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ACORD„ CERTIFICATE OF LIABILITY INSURANCE D TE/21/ 00
(MM//n)
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4821 Wheaton Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
P O Box. 270370
Fort Ccllins, CO 80527 INSURERS AFFORDING COVERAGE
INSUFIED INSURER A:Travelers Insurance
Fisher Mechanical Contractors, Inc . INSURER B:Wausau Underwriting Insurance Com
2305 W. 9th Street • INSURER C:
Greeley, CO 80634-5913 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 NOTWILHSTAN( ING
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 UCF
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSRR - -. -
POLICY(M EFFECTIVE POLICY AT EXPIRATION!
TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YYI DATE(MMIDDlYYI LIMITS
A I GENERALLIAI3ILITY 680865H6368 08/25/00 08/25/01 EACH OCCURRENCE $1 , 000 , 000
X COMMERCIAL GENERAL LIABILITY I i FIRE DAMAGE(Any one Ire)$50 , 00(
CLAIMS MADE X OCCUR MED EXP(Any one person $I!2 , 00(
PERSONAL XADVINJUR/ $1, 000 000
I GENERAL AGGREGATE $2 , 000 000
GEN'L AGGREGATE LIMIT APPLIE_SPER: PRODUCTS-COMP/OP AUG $2 , 000 . 000
POLICY JECT PRO- LOC
A AUTOMOBILE LIABILITY ''810865H6832 08/25/00 08/25/01 COMBINED SINGLE LIMIf
(Ea accident) El- . JJJ 000X ANY AUTO
' ALL OW N"dD AUTOS : BODILY INJURY $
SCHL=DUI-ED AUTOS (Per person)
X HIRED AUTOS I BODILY INJURY $
X NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
I (Per accident)
GARAGE LIABILITY ". AUTO ONLY-EAACCIDE VT$
ANY AUTO IOTHER THAN EA.AC J $
I I AUTO ONLY'. AG3 $
EXCESS LIABILITY I EACH OCCURRENCE $
OCCJR I CLAIMS MADE' I AGGREGATE $
•
DEDUCTIBLE I $
• RETENTION $ $ - —
B I WORKERS COMPENSATION AND 231100065137 08/25/00 , 08/25/01 ! (TORY LIMTSI �ER
EMPLOYERS'LIABILITY E._.EACH ACCIDENT $100 , 0')0
I E.L.DISEASE-EAEMPLOYEE,$