HomeMy WebLinkAbout20001378.tiff A_CORD CERTIFICATE OF LIABILITY INSURANCE DATE(MNVDD/YY)
04/25/2000
PRODUCER M Serial# 149 'HIS CERI IFICATE IS ISSUED AS A MAT1 ER F INFORMA1ION
AON REED STENHOUSE INC. • • -- ' ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
AON RISK SERVICES, INC. OF UTAH � ' HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
900 MERRILL LYNCH TOWER , INSURERS AFFORDING COVERAGE
EDMONTON,ALBERTA, CANADA 1-5.1 0Y2- - "...:,
INSURED INSURER A: ROYAL & SUN ALLIANCE USA INSURANCE GROUP_-- -
STANTECCONSULTINGINC. INSURERS NAUSAUBUSTNESS-IN
8211 SOUTH 48TH STREET - i INSURER C ROYAL& SUN ALLIA GROUP--
PHOENIX, ARIZONA 85044 ' INSURER a WAUSAU-UNDERWRITERS INSURANCE COMPANY
INSURER E CONTINENTAE ASUAL I Y COMPANY
I
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 POLICY EFFECTIVE -POLICYEXPIRATION - - --- _---
LTRDATE(MM/DD/YY) DATE(MM/DD/rr) ' LIMITS
GENERAL LIABILITY EACH OCCURRENCE L$ 1,000,000
A X I COMMERCIAL GENERAL LIABILITY 60371269 05/01/00 05/01/01 FIRE DAMAGE(Any one fire) $ 1,000,000
CLAIMS MADE X OCCUR D -__ one
, -
ME EXP(Any o person) $ 10.000
X ' CONTRACTUAL&CROSS
LWBILLI`L_ PERSONAL&ADV INJURY $ 1,000,000
TX I OWNERS&CONTRACTORS
J IpRnTF('nVE GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGG $ 2,000,000
Ir POLICY X JECT I LOC I
AUTOMOBILE LIABILITY 233100062172 05/01/00 05/01/01 COMBINED SNGLE LIMIT 1,000,000$
B X ANY AUTO (Ea accident)
',. ALL OWNED AUTOS --- - _--
BODILY INJURY $
SCHEDULED AUTOS (Per person)
X HIRED AUTOS
BODILY INJURY $
X NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE I $
(Per accident)
GARAGE LIABILITY I AUTO ONLY-EA ACCIDENT $
ANY AUTO EA ACC $
.__ . OTHER THAN
AUTO ONLY: AGG $
II EXCESS LIABILITY EACH OCCURRENCE I$ 5,000.000
C X 'OCCUR CLAIMS MADE 60371269 05/01/00 05/01/01 AGGREGATE $ 5,000,000
EXCESS GENERAL AND $
I-1 AUTOMOBILE LIABILITY
DEDUCTIBLE
5
X PE TEN-Hops 10.000
3
WORKERS COMPENSATION AND 231100062172 05/01/00 05/01/01 ' X TORY LIMITS UER
•
D I EMPLOYERS'LIABILITY ---�
E.L.EACH ACCIDENT s 1,000,000
E.L.DISEASE-EA EMPLOYEE $ 1,000,000
E.L.DISEASE-POLICY LIMIT $ 1,000,000
E I OTHER ENG310489 05/01/00 05/01/01 CLAIM AND AGGREGATE LIMIT$2,000,000
PROFESSIONAL LIABILITY INCLUSIVE OF COSTS
INCLUDING ENVIRONMENTAL CLAIMS MADE BASIS
III DESCRIPTION OF OPERATIONS/LOCATIONSVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
STANTEC PROJECT#29210204. RE: PAVEMENT TESTING. CERTIFICATE HOLDER ADDED AS ADDITIONAL INSURED ON A, B& C
ONLY BUT ONLY WITH RESPECT TO THE OPERATIONS OF THE NAMED INSURED. CANCELLATION NOTICE PROVIDED ON A, B& C
ONLY.
