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Home My WebLink About20000109 A CORD ` .'' 'I r: sE 7" 1L U r I SURA DATE Imm/DDm) TM,z o rs� `zr;g€r.<dz&.�, s .. - t . . ,<i 3-.i PRODUCER (303)939-9921 FAX (303)939-9926 IHIb(.ikII�YCA(EISIssutuASA�1ATI�ItUFINHORMAnoN ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Moody-Herbert Insurance Agency, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 275 South Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 208 COMPANIES AFFORDING COVERAGE Longmont, CO 80501 COMPANY Pinnacol Assurance Attn: Ext: A INSURED COMPANY Nixcavating, Inc. Scott Nix e P 0 Box 2232 COMPANY Longmont, CO 80501 C COMPANY....... D £ez< n,.eO.fl Liz / Iva, .tEI €4.P r"al,n,t,.. 81as Tr. 'FMS s al Sri =A..L R e a„e ti ALL 93 6 r @` lo-E,. iu F 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. CO POLICY EFFECTIVE POLICY EXPIRATION. LIMITS LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DORY) DATE(MI/DPP/VI GENERAL LIABILITY GENERAL AGGREGATE $ _. COMMERCIAL GENERAL LIABILITY - PRODUCTS-COMP/OP AGG $ ItEu CLAIMS MADE . OCCUR PERSONAL&ADV INJURY $ OWNER'S 8 CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) S MED EXP(Any one person) $ _. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per Person) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY ! $ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE S GARAGE LIABILITY AUTO ONLY EA ACCIDENT S ANY AUTO OTHER THAN AUTO ONLY: 5 ?' i - EACH ACCIDENT S _.... _._ AGGREGATE $ _... EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM S WORKERS COMPENSATION AND we el Alu- UIH ' i I TORY LIMITS ER EMPLOYERS'LIABILITY EL EACH ACCIDENT $ 100,000 A THE PROPRIETOR/ INCL '.2113100 01/01/2000 01/01/2000 EL DISEASE-POLICY LIMIT $ 500,000 PARTNERS/EXECUTIVE EL DISEASE-EA EMPLOYEE $ 100,000 OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS 411 Operations/All Locations„wfpKttg �n *.. .I3 ` $` gf if`P4 t h,I,: (, .1 I.fr cZf ¢'I Sxat.r if r? P/ 4 tea,' fFkt { qIfiaiJ f r tr i. .8. i.`j.¢.#,F 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 CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Weld County Office of Public Works P. 0. Box 758 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Greeley, CO 80632 Sally Herbert p*SS(t Yip a<..a a ,. < .. .a,r, a` s , . 6,_ . .`.. _ 2000-0109 MERCOM2 ACORDTM CERTIFICATE OF INSURANCE 10/26/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Van Gilder Insurance Corp. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 700 Broadway, Suite 1000 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Y rALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80203 COMPANIES AFFORDING COVERAGE COMPANY - AHartford Insurance Group INSURED COMPANY Merrick & Company B P .O. Box 22026 COMPANY 2450 S . Peoria St . C Denver, CO 80222 COMPANY �_- -- D COVERAGES 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DDNY) DATE(MM/DD/YY) A GENERAL LIABILITY 34SBKDW6156VRS 11/01/99 11/01/00 GENERAL AGGREGATE $2, 000 , 000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGO $2, 000, 000 CLAIMS MADE X OCCUR PERSONAL BADV INJURY $1,.000 , 000_ OWNER'S&CONTRACTOR'S PROT I EACH OCCURRENCE I$1, 000 , 000 FIRE DAMAGE(Any one fire) $-_ 300 , 000 MED EXP(Any one person) $ 10 , 000 A AUTOMOBILE LIABILITY 34UENES1497 111/01/99 11/01/00 COMBINED SINGLE LIMIT $1 , 000 , 000 X ANY AUTO ALL OWNED AUTOS BODILY INJURY ICI$ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) I$ - -.-I -.--.— PROPERTY DAMAGE I$ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO 'OTHER THAN AUTO ONLY EACH ACCIDENT $ AGGREGATE $ A EXCESS LIABILITY 34XHUES1203 11/01/99 11/01/00 LEACH OCCURRENCE $10 , 000 , 000 XJ UMBRELLA FORM AGGREGATE $10 , 0 0 0_ ,-0 0 0 I OTHER THAN UMBRELLA FORM A WORKERS COMPENSATION AND 34WBAY3311 11/01/99 11/01/00 X STATUTORY_LIMITS EMPLOYERS'LIABILITY EACH ACCIDENT $100 , 000 THE PROPRIETOR/ INCL DISEASE-POLICY LIMIT 600 , 000 PARTNERS/EXECUTIVE -- -- -- --- -- -- OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE $100, 000 A OTHER Electronic 34MSES1238I 11/01/99 11/01/00 Limit : $4 , 896 , 000 Data Processing Laptop Ded: $1, 000 Other Ded: $250 Coins : 80% R/C DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION t SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Weld County Public EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Works Department 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. 