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Home My WebLink About20000741.tiff ACORD CERTIFICATE OF LIABILITY INSURANCE os%o%z000 PRODUCER (970)243-3421 FAX (970)242-1894 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Moody-Valley Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P 0 Box 1509 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Grand Junction, CO 81502 COMPANIES AFFORDING COVERAGE COMPANY United Fire & Casualty Attn: Toni Lines Ext: 11 A INSURED COMPANY Behrmann Excavating P 0 Box 28 Niwot, CO 80544 COMPANY COMPANY _._. _.. D C0VERAGtS 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/DO/YY) DATE(MMIDDIYY) GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 2,000,000 CLAIMS MADE X OCCUR PERSONAL&ADV INJURY S 1,000,000 A - - BINDER 01/16/2000 01/16/2001 - - - -- OWNER'S 8 CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE(Any one fire) $ 100,000 MED EXP(Any one person) $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMI' $ ANY AUTO 500,000 ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS r (Per parson) A X HIRED AUTOS BINDER 01/16/2000 01/16/2001 BODILY INJURY $ X NON OWNED AUTOS (Per accitlenp - - - - - - 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 $ WCSrATU O WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS'LIABILITY EL EACH ACCIDENT $ THE PROPRIETOR/ NCI_ EL DISEASE-POLICY LIMIT $ PARTNERS/EXECUTIVE OFFICERS ARE EXCL EL DISEASE-EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Weld County Public Works Dept. is listed as additional insured with respects to General Liability for projects performed by insured for certificate holder. Fax (970) 304-6497 C$7'#nCATTE HOLDER CANOOLLATfl4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Weld County Public Works Dept. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Attn: Don Sumer P 0 Box 758 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. Greeley, CO 80632 AUTHORIZED REPRESENTATIVE Toni Lines/TAL ''4'�Aks ADORE)2$.8('t1B6t B)ACORD CORPORATION 198B Oonse.-)f �anda- o3.aO-aow, 2000-0741 ACORD,M CERTIFICATE OF LIABILITY INSURANCE 0D2/29/20�00 PRODUCER (303)442-1484 FAX (303)442-8822 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Taggart & Associates“dte5, Inc . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 99 HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1600 Canyon Boulevard ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0. Box 147 COMPANIES AFFORDING COVERAGE Boulder, CO 80306 COMPANY CNA Insurance Group Attn: Robben Roe, CIC Ext: 229 A INSURED COMPANY Victor 0. Schinnerer Loris And Associates Inc B 5775 Flatiron Parkway Suite 207 COMPANY C Boulder, CO 80301 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/DD/YY) DATE(MM/DDNY) GENERAL LIABILITY GENERAL AGGREGATE 2,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 2,000,000 CLAIMS MADE X OCCUR 1 68919560 03/01/2000 03/01/2001 PERSONAL&ADVINJURY $ 1,000,000 A OWNERS&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE(Any one fire) $ 210,000 MED EXP(Any one person) $ 10,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT X ANY AUTO 5 1,000,000 ALL OWNED AUTOS BODILY INJURY (Per person) A SCHEDULED AUTOS B1 68919574 03/01/2000 03/01/2001 HIRED AUTOS X HIRED AUTOS BODILY INJURY (Per accident) X NON-OWNED AUTOS $ 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 $ WC STATU- CIH- WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS'LIABILITY EL EACH ACCIDENT S THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT $ PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEEOTHER S Professional Liability $1,000,000 Per Claim B PRE 006161163 05/08/1999 05/08/2002 $2,000,000 Aggregate $5,000 Deductible DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS /Veld County, Colorado, by and through the Board of Weld County Commissioners, including its agents and employes are included as Additional Insureds for projects performed by the Named Insured. CERTIFICATE HOLDER CANCELLATION, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Weld County Colorado Engineering Dept. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY P.O. Box 758 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. Greeley, CO 80632-0758 AUTHORIZED REPRESENTATIVE John Neill CPCU CIC/RLR (--- /eLL/A/ ACORD 25:S(1/95) ©ACORD CORPORATION 198 Conant 4cve xda 03 . ato-a000 DIVOPE ACORD, CERTIFICATE OF INSURANCE 02/11/00 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 Yr ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80203 COMPANIES AFFORDING COVERAGE COMPANY ASt . Paul Fire & Marine Ins . Co . INSURED COMPANY Diversified Operating Corporation ' B OMB Gas Gathering LLC L,_ COMPANY 15000 West 6th Avenue, Suite 102 1 c Golden, CO 80401 - 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 SIJCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTRDATE(MM/DD/YY) DATE(MM/DD/YY) A GENERAL LIABILITY I VK08300119 1 02/15/00 02/15/01 GENERAL AGGREGATE S2, 000 , 000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $2 , 0 0 0 L 0 0 0 CLAIMS MADE I X OCCUR ERSONAL&ADV INJURY $1 0 0 0 , 0 0 0 OWNER'S&CONTRACTORS PROT I EACH OCCURRENCE $1 , 000 , 000 I . FIRE DAMAGE(Any one fire) $ 50 , 000 MED EXP(Any one person) $ 5 , 000 A AUTOMOBILE LIABILITY VK08300119 02/15/00 02/15/01 COMBINED SINGLE LIMIT 51 , QQQ , Q0Q ANY AUTO ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) ' ---._—_. Ii PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ I - ANY AUTO . OTHER THAN AUTO ONLY.. EACH ACCIDENT $ AGGREGATE $ A S L VK08300119 02/15/00 /02 15/01 I EACH OCCURRENCE $3,000, 000 X D UMBRELLA FORM 'AGGREGATE $3 ,_Q0Q , 000 OTHER THAN UMBRELLA FORM 1 S . I .R. $ 10 , 000 WORKERS COMPENSATION AND ' STATUTORY LIMIT 9 EMPLOYERS'LIABILITY I EACH ACCIDENT $ ' EXCL THE PROPRIETOR/ DISEASE-POLICY LIMIT $ I I PARTNERS/EXECUTIVE OFFICERS ARE DISEASE-EACH EMPLOYEE S OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Weld County EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL c/o Office Of Public Works 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, P.O. Box 758 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Greeley, CO 80632 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Oons-w,t Qj_endo- Ga- ao-aooO gsn ACORD25-S(3193)1 of 1 S90529/M90523 SDM O ACORD CORPORATION 1993 Client# : 11249 NORWEI ACORD,a CERTIFICATE OF LIABILITY INSURANCE ozi(24/oo) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTE:R OF INFORMATION Flood & Peterson Ins . Inc . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P. 0. 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 INSURE D North NSURERA:TITAN INSURANCE COMPANY Weld County Water District INSURER B:Pinnacol Assurance 33247 Highway 85 - — - INSURER C: P 0 Box 56 - INSURER Lucerne, CO 80646 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 AFFOFIDED 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. INSLTR TYPE OF INSURANCE POLICY NUMBER POLICY(MM/DC/TY POLICY EXPIRATION LIMITS LTR DATE(MM/DDIYYI DATE fMM/DD/YYl A GENERAL LIABILITY 99HP03857 IO2/25/00 , 02/25/01 I-EACH OCCURRENCE[ $1, 000, 000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any are f irey$11_000 , 000 — — _. CLAIMS MADE X, OCCUR MED EXP(Any one person) $ II, --- PERSONAL BADV INJURY $1, 000, 000 GENERAL AGGREGATE $2 , 000, 000 GENt AGGREGATE LIMIT APPLIESPER: PRODUCTS-COMP/CPAGG $2 , 000, 000 X POLICY 1 PRO-T - LOC A I EC AUTOMOBILE LIABILITY 99HP03857 02/25/00 02/25/01 COMBINEDSINGLE LIMIT ANY AUTO (Ea accitlenl) $1, 000 , 000 ALL OWNED AUTOS BODILY INJURY $ _ SCHEDULED 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 AUTOOTHER THAN EA ACC $ AUTO ONLY:I AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR -I CLAIMS MADE AGGREGATE $ I $ DEDUCTIBLE $ RETENTION $ _ $ B WORKERS COMPENSATION AND 34315 01/01/00 ' 01/01/01 ToYTiuti a /rs _ O -- _ EMPLOYERS'LIABILITY E.L.EACH ACCIDENT _$100, 000 E.L.DISEASE EA