HomeMy WebLinkAbout20010608.tiff ACORQ CERTIFICATE OF LIABILITY INSURANCE 22-FEB-2OO1
PRODUCER , 60924 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Willis of Texas,Inc. r) . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
13355 Noel Road -- "" HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Suite 4OO - ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
One Galleria Tower COMPANIES AFFORDING COVERAGE
Dallas TX 7 524O-6 61 2 ) ?_ ° �"� 22977-002 IDALL)
(972)385-9800 COMPANY Lumbermens Mutual Casualty Company
Pam Beck A
INSURED
-- -' 30562-002 _MALL)( � ! COMPANY American anufacturers Mutual Insurance Company
SKE Support Services,Inc.
48O1 Spring Valley Road COMPANY
Suite 1258
Dallas TX 75244 COMPANY
D
COVERAGES ": ! i' 3
THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
COIITYPE OF INSURANCE POLICY HUMBER
POLICY EFFECTIVE POLICY EXPIRATION
LTR DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS
A GENERAL LIABILITY 4LSOO19OOOO O1-JUN-2OOO O1-JUN-2OO1 GENERAL AGGREGATE $ 2.000,000
X COMMERCIAL GENERAL UABILITY PRODUCTS-COMP/OP AGG $ 2.000,000
CLAIMS MADE X OCCUR PERSONAL&ADV INJURY $ 1,000,000
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1.000.000
FIRE DAMAGE(Any one fire) $ 50.000
MED EXP(Any one person) $ 5,000
B AUTOMOBILE LIABILITY A0S F4YO323O7OO O1-JUN-2OOO O1-JUN-2OO1
B X ANY AUTO TX E4Y03056000 O1-JUN-2OOO 01-JUN-2001COMBINED SINGLE LIMIT $ 1.000.000
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person)
X HIRED AUTOS
BODILY INJURY
XNON-OWNED
$
NON-OW NED AUTOS (Per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY
EACH OCCURRENCE $
UMBRELLA FORM
AGGREGATE $
OTHER THAN UMBRELLA FORM $
A WORKERS COMPENSATION AND AOS 58A129634OO O1-JUN-2OOO O1-JUN-2OO1 X TTYORr UMlT5 IERH
A EMPLOYERS'LIABILITY ND 5BA129633OO O1-JUN-2OOO O1-JUN-2OO1 EL EACH ACCIDENT $ 1.000,000
THE PROPRIETOR/ X INCL
PARTNERS/EXECUTIVE EL DISEASE-POLICY UMIT $ 1.000.000
OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 1.000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
SEE ATTACHED
CER1IRCATEH£LDER CANCEU.,ATI0N EXa9M]0daysiMNdn-payfRetT
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTI ATE HOLDER NAMED TO THE LEFT,
Board of County Commissioners of Weld County BUT FAILURE AIL SUCH NOTICE SHAL POS NO TION OR LIABILITY
915 Tenth Street OF AN .t,IND UPON THE COMPAN RESENTATIVES.
Greeley CO 80632 AUTH•- ED RE
ACORD 5-S 1195}} ,, ! BSSJOBS
('2)4 /i (4 ',41' 8-s"- , e)c2/ r66
2ili)`I-060f;
�� ISSUE DATE(MM/DDryY
JQG� pF '. 22-FEB-2001
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT,,AMBNp„$� D OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
L- _ 60924 ,1_
INSURED PROlDUCof 0'91'
- - - --. Willis ER Texas,Inc.
13355 Noel Road
SKE Support Services,Inc. .. — ; 1 9: 20 Suite 400
4801 Spring Valley Road `- • One Galleria Tower
Suite 125B Dallas TX 75240.6612
Dallas TX 75244 . - -) (972)385-9800
Pam Beck
THIS IS TO CERTIFY THAT 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. LIMITS MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBED DATE(MM/DDTYY) DATE(MM/DD/YY) LIMITS
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
All policies indicated are primary and non-contributory as respects any other
insurance in force .
It is a condition of the General Liability policy that the general aggregate
applies on a per project basis .
Re : All operations of the insured during the Performance Period:
01 Jan 2000 through 31 Dec 01
It is a condition of the General Liability, Automobile Liability and
Workers ' Compensation policies that Weld County, Colorado and Weld County
Library Association are hereby added as additional insureds , only to the
extent assumed by the insured under the written contract, subject to the
policy terms , conditions and exclusions .
CER71FIC11TE H LDER .. :. CANCELLAT N EXceM 10 flys ta^Naf payment .
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFI ATE HOLDER NAMED TO THE LEFT,
Board of County Commissioners of Weld County BUT FAILURE AIL SUCH NOTICE SNAL OS NO 0 LIG T1ON OR LIABILITY
915 Tenth Street OF ANY . ND ON THE COMPANY, I TS ENTATIVES.
Greeley CO 80632 AU • r ED R
WILDS 2$Ws BSSJOBS S W IIS 1995
CM'S 9/ 4967//a/eZ 3 s &'C/
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