933 N. 11th Ave . BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Greeley, CO 80631 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHO IZED REPRESENTATIVE • ACORD 25-S(3193)11 of 1 #M76140 - SDM © ACORD CORPORATION 1993 Am4 'LIMt ii-Uvht D/—)o-,-5260C) A�.��►IL® CERTIFICATE CF INSURANCE ISSUE (M 11/ 8/1999 PRODUCER - _...i _... ..._.. _-._. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE Six & Geving Insurance, Inc. DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 6208 Lehman Dr, Ste 300 POLICIES BELOW. Colorado Springs, CO 80918 COMPANIES AFFORDING COVERAGE (719) 590-9990 FAX (719) 590-9992 LEITER ° Y A UNITED SECURITY INSURANCE CO. COMPANY B INSURED LETTER CG AND S CO. , INC. COMPANY C 1548 4TH AVE. LEITER GREELEY, CO 80631 COMPANY LETTER D COMPANY E LETTER 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. L� TYPE OF INSURANCE POUCY NUMBER POUCY EFFECTIVE POLICY EXPIRATIONDATE (MM/DOHY) DATE(MMAD/YY) LIMITS A GENERAL LIABILITY GENERAL AGGREGATE $ 2, 000, 000 X COMMERCIAL GENERAL LIABILITY 010299 PRODUCTS-COMP/OP AGO. $ 2, 000, 000 CLAIMS MADE X OCCUR. 09/23/99 09/23/00 PERSONAL&ADV. INJURY $ 1, 0 0 0, 0 0 0 OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ 1, 0 0 0, 0 0 0 FIRE DAMAGE(Any one fire) $ 50, 000 MED.EXPENSE(My one person) $ 5, 00 0 AUTOMOBILE LIABILITY A X ANY AUTO COMBINED SINGLE 010299 LIMIT $ 1, 000, 000 X ALL OWNED AUTOS 09/23/99 09/23/00 BODILY INJURY X SCHEDULED AUTOS (Per parson) $ X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accidenp $ GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY A X UMBRELLA FORM EACH OCCURRENCE $ 1, 0 0 0, 0 0 0 010299 09/23/99 09/23/00 AGGREGATE $ 1, 000, 000 OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION STATUTORY LIMITS AND EACH ACCIDENT $ EMPLOYERS'LIABILITY DISEASE-POLICY LIMIT $ DISFAS -EACH EMPLOYEE $ OTHER A INLAND MARINE 010299 09/23/99 09/23/00 SCHEDULED EQUIP DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLEWSPECIAL ITEMS ALL PROJECTS, ALL LOCATIONS CE$'fl ckm ROWER CANC91,LA7tOM 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 CERTIFICATE HOLDER NAMED TO THE WELD COUNTY PUBLIC WORKS DEPT. LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. P.O. BOX 758 AUTO ®REPRESENTATIVE GREELEY CO 8O632-O758 ACORD 25-S (7790) `@AGORA CORPG3IA11ON 1990 !_: C w wLa. C7/-/O-�c3rL� Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND,EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. This is to Certify that Name and C G& S CO INC address of LIBERTY 1548 4Th AVE Insured MUTUAL. GREELEY CO 80631-4146 is,at the issue dote of this certificate,insured by the Company under the policy(iesi listed below. The insurance afforded by the listed policy(ies)is subject to all their terns,exclusions and conditions and is not altered by any requirement,term or condition of any contract or other document with respect to which this certificate may be issued. -"ERTIFlGAIE tXP.DAIS TYPE OF POLICY • p CONTINUOUS POLICY NUMBER LIMIT OF LIABILITY p EXTENDED ® POLICY TERM Coverage Afforded Under EMPLOYERS LIABILITY WC Law of the Following States: 10/1/00 WC7-59R-415858-019 CO Bodily Injury By Accident Accident WORKERS $500,000 COMPENSATION Bodily Injury By Disease moiicy Ll $500,000 Bodily Injury By Disease Each $500,000 Person GENERAL LIABILITY N/A $eneral Aggregate-Other than Prod/Completed Ops n CLAIMS MADE Products/Completed Operations Aggregate RETRO LA]E • Bodily Injury and Property Damage Liability Per $ Occurrence Personal and Advertising Injury Per Person/ X OCCURRENCE $ Organization Other: Other: AUTOMOBILE N/A Each Accident-Single Limit- LIABILITY B.I.and P.D.Combined El OWNED Each Person El NON-OWNED Each Accident or Occurrence n HIRED Each Accident or Occurrence OIHER AUUI I IONAL COMMEN 15 TIE a1•'T:FTClv'F:EXPIRATION Mr IS aY'n'I:h'{I7,ai(Ft EXIII'II )T:IL, KU i'llL PE:Hyrum)T.F Ohr:?LE TS E .1 Nr(rEc,CR RED.CI7 HEliiCTE;;ti C MF:G'or:IXPLRArIal CATE. i1CIEVEFi, TO;WILL NUT EE IJJI'_FiE A1,4TALLx OF TIE alliMF,TICtl OF 07,E NE. SIEam,NOTICE CHIC,: ANY ISFS,N WHO, v H 211 ID MERACO CR ICIcdu]C;THAT IE IS ET ll.X. In I A ERTVE)AiAlbET A.).IEUER, 3:1alMc l f,Er'C CATO'II(H F:LE'A CLAN(IN AIN ; i~1 SL C.t,XIIIP:IVE;SWCTETEN:IS CT,'.LTY 'r':TC,TiA'J.