EMPLOYEE $100 , 000 E.L.DISEASE-POLICY LIMIT $500 , 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS AD DE BY ENDORSEMENT/SPECIAL PROVISIONS Certificate holder is named as Additional inured CERTIFICATE HOLDER I ADDmONALINSURED;INSURER LETTER CANCELLATION SHOULD ANYOFTHE ABOVE'.DESCRIBED PODCIES BE CANCELLED BEFORE THE EXPIRATION Public Work Dept DATETHEREOF,THE ISSUING INSURER WILL ENDEAVOR TOMAIL3 O__DAYS WRITTEN P.O. Box 758 NOTICETOTHE CERTIFICATE HOLDERNAMEDTOTHE LEFT,BUT FAILURE TO DO SO SHALL Greeley, CO 80632 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR n� REPRESENTATIVES. ()�3- p�(�-CZ«� AUTHORIZED REPRESENTATIVE donsaJ arldo Flood v Pelir ison In-Szac 041 , r . ACORD25-S(7/97)1 of 2 #S147474/M147470 CCN 0 ACORD CORPORATION 1988 ACORD„ CERTIFICATE OF LIABILITY INSURANCEP)D RS DATE(MMDD DZBZX-1 01/04/00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Linden/Bartels & Noe Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 3459 W 20th Street Suite 224 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Greeley CO 80634 COMPANIES AFFORDING COVERAGE David Austin, CIC COMPANY Phone No. 970-356-1133 Fa.No. 970-356-4088 A Union Insurance INSURED COMPANY B CCIA/Pinnacol Assurance COMPANY DZ BZ X-Kavating, Inc. 3933 High Plains Dr. COMPANY Berthoud CO 80513 D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AEIOVE 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/DD/VV) DATE(MM/DD/YV) GENERAL LIABILITY GENERAL AGGREGATE $ 2, 000,000 A Xi COMMERCIAL GENERAL LIABILITY UPK5018996 09/17/99 09/17/00 PRODUCTS-COMP/OPAGG $ 2,000,000 CLAIMS MADE [X OCCUR PERSONAL&ADVINJURY $ 1,000,000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE(Any one fire) 5100,000 MED EXP(Any one person) $ 5, 000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 A ANY AUTO UPK5018996 09/17/99 09/17/00 ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ - -- - ---- PROPERTY DAMAGE $ - GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ I AN\ AUTO OTHER THAN AUTO ONLY. 1 EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE S OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND X I TORYTLIMITS jER _ EMPLOYERS'LIABILITY EL EACH ACCIDENT $ 100000 B 1 THE PROPRIETOR/ ■ INCL 3329375 05/01/99 05/01/00 EL DISEASE-POLICY LIMIT $ 500000 PARTNERS/EXECUTIVE OFFICERS ARE X EXCL EL DISEASE-EA EMPLOYEE I $ 100000 OTHER DESCRIPTION OF OPERATIONS/L OCATIONSNEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION WECTYPU SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAil WELD COUNTY PUBLIC 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEF T, WORKS DEPT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1111 H STREET GREELEY CO 80632 OF ANY KIND UPON T MPANY,ITS AGENTS ORREPRENTATIV ES. AUTHORIZED REPRESENTATIV • David Austin, (PO A77CORD CORD.CORPORATION 1988 (POnss+af 69tan- o;-ao aoc° ACORD CERTIFICATE OF LIABILITY INSURANCE,GR RS GATE(MM/°°/YY' GRS- 1 02/02/00 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 THEPOI.ICIES BELOW. Fort Collins CO 80525 Phone: 970-229-9304 Fax:970-229-1398 INSURERS AFFORDING COVERAGE INSURED INSURER A: St. Paul Fire & Marine INSURER B: Superior National Ins. Group C G R S, Inc. INSURER C: P. O. Box 1489 INSURER D: Ft. Collins CO 80522 ---- -- - - -- --- 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. INLS TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/)E PD0ATE(MMIDD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one lire) $ [CLAIMS MADE -I OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJUF:Y $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO- I LOC JECT I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT AIX(ANY AUTO BFA00000257920 li 03/16/99 03/16/00 (Ea accident) __$ 1.00O000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY ' $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR IJ CLAIMS MADE AGGREGATE 3 DEDUCTIBLEi. 