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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 Hello