£ FRAUD. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE Liberty Mutual STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL Insurance Group UNTIL AT LEAST XX DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: CERTIFICATE WELD COUNTY PUBLIC WORKS DEPT HOLDER P 0 BOX 758 GREELEY CO 80632-0758 AUf"HORIZEDREPRESENfATIVE 11/8/99 KM MISHAWAKA IN This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by Those Companies BS 772R6 l G7 Lc2l�tii� C2 i Le 2/- /CJ 'cQUUU ACORD CERTIFICATE OF LIABILITY INSURANCE PATE(MMIDO/YY) ,212/06/1999PR Serial# A1789 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION AON RISK SERVICES,INC.OF COLORADO ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 14023 DENVER WEST PARKWAY,SUITE 300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. GOLDEN,COLORADO 80401 INSURERS AFFORDING COVERAGE TOLL-FREE:PHONE 877-266.9727 (877-AONWRAP) ----- - - - --- -- -_-- - _ - - -- INSURER A ZURICH AMERICAN INSURANCE GROUP INSURED - _- - GILBERT WESTERN INSURERS ALLENDALE MUTUAL 2451 PICADILLY ROAD INSURER C: ROYAL INSURANCE COMPANY _ AURORA,CO 80019 _INSURER D INDEMNITY INSURANCE CO. OF NORTH AMERICA I 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. - ------ _ _ -- -- --- E - - POLICY EFFECTIVE D DATE MWIRAYON LIMITS I�TR TYPE OF INSURANCE POLICY NUMBER DATE IMNVDDIYYI DATE IMMIDD/YYI 2,000,000 EACH OCCURRENCE a GENERAL�I LIABILITY A XI COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ CLAIMS MADE I X I OCCUR GL 2908557-00 08/01/98 08/01/01 MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 4,000,000 GENERAL AGGREGATE S 4,000,000 PRODUCTS-COMP/OP AGG $ 4,000,000 �GEN'L AGGREGATE LIMIT APPLIES PER: -- -- - ( POLICY JECCT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO _- - - - - - - - _ ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) AUTO ONLY-EA ACCIDENT $ - _ . --- GARAGE LIABILITY _ - - OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ — EACH OCCURRENCE $ 100,000,000 EXCESS LIABILITY100,000,000 C X I OCCUR CLAIMS MADE PHN 203008 08/01/98 08/01/01 AGGREGATE_ $D XLXG 19500214 08/01/98 08/01/01 a $ DEDUCTIBLE — — - RETENTION $ $ WC STATU- OTH- X I TORY LIMITS I ER WORKERS COMPENSATION AND 1,000,000 A EMPLOYERS'LIABILITY x/\/(.)291$$$] 08/01/99 08/01/00 E.L.EACH ACGC6:T - $ _ E.L.DISEASE-EA EMPLOYEE $ 1.000,000 E.L.DISEASE-POLICY LIMIT $ 1,000,000 $50,000,000 UNSCHEDULED B OTHER BUILDERS RISK FL303 05/01/98 05/01/01 LOCATIONS,SPECIAL F ORM $25,000 DEDUCTIBLE DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: PERMIT FOR ROAD CROSSINGS CERTIFICATE HOLDER I I ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION OFFICE OF PUBLIC WORKS DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN DON SUMMER, DIRECTOR NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL WELD COUNTY COLORADO IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR P.O. BOX 7558 REPRESENTATIVE . t..>„, GREELEY, CO 80632 AUTHO SENTATIV /J!