HomeMy WebLinkAbout20021675.tiff • •ACOl -. CERTIFICATE OF LIABILITY INSURANCE DAIS B6 zongn
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PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
Pinnacol Assurance AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
720 S.Colorado Blvd CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE
Suite 100,North Tower AFFORDED BY THE POLICIES BELOW.
DENVER CO 80246-1938 COMPANIES AFFORDING COVERAGE
COMPANY
A Pinnacol Assurance
INSURED COMPANY
CRAFTSMAN DECORATING INC B
403 16TH STREET COMPANY
GREELEY CO 80631 C
COMPANY
D
COVERAGES .. y�
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,
NOT WITHSTANDING ANY REQUIREMENT,TERM AND 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OP INSURANCE POLICY NUMBER POLICY EFFECINE POLICY EXPIRATION LIMITS
LTR DATE�'aM1)YYy) DATEo ddavO')
_GENERAL LIABILITY GENERAL AGGREGATE
COMMERCIAL GENERAL LIABR.rrT PRODUCTS•COMPIOP AGO
CLAIMS BADE OCCUR PERSONAL&ADV INJURY
_ OWNER'S B CONTRACTOR'S PROT EACH OCCURRENCE
FIREDAMAGE tAq nmal
MED EXP(Await MAW
_AUTOMOBILE LIABILITY
_ ANY AUTO COMBINED SINGLE LIMIT
_ ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (PK FREW
_ HIRER AUTOS BODILY INJURY
NON-OWNED AIMS Ina=Mm)
PROPERTY DAMAGE
GARAGE LIABILITY AUTO ONLY•EA ACCIDENT
_ ANY AUTO OTHER THAN AUTO ONLY:
EACH ACIDENT
AGGREGATE
EXCESS LIABILITY EACH OCCURRENCE
UMBRELLA TORN AGGREGATE
OTHER THAN UMBRELLA POEM `s
WORKERS COMPENSATION AND J WC STAN- U OTHER - 3
EMPLOYERS'LIABILITY TORY LLMITS .._
A _ 3057133 07/01/2002 07/01/2003 EL EACHAcnDENT $100,000
THE PROPRIETOR PARTNERS _ INCL EL DISEASE POLICY LIMIT $500.000
EXECUTIVE OFFICERS ARE: EXCL EL DISFARE FA EMPLOYEE $100,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS VEHICLES/SPECIAL ITEMS
SEE BACK OF CERTIFICATE FOR CI ASS COVERAGE AND OWNERSHIP COVERAGE DETAIL
CERTk'9CA'i' HU74sFH • • • • • • • • • • • CAT"CEi tteN
624151 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
WELD COUNTY GOVERNMENT EXPIRATION DATE THEREOF.THE ISSUING COMPANY WILL ENDEAVOR TO MAIL '
915 10TH ST _DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
GREELEY CO 80631 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES.!
AUTHORIZED REPRESENTATIVE
Charles Doggett
Underwriter
.A.C RD?S-SWMs': - • • dG6RDGORMIRATION 198$• ..,
•
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( 2002-1675
CERTIFICATE HOLDER COPY
WELD COUNTY GOVERNMENT
915 10TH ST
GREELEY CO 80631
POLICY NUMBER: 3057133
BUSINESS LOCATION: CRAFTSMAN DECORATING INC
CLASSIFICATION OF OPERATION COVERAGE COVERAGE RATING
CLASS DESCRIPTION EFFECTIVE EXPIRES TYPE
Affiliate Coverage: JEFFREY A PARKOS
547405 PAINTING/PAPER HANGING 07/01/2002 07/01/2003 CO
547405 PAINTING/PAPER HANGING 07/01/2002 07/01/2003 EM
881005 EXCLUSIVELY OFFICE 07/01/2002 07/01/2003 EM
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