The URL can be used to link to this page

Browse Search

Home My WebLink About20030316 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID T2 DATE(MM/DDm) ECL-1 01/30/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Brown & Brown Inc - Longmont HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 825 Delaware, Suite P-102 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Longmont CO 80501 Phone: 303-776-3421 INSURERS AFFORDING COVERAGE INSURED INSURER A: MOUNTAIN STATES MUTUAL INSURER B: OHIO CASUALTY GROUP Joe Clark Excavating INSURER C: 2128 Lake Park Dr. INSURER D: Longmont CO 80503 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 ATE(MMIDD/YY)E POLICY (MMIIDD/YY) LIMITS LTR TYPE OF INSURANCE POLICY NUMBER GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CPP 0069896 01/26/03 01/26/04 FIREDAMAGE(Anyonefire) $ 100,000 CLAIMS MADE X OCCUR MED EXP(Any one person) $ 10,000 PERSONAL SADV INJURY $ 1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 j X POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 500 000 B X ANY AUTO BAW50432777 01/26/03 01/26/04 (Ea accident) r I ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ 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 I EACH OCCURRENCE $ OCCUR I CLAIMS MADE AGGREGATE $ $ I DEDUCTIBLE RETENTION $ I $ WORKERS COMPENSATION AND WCSI AN- OTH- EMPLOYERS'LIABILITY TORY LIMITS ER E.L.EACH ACCIDENT $ E.L.DISEASE-EA EMPLOYEE F$ E.L.DISEASE-POLICY LIMIT'T.$ I OTHER ) DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS t • CERTIFICATE HOLDER I N ADDITIONAL INSURED;INSURER LETTER: CANCELLATION WELDCOU SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL _1_0_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Weld County Government IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 915 10th St. Greeley CO 80632 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Karen Roe ACORD 25-S(7/97) ©ACORD CORPORATION 1988 e�c /2 -O� Hello