HomeMy WebLinkAbout20001154.tiff CQBP P ID_ CERTIFICATE OF LIABILITY INSURANCE,GA RS
- I- DATE`MM,LL°'Y)
GRSL 03/14/00
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Linden\Bartels & Noe Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Fort Collins HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
2900 South College Ave Ste. 2A ALTER THE COVERAGE AFFORDED BY THE POLICIES BE_OW.
Fort Collins CO 80525
Phone: 970-229-9304 Fax:970-229-1398 ,. _ INSURERS AFFORDING COVERAGE
INSURED INSURER A: Dee South of Colorado _
INSURER B: Superior National Ins . Group
C G R S, Inc. INSURER C:
P. O. Box 1489 INSURER D:
Ft. Collins CO 80522 -- -
__L__ I INSURER E:
COVERAGES
THE°OLICIBS 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.
INSIC POLICY EFFEC FIVE POLICY EXPIRATION
LTRI TYPE OF INSURANCE POLICY NUMBER DATE(MM/ODIYY) I DATE(MM/DD/YY) LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
7 COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $
CLAIMS MADE OCCUR MED EXP(Any one person) S
F PERSONAL&ADV INJURY $
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COME OP AGG $
7 r POLICY` PRJEOT O- I 1 LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
A X1 ANY AUTO DMA000000404 03/16/00 03/16/01 (Ea accident) i $ 1,000,000
i--H
'r ALL.OWNE:D AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person) -—_
X HIRED AUTOS BODILY INJURY $
IrX NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE
— — (Per accident)
1 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
! 7 ANY AUTO OTHER THAN
PiEA ACC $
yI AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE S
_] OCCUR [I CLAIMS MADE AGGREGATE S
$
'rte
I DEDUCTIBLE S
rRETENTION $ $
I WORKERS COMPENSATION AND X WC /
TORY LI
MITS Eft
EMPLOYERS'LIABILITY
B W002153966 02/01/00 01/01/01 E.L.EACH ACCIDENT $ 100000
E.L.DISEASE-EA EMPLOYEE: $ 100000
E.L.DISEASE-POLICY LIMIT I $ 500000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
ALL OPERATIONS/ALL LOCATIONS. CERTIFICATE HOLDER IS NAMED AS ADDITIONAL
INSURED WITH RESPECTS TO AUTOMOBILE LIABILITY.
CERTIFICATE HOLDER I Y ADDITIONAL INSURED;INSURER LETTER: A CANCELLATION
WELD-02 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
WELD COUNTY EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL
C/10 OFFICE OF PUBLIC WORKS 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
ATTN: DON SUMMERS LEFT.BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
P.O. BOX 758
GREELEY CO 80632 ANY KIND UPON THE INSURER,T ENTS OR REPRESENTATIVES.
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I Jeff Broyles A
ACjRD 25-S(7/97)
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2000-11:54
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