HomeMy WebLinkAbout20001824.tiff 4CORD_ CERTIFICATE OF LIABILITY INSURANCt
IDRS DATE(MNVDD VY)
CON-2 07/26/00
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:
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.
ION-
LTRT TYPE OF INSURANCE POLICY NUMBER DA E MN DD//YYr) PD DATE(MMMIDDPL D!Y) LIMITS
IT-1:000, 000
-
GENERAL LIABILITY EACH OCCURRENCE 41, 000, 000
A X COMMERCIAL GENERAL LIABILITY 161E8703-IND 07/28/00 07/28/01 FIRE DAMAGE(Any one fire) i $ 300,00. 0_
lCLAIMS MADE "d OCCUR MED EXP(Any one person) $ 5, 000
A X $250 PD Ded PERSONAL&ADV INJURY $ 1, 000, 000
GENERAL AGGREGATE s2, 000, 000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AG $ 2, 000, 000
PRO-
POLICYr JECT LOG
AUTOMOBILE LIABILITY
CMINEA. X ANY AUTO 810-161E8703-TIL 07/28/DO 07/28/01
(Ee aBcitleDlsINGLE LIMIT i $ 1,000, 000
)
ALL OWNED AUTOS
BODILY INJURY $
SCHEDULED AUTOS (Per person)
—
X HIRED ALTOS $
BODILY INJURY
X NON-OWNED AUTOS (Per accident)
- — PROPERTY DAMAGE
-- - -- - _ _-- - (Per accident) $
GARAGE
NYALIABILITY AUTO ONLY.EA AC CID ENT i $_
ANY AUTO EA ACC $
OTHER THAN �.
AUTO ONLY:Y AGG $
EXCESS LIABILITY EACH OCCURRENCE . $ 1,000, 000
A. X OCCUR ] CLAIMSMADE CUP-161E8703 07/28/00 07/28/01 AGGREGATE J $ 1,000, 000
%
DEDUCTIBLE-
__ RETENTION $ -�-- � - �$ - - �-
WORKERS COMPENSATION AND I TORY LIMITS ER I
EMPLOYERS'LIABILITY
E.L.EACH ACCIDENT $
E.L.DISEASE-EA EMPLOYESI $
E.L.DISEASE-POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: CONSTRUCTION OF WELD COUNTY BRIDGE WEL047.0-68.M. CERTIFICATE HOLDER IS
NAMED AS ADDITIONAL INSURED AS RESPECTS THE GENERAL LIABILITY
CERTIFICATE HOLDER I 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 3 D_ DAYS WRITTEN
BOARD OF WELD COUNTY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
COMMISSIONERS IMPOSE NI)OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER.ITS AGENTS OR
915 10TH STREET
GREELEY CO 80631 REPRESENTATIVES. E
Jeff Broyles el/ter `y,. J Iet. k _
ACORD 25S(7197)
C OP) e 1I- Oi?e7 d2 7-S/-002
2000-1824
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