HomeMy WebLinkAbout20022921.tiff DATE IMM/DDNYI
ACORDI, CERTIFICATE O LUABILLTY INSU ►NG , ; , 10/22/02
PRODUCER 402 961-7000 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
THE HARRY A. KOCH CO. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
PO BOX 45279 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
OMAHA NE 68145-0279 COMPANIES AFFORDING COVERAGE
COMPANY A TRAVELERS PROPERTY CASUALTY
INSURED COMPANY
Nienhueser Construction & B
Excavating Co. COMPANY
1500 10th Ave, PO Box 173 C
Sidney NE 69162 COMPANY
D
COVERAGES ! s`: i THIS IS TO CERTIFY THAT THE POLICIES
FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, LISTED
TERM OR CONDITION TO THE ABOVE
OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
ECERTIFICATE MAY BE ISSUED OR MAY XCLUSI0NS AND CONDITIONS OF SUCHPERTAIN, THE POL POLICIES.LIMITSSURANCE AFFORDED BY THE SHOWN MAY HAVE BEEN REDUCEDIES DESCRIBED BY PAID CLAIMS.
IS SUBJECT TO ALL THE TERMS,
POLICY EFFECTIVE POLICY EXPIRATION LIMITS
CO TYPE OF INSURANCE POLICY NUMBER DATE IMM/DONY1 DATE WM/DDNY)
LTR
A GENERAL UAMUTY C0345K7137
1O/O1/O2 10/01/03 GENERAL AGGREGATE $ 2000000
I
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 2000000
CLAIMS MADE X OCCUR PERSONAL&ADV INJURY $ 1000000
EACH OCCURRENCE $ 1000000
OWNER'S&CONTRACTOR'S PROT
FIRE DAMAGE(Any one tire) 9 300000
MED EXP(Any one person) $ 5000
A AUTOMOBILE UABIUTY 810345K7137 10/01/02 10/01/03 COMBINED SINGLE LIMIT 9 1000000
X ANY AUTO
ALL OWNED AUTOS BODILY INJURY $
(Per person)
SCHEDULED AUTOS
X HIRED AUTOS BODILY INJURY $
(Per accident)
X NON-OWNED AUTOS
PROPERTY DAMAGE 9
BIUTY AUTO ONLY-EA ACCIDENT $
GARAGE UATO
OTHER THAN AUTO ONLY
ANY AUTO
EACH ACCIDENT 8
AGGREGATE $
A EXCESS LIABILITY CUP345K7137 10/01/02 10/01/03 EACH OCCURRENCE $ 5000000
AGGREGATE 9 5000000
X UMBRELLA FORM
9
OTHER THAN UMBRELLA FORM WC STATU- OTH
A WORKERS COMPENSATION AND UB345K7137 10/01/02 10/01/03 X i TORY LIMITS I � ER
EMPLOYERS'LIABILITY EL EACH ACCIDENT $ 100000
EL DISEASE-POLICY LIMIT 9 500000
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE EL DISEASE-EA EMPLOYEE 8 100000
OFFICERS ARE: EXCL
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER NAME INCLUDES,WELD COUNTY COLORADO BY &THRU THE
BOARD OF COMMISSIONERS OF WELD COUNTY &THE OFFICERS &EMPLOYEES
C/O OFFICE OF PUBLIC WORKS
C Tt1I<tCAT�l £�LDEKt GIINGLi,AN'ION {:
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
WELD COUNTY COLORADO EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
BOARD OF COMMISSIONERS OF WELD 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL imp,— "n ree.ne wn& OR UABIUTY
PO BOX 758
OF ANY KIND UPON E COMP ITS
GREELEY CO 80632 AUTHORIZE J'EPRESENTATIV A 2002-2921
C c . clear
2$ C?GtsRPtfi TiGN € '
Hello