSONAL&ADVINJURY $ 1,000,000
INSUREDS APPLY ' GENERAL AGGREGATE $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000
POLICY X PRO LOC
JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
A X ANY AUTO CAP3113160B 04/25/01 04/25/02 (Ea 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 $ 3,000,000
A X OCCUR CLAIMSMADE CUP2533432B I 04/25/01 04/25/02 AGGREGATE $ 3,000,000
DEDUCTIBLE
RETENTION $ WC 1U- $
WORKERS COMPENSATION AND X ORVILM TS OER
EMPLOYERS'LIABILITY
B 4031163 07/01/01 97/01/02 EL.EACH ACCIDENT $ 1000000
E.L.DISEASE-EA EMPLOYEE $ 1000000
EL.DISEASE-POLICY LIMIT $ 1000000
OTHER
A Leased/Rented Equp CLP3086277B 04/25/01 04/25/02 $500 Ded. 250,000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONSADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Re: Aristocrat Ranchettes; Certificate holder is named as Additional
Insured as respects the General Liability.
CERTIFICATE HOLDER Y I ADDITIONAL INSURED;INSURER LETTER: CANCELLATION
WELD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Weld County OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
P O Box 758 REPRESEN ATIV T/ •
Greeley CO 80632 et-m,
Mich I
V�
Mich el D. Pierce
ACORD 25-$(7197
7" Q/e7/O14 @A 2002-0463
r?-07.5-- c�"'�Z
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