1 RETENTION $ $ WORKERS COMPENSATION AND X TORY LIMITS ER EMPLOYERS'LIABILITY B W002153966 02/01/00 01/01/01 E.L.EACH ACCIDENT IS 100000 E.L.DISEASE-EA EMPLOYEE $ 1001)00 E.L.DISEASE-POLICY LIMIT $ 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 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/O 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,ITS AGE EPRESENTAIIVES. `' r.as Jeff Broyles POPE, J./N. ACORD 25-S(7/97) ACORD CORPORATION 1988 0O/)sent A9n4a v3-ago-apoo AON Certificate of 3ln5urauce Aon Risk Services To: Insured: Weld County Kaneb Services, Inc. c/o Office of Public Works Kaneb Pipe Line Company Attention: Don Fomer 2435 North Central Expressway, Suite 700 PO Box 758 Richardson, TX 75080 Greeley, CO 80632 Re: 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. Type Of Policy Policy Policy Insurance Number Period Limits/Values 1) General Liability("Occurrence" NGB0158896 10/01/1999 $1,000,000 Each Occurrence Form) incl. Contractual Liab., 10/01/2000 $5,000,000 General Aggregate Prod./Completed Ops. Insurance Company(ies): Reliance National Indemnity Company 2) Automobile Liability incl. all 10/01/1999 $1,000,000 CSL BI & PD Each Accident owned, hired & non-owned 10/01/2000 a) Texas NKA0158887 b) All Other States NKA0158888 Insurance Company(ies): a) &b) Reliance National Indemnity Company 3) Workers' Compensation/ 10/01/1999 WC: Statutory Employer's Liability 10/01/2000 EL: $1,000,000 Each Accident a) California NWA0158897 $1,000,000 Aggregate Disease b)All Other States NWA0158898 $1,000,000 Disease Each Emp. c)Wisconsin NWA0158899 Insurance Company(ies): a) Reliance National Ins. Co., b)c) Reliance National Indemnity Co 4) Umbrella Liability 5638810 10/01/1999 $1,000,000 Per Occ. and Aggregate 10/01/2000 Excess of Underlying Insurance Company(ies): Lexington Insurance Company 5) All Risks of Direct Physical Loss a)ARS-1652 10/01/1999 $5,000,000 Any One Occurrence and or Damage incl. Flood, b)ARS-1654 10/01/2000 in the Aggregate for Flood Earthquake and Boiler& and Earthquake applying Machinery separately Insurance Company(ies): a)& b) London Underwriters &Various Domestic Cos. Remarks/Special Conditions: Weld County is named as an Additional Insured excluding Workers'Compensation and Employer's Liability as required by written contract but limited to the operations of the Insured under said contract,and always subject to the policy terms,conditions and exclusions. Waiver of Subrogation is granted in favor of Weld County as required by written contract but limited to the operations of the Insured under said contract,and always subject to the policy terms,conditions and exclusions. The policies certified hereon are primary to other insurance available to the certificate holder,but only to the extent required by written contract with the Insured,and always subject to the policy terms,conditions and exclusions. The subscribing insurers'obligations under contracts of insurance to which they subscribe are several and not joint and are limited solely to the extent of their individual subscriptions. The subscribing insurers are not responsible for the subscription of any cosubscribing insLrer who tor any reason does not satisfy all or part of its obligations. The certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend,extend or alter the coverage afforded by the policy(ies)shown hereon. Should any of the above described policies be canceled before the expiration date thereof,this agency,on behalf of the issuing company(ies),will endeavor to mail 30 days written notice to the above named certificate holder,but failure to mail such notice shall impose no obligation or liability of any kind upon the company(ies)or this agency. Aon Risk Services of Texas, Inc. Date: 03/10/00 By: Cert. No.: 7425 Sub Code: KSPL go Sent- Q9.eru1&. O 3-OO-a000 Aon Risk Services Of Texas,Inc. Page 1 Of 1 2000 Bering Drive,Suite 900 • Houston,Texas 77057-3790 • tel:(713)430-6000 • fax:(713)430-6590 PC/UMB$1M/PR Hello