/l p A ORD CORPORATION 1988 ACORD 25-S(7197) /} ± ()an of - /O -Z2000 ACORD , CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/1'Y) 11/23/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Welsh Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1310 East Eisenhower Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Loveland, CO 80537 INSURERS AFFORDING COVERAGE INSURED NEW HORIZON CONTRACTORS INSURERAMaryland (Zurich) 4808 E. CR 20E INSURER B: INSURER C: LOVELAND, CO 80537 INSURER D: 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 TYPE OF INSURANCE POLICY NUMBER POUCY EFFECTIVE POLICY EXPIRATION I TR DATE(MM/DD/YYT DATE IMM/DD/YYI LIMITS GENERAL UABILITY EACH OCCURRENCE $1, 000, 000 X COMMERCIAL GENERAL UABILITY FIRE DAMAGE(Any one fire) $300, 000 CLAIMS MADE `X (tCUR MED EXP(Any one person) $10, 000 X PENDING 11-23-99 11-23-00 PERSONAL SADVINJURY $1, 000,000 GENERAL AGGREGATE $2 , 000, 000 GENII AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2, 000, 000 RO- POLICY JF LOC AUTOMOBILE LIABIUTY COMBINED X ANY AUTO (Ea accident) LIMIT c dent) $1, 000, 000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS PENDING 11-23-99 11-23-00 BODILY INJURY NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) GARAGE UABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ NONE AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ NONE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND WCTORYTATU- S EMPLOYERS UABILITY LIMITS I ER NONE E.L.EACH ACCIDENT $ E.L DISEASE-EA EMPLOYEE $ E.L.DISEASE-POLICY LIMIT $ OTHER NONE DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER I X I ADDITIONAL INSURED;INSURER LETTER; CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION WELD COUNTY DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 15 DAYS WRITTEN C/O OFFICE OF PUBLIC WORKS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL PO BOX 758 IMPOSE NO OBUGATION OR LIABIUTY OF ANY KIND UPON THE INSURER,ITS AGENTS OR GREELEY, CO 80632 REPRESENTATIVES. V AUTHORIZED RE ESE TA I ACORD 25-S(7/97) CI(T)1 jLn �� r� C I _ (C, _a U O ACORD CORPORATION 1988 CIrrtiftrute of 41ttszzrazz ; TO: Weld County Date: December 16, 1999 Address: Department of Engineering Re: 933 North Eleventh Avenue I P. O. Box 758 Greeley, CO 80631-0758 Attn: Allen Miller This is to certify that the policies designated below are in force on the date borne by this Certificate. The Coastal Corporation and all Affiliated or Subsidiary Companies NAME OF INSURED: including Colorado Interstate Gas Company Coastal Tower, Nine Greenway Plaza Address: Houston, TX 77046 TYPE OF INSURANCE POLICY Y POLICY PERIOD POLICY LIMITS I VALUES Worker's Compensation Statutory Employer's Liability NWA1498599-09 01/01/00-01 $1,000,000 Each Accident & NWA1498589-09 01/01/00-01 $1,000,000 Policy Limit-Disease $1,000,000 Each Employee-Disease Commercial General $500,000 Each Occurrence/Combined Liability including Contractual & Single Limit Products - Completed Operations $500,000 General Aggregate (except) All States NGA1498595-09 01/01/00-01 $500,000 Products & Completed Operations Aggregate $500,000 Personal and Advertising Injury Excess of $500,000 Self Insured Retention Each Occurrence Comprehensive Automobile Liability Texas NKA1498598-09 01/01/00-01 $1,000,000 Combined Single Limit Each All Other States NKA1498596-09 01/01/00-01 Accident This certificate of insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by those policy(ies) numbered above and issued by companies listed below. Should any of the above described policies be cancelled before the expiration date thereof, the issuing company will endeavor to mail days written notice to the above named certificate holder, but failure to mail such notice shall impose no obligation or liabilityliabiN of any kind upon the company, or upon this agency. SEVERAL LIABILITY NOTICE (LSW 1001) AON Aon Risk Services The subscribing insurers'obligations under contracts of insurance to Natural Resources which they subscribe are several and not joint and are limited solely to Group the extent of their individual subscriptions.The subscribing insurers are Aon Risk Services of Texas, Inc. not responsible for the subscription of any co-subscribing insurer who 2000 Bering Drive,Suite 900 • Houston,Texas 77057-3790 for any reason does not satisfy all or part of its obligations. tel:(713)430-6000 •fax:(713)430-6590 INSURANCE COMPANY(IES) ISSUING COVERAGE: Reliance National Indemnity Company By F:\CLIENTS\Aon\COASTAL\POLICIES\01-01-00.01.caa\S4 42.clg.doc-451 476-00 ARS/NRG-023L w/SLN(Rev.2/97) 0.5nCL-rtit w(5-- C1 - /C 0200° Hello