HomeMy WebLinkAbout20030715.tiff ACORDI, CERTIFICATE OF LIABILITY INSURANCE 3isi(M 0�)
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Bowen, Miclette & Britt, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
1111 North Loop West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Suite 400
Houston TX 77008 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURERA: Continental Casualty Company 20443
Riviera Electric, LLC INSURERS: Royal Insurance Co. of Americ 26980
5001 S. Zuni St. INSURERC: American Cas. Co of Reading P 20427
INSURER D:
Littleton CO 80120 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 ADD'L POLICY EFFECTIVE POLICY EXPIRATION
I TR LORD TYPF OF INSURANCE POLICY NUMBER D4TF IM)mDWYY) DATEIMMIDD/YYI LIMITS
A GENERAL LIABILITY GL251926424 2/27/2003 11/1/2003 EACH OCCURRENCE S 1,000, 000
X COMMERCIAL GENERAL LIABILITY PREMISESO a RENTED
ojre Tel $ 250,000
PREMISES(
CLAIMS MADE X OCCUR MEDEXP(Any one person) $ 5,000
PERSONAL&ADV INJURY S 1,000,000
GENERAL AGGREGATE $ 2,000,000
G�EN'L AGGREGATE G LIMN APPLIES� PER: PRODUCTS-COMP/OPAGG $ 2,000,000
I
POLICY IA I J78FI 1 LOC
A AUTOMOBILEUABILNY BUA251926441 2/27/2003 11/1/2003
COMBINED SINGLE LIMIT $ 1,000,000
X ANY AUTO (Es accident)
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per parson)
X HIRED AUTOS BODILY INJURY
X NON-OWNED AUTOS (Per oxidant)
PROPERTY DAMAGE §
(Per arsident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
I ANY AUTO OTHER THAN
EA ACC $
AUTO ONLY: AGG $
B EXCESS)UMBRELIA LIABILITY P2HN019289 2/27/2003 11/1/2003 EACH OCCURRENCE $ 5, 000, 000
X I OCCUR CLAIMS MADE AGGREGATE $ 5, 000, 000
S
-idDEDUCTIBLE §
RETENTION $ 10,000 I
C WORKERS COMPENSATION AND WC251926410 2/27/2003 11/1/2003 X ITWCSTATU-LIMITSI 1OTH
I ER
EMPLOYERS'I SARI'ITY -
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000
OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 1,000,000
R yes,desoibe under
SPECIAL PROVISIONS below E.L.DISEASE-POLICY UNIT 5 1,000,000
OTHER
DESCRIPTOR OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
Weld County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER
1555 North 17th Avenue WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE
CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO
SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON
THE INSURER, ITS AGENTS OR REPRESENTATIVES.
Greeley CO 80632
/,,y)-y�,.,.,, AUTHORIZED REPRESENTATIVE
ACORD 25(2001/08) y/7 ®ACORD
>>CORPORATION
1988
Of�L - �/ /c
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