HomeMy WebLinkAbout20000208.tiff I CERTIFICATE OF INS 25-S I I 1/ 4/1980 IMO
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF
Riedman Corporation INFORMATION ONLY AND CONFERS NO RIGHTS UPON
P.O. Box 1439 THE CERTIFICATE HOLDER. THIS CERTIFICATE
Longmont, CO 80502-1439 DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
(303) 776-3421 Fax(a03.)'7' f-nt:13'< '4'. AFFORDED BY THE POLICIES BELOW.
INSURED fX{ XX{{: I COMPANIES AFFORDING COVERAGE I ;{r; :};{:}','{}7
JOE & KELLY CLARK COMPANY A: UNION INSURANCE
DBA JOE CLARK EXCAVATING COMPANY B : OHIO CASUALTY
2202 VIVIAN COMPANY C :
LONGMONT CO 80501 COMPANY D :
I COVERAGES I I
This is to certify that 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 he issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms,
exclusions and conditions of such licies. Limias shown may have been reduced b aid claims.
I
ICOI INSURANCE I I POLICY NUMBER & DATES I I LIMITS I I
GENERAL LIABILITY UPK5021581 $2, 000, 000 General Agg
[X] Comm Gen Liab Eff 01/26/00 Exp 01/26/01 $2, 000, 000 Pro/Co Ops Agg
A [ ] CM [X] Occur $1, 000, 000 Pers/Adv Inj
[ ] OCP Eff / / Exp / / $1, 000, 000 Ea Occurrence
[ ] $ 50, 000 Fire Damage
[ ] Eff / / Exp / / $ 5, 000 Medical Exp
AUTO LIABILITY 50432777
[ ] Any [ ] All Own Eff 01/26/00 Exp- 01/26/01 $ 500, 000 CSL
B [X] Schd [ ] Hired $ BI (person)
[ ] Non-Owned Eff / / Exp / / $ BI (accident)
[ ] [ ] $ Property Dam
GARAGE LIABILITY $ Auto-Each Acc
[ ] Any Auto Eff / / Exp / / $ Other-Ea Acc
[ ] [ ] $ -Aggregate
EXCESS LIABILITY $ Occurrence
[ ] Umbrella Form Eff / / Exp / / $ Aggregate
[ ] Other Than Umb $
[ ] WC Stat Lmts [ ] Other
WC/EMP LIABILITY $ EL Each Acc
[ ] Intl [ ] Excl Eff / / Exp / / $ EL Dis-Pol Lmt
Prop/Part/Execs $ EL Dis-Ea Emp
Eff / / Exp / /
Description of operations/locations/vehicles/special items
CANCELLATION I
;ti ; f;: I CERTIFICATE HOLDER IOOO.= Should any of the above described policies
be cancelled before the expiration date
thereof, the issuing company will endeavor
Weld County Government to mail 10 days written notice to the
certificate holder named to the left , but
915 10th St. failure to mail such notice shall pose no
Greeley CO 80632 obligatio or liabi ity of and ]find upon
the comp , its a 15s .
�eAtorized RepresentativeI
0-if ;acI -Amp 2000-0208
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