CERTIFICATE HOLDER X ADDITIONAL INSURED;INSURER LETTER: AB CANCELLATION
7' SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
WELD COUNTY DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
915 TENTH STREET NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO DO SO SHALL
GREELEY, CO 80631 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
/////^1jjjj ATTN: DEAN DREHER REPRESENTATIVES.
irbaaat /te,-J- 6 -O5- 2000 UT Hp ORIZEFREPRESENTAT OF DEPENDENT NSURANGE AGENCY
ACORD 25-S(7/9///))y�F/�(I- (G C.l� OR-�Cl /'�J/ y o/
2000/PHOENIX.WEB /
2000-1378
ACCEPTANCE OF NOTICE
Receipt of the above Notice of Award is hereby acknowledged by
This, the 07Y day of ,9)j9Y , 2000
BY:
Title: Vie e, JD/1./5ir/to
Client# : 28923 LANBU
AOORnN CERTIFICATE OF LIABILITY INSURANCE os%(z6D o
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Ins . Inc . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P. O. BOX 578 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
4687 W. 18th Street
Greeley, CO 80632 - INSURERS AFFORDING COVERAGE
INSURED INSURER A:Continental Western
Landmark Builders of Greeley, Inc. INSURER BAmerican Mfgs . Mutual Ins . Co.
3812 Carson Street INSURER C:
Evans, CO 80620 INSURER D:
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.
INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
ITR DATE(MM/DD/YYL DATE(MM/DD/YY) LIMITS
A GENERAL LIABILITY '9ZG19 , 06/01/00 06/01/01 EACH OCCURRENCE $1, 000 ._000_
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $100, 000
1 CLAIMS MADE X OCCUR MED EXP(Any one person) $5, 000
PERSONALBADV INJURY $1, 000, 000
_., GENERAL AGGREGATE $2, 000, 000
GEN'L AGGREGATE LIMIT APPLIES PER:; - PRODUCTS-COMP/OPAGG $2, 000, 000
POLICY[ I JE OT I LOC
A AUTOMOBILE LIABILITY 9ZG19 06/01/00 06/01/01 COMBINED SINGLE LIMIT
X ANY AUTO (Ea accident) $1, 000, 000
ALL OWNED AUTOS BODILY INJURY
SCHE DULED AUTOS (Per person) $
X HIRED AUTOS ' BODILY INJURY
X NON-OWNED AUTOS (Per accident) $
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO EA ACC $
OTHER THAN
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
OCCUR CLAIMS MADE AGGREGATE $
___ $
DEDUCTIBLE
I$
RETENTION $ I,$
B WORKERS COMPENSATION AND 3ZX11001506/01/00 06/01/011avunnlrs _l_Pat_EMPLOYERS'LIABILITY I To E.L.EACH ACCIDENT $500, 000
E.L.DISEASE-EA EMPLOYEE $500, 000
E.L.DISEASE-POLICY LIMIT $500, 000
AI OTHER Property 9ZG19 06/01/00 06/01/01
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Re : Weld County Public Works Service Center, Weld County Business Park,
Greeley, Colorado
CERTIFICATE HOLDER I ADDmONALINSURED;INSURER LETTEre . ._ CANCELLATION
SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THEEWIRAIION
County of Weld, Colorado DATE THEREOF,THE ISSUING INSURER WILL ENDEAVORTO MAIL] 0 DAYSWRITTEN
915 10th Street NOTICETOTHE CERTFICAIE HOLDERNAMEDTOTHE LEFT,BUT FAILURE TO DOSO SHALL
Greeley, CO 80631 IMPOSE NOO LIGATION OR LIABILITY OF ANY KIN N THE INSURER,ITS AGENTS OR
REPRESS ATIVES.
AUT O EDRE ESENT VE
I r� , , _
ACORD25-S(7/97)1 0f 2 #S153917/M153910 KFP D ACORD CORPORATION 1988
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