HomeMy WebLinkAbout20010391.tiff WI CERTIFICATE OF INS 25-S I I 1/ 9/191 I $$::: O$;:
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF
Riedman Corporation INFORMATION ONLY AND CONFERS NO RIGHTS UPON
P.O. Box 1439 THE CERTIFICATE HOLDER. THIS CERTIFICATE
Longmont, CO 80502-1439 DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
(303) 776-3421 Fax (303) 776-3219 AFFORDED BY THE POLICIES BELOW.
INSURED hk :eleX I COMPANIES AFFORDING COVERAGE I }Qp}$$$5555$;:
BOWEN ENTERPRISES DBA COMPANY A: MOUNTAIN STATES
CENTENNIAL BACKHOE COMPANY B :
P.O. BOX 184 COMPANY C:
LONGMONT CO 80501 COMPANY D :
I I COVERAGES I I
This is to certify that 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 olicies. Limits shown may have been reduced b aid claims.
I' COI INSURANCE MEI POLICY NUMBER & DATES I I LIMITS : ::::}'r' :::: ir :{r' : I
GENERAL LIABILITY CPP0069549 $2 , 000, 000 General Agg
[X] Comm Gen Liab Eff 01/09/01 Exp 01/09/02 $2 , 000, 000 Pro/Co Ops Agg
A [ ] CM [X] Occur $1, 000, 000 Pers/Adv Inj
[ ] OCP Eff / / Exp / / $1, 000, 000 Ea Occurrence
[ ] $ 50, 000 Fire Damage
[ ] Eff / / Exp / / $ 5, 000 Medical Exp
AUTO LIABILITY BAP0069550
[X] Any [ ] All Own Eff 01/09/01 Exp 01/09/02 $1, 000, 000 CSL
A [ ] Schd [X] Hired $ BI (person)
[X] Non-Owned Eff / / Exp / / $ BI (accident)
[ ] [ ] $ Property Dam
GARAGE LIABILITY $ Auto-Each Acc
[ ] Any Auto Eff / / Exp / / $ Other-Ea Acc
[ ] [ ] $ -Aggregate
EXCESS LIABILITY $ Occurrence
[ ] Umbrella Form Eff / / Exp / / $ Aggregate
[ ] Other Than Umb $
[ ] WC Stat Lmts [ ] Other
WC/EMP LIABILITY $ EL Each Acc
[ ] Incl [ ] Excl Eff / / Exp / / $ EL Dis-Pol Lmt
Prop/Part/Execs $ EL Dis-Ea Emp
Eff / / Exp / /
Description of operations/locations/vehicles/special items
I CANCELLATION I
;KffQo:;:} I CERTIFICATE HOLDER I r r $$:: $$5$ Should any of the above described policies
be cancelled before the expiration date
thereof , the issuing company will endeavor
WELD COUNTY to mail 10 days written notice to the
DEPT OF PUBLIC HEALTH & ENV. certificate holder named to the left, but
1555 N. 17TH AVE. failure to mail such notice shall pose no
GREELEY CO 80631 obligation or liability of any kind upon
the company, its agents or reps .
'Authorized Representative '
irelent J
va-D7-,260/
2001-0391
CEatEnlilaL 93aCI%OE
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LA. ai
P.O.Box 181.101 E.10th Ave.• Longmont,CO 80501• (303)851.7010• Fa(303)776.2886
January 12, 2001
Re: New Certificate Of Insurance
To All Insurance Certificate Holders:
Please find enclosed a new Certificate Of Insurance for ow General Liability and Auto
Liability policies. Due to continuing price increases tom ow previous Instance
Company and Insurance Broker,we found it necessary to cancel ow existing policies and
replace them with the new policies enclosed. Please note that ow Wormers Compensation
and Employer's Liability remains the same. Ifyou have any questions please feel tee to
contact me at 303-651-2010.
Sincerely,
Lisa Gordon
Office Manager
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