HomeMy WebLinkAbout20022660.tiff ACORD CERTIFICATE OF LIABILITY INSURANC I4 sTI DATE(MM/DDIYY)
4 09/19/02
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
-.ONLY AND,CONFERS NO RIGHTS UPON THE CERTIFICATE
HRH/Linden _ _*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:303-756-7700 _ INSURERS AFFORDING COVERAGE
- It. rr•.
INSURED INSURER A 'Sf.. Paul Fire & Marine
INSURER B: Pinnacol Assurance
Varra Companies, Inc. ,I
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 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 TYPE OF INSURANCE POLICY NUMBER POLICY
PDATE(MMIPOID/TON LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1000000
A X COMMERCIAL GENERALLIABILITY IC(08301864 10/01/02 10/01/03 FIRE DAMAGE(Any one fire) $50000
CLAIMS MADE XIOCCUR MEDEXP(Any one person) 35000
CONTRACTUAL LIAR INCLUDED PERSONAL SADV INJURY $ 1000000
GENERAL AGGREGATE $2000000
GEM_AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2000000
POLICY X JET I LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
A X ANY AUTO KK08301864 10/01/02 10/01/03 (Ea accident)
$1000000
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 $
EXCESSLIABIUTY EACH OCCURRENCE $ 1000000
A X I OCCUR CLAIMS MADE KK08301864 10/01/02 10/01/03 AGGREGATE $ 1000000
X DEDUCTIBLE $
RETENTION $10,000 $
WORKERS COMPENSATION AND XI RY LIMITSI IUER
B EMPLOYERS'LIABILITY 3248544 10/01/02 10/01/03 E.L.EACH ACCIDENT s500000
CORP OFFICERS INCLUDED E.L.DISEASE-EA EMPLOYEE $500000
E.L.DISEASE-POLICY LIMIT $500000
OTHER
A Leased/Rented CK08307896 10/01/02 10/01/03 Max Any
Equipment One Item 300,000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
All Operations - All Locations
�:U L ,,rtmEnt
S F.? 2 5 2002
CERTIFICATE HOLDER I N ADDITIONAL INSURED;INSURER LETTER: CANCELLATION WELDCOU SHOULD ANY OF THE ABOVQDESCRIBED POLICIES SE CAaLLED BEFORE THE EXPIRATIO
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL i4,,DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
Weld County IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
Dept of Planning Services
1400 No. 17th Avenue REPRESENTATIVES.
Greeley CO 80631 AIREP$E$E TINE
ACORD 25-S(7/97)
2no2-2sso
(moat aienit. 9-30--aoo
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