HomeMy WebLinkAbout20002370.tiff ACORD CERTIFICATE OF LIABILITY INSURANCD R9 DATE(MAMMY)
CON-2 09/27/00
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Linden/Bartels & Noe Agency-FC 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 BELOW.
Fort Collins CO 80525
Phone: 970-229-9304 Fax:970-229-1398 INSURERS AFFORDING COVERAGE
INSURED INSURER A: Travelers Indemnity Co.
INSURER B: CCIA/Pinnacol Assurance
Mountain Constructors,
Inc. INSURER C:
P. O. Box 405 INSURER D:
Platteville CO 80651
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.
IRSR P LI E TIV P LI PIRA N
LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS
GENERAL LIABILITY , EACH OCCURRENCE $ 1, 000,000
A X COMMERCIAL GENERAL LIABILITY 161E8703-IND 07/28/00 07/28/01 FIRE DAMAGE(Any one fire) $300,000
CLAIMS MADE X OCCUR MED EXP(Any one person) $ 5,000
A X $250 PD Ded PERSONAL&ADV INJURY $1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000
POLICY X PRO
-
POLICY LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $ 1,000,000
A X ANY AUTO 810-161E8703-TIL 07/28/00 07/28/01 (Ea accident)
ALL OWNED AUTOS
SCHEDULED AUTOS BODILY $
(Per person)
X HIRED AUTOS
BODILY
X NON-OWNED AUTOS (Peer IN Uracct accident)
$
PROPERTY DAMAGE
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO
OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $ 1,000,000
A X OCCUR CLAIMS MADE CUP-161E8703 07/28/00 07/28/01 AGGREGATE $ 1,000,000
DEDUCTIBLE
RETENTION $ $
WORKERS COMPENSATION AND WC SIAI U-TORY LIMITS OIH-
$ EMPLOYERS'LIABILITY 3027994 X ER
10/01/00 07/01/01 E.L.EACHACCUENT $1,000,000
E.L.DISEASE-EA EMPLOYEE $ 1,0 0 0,0 0 0
E.L.DISEASE-POLICY LIMIT $ 1,000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: CONSTRUCTION OF WELD COUNTY BRIDGE WEL047.0-68.OB; CERTIFICATE HOLDER IS
NAMED AS ADDITIONAL INSURED AS RESPECTS THE GENERAL LIABILITY
CERTIFICATE HOLDER Y ADDITIONAL INSURED;INSURER LETTER: A CANCELLATION
BDWELDC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
BOARD OF WELD COUNTY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
COMMISSIONERS IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
915 10TH STREET
GREELEY CO 80631 REPRESENTATIVES.
ACORD 25S(7/97) R.J. MARQUARDT V.�,. ''..
61,0e74/ e4dv
//-
2000-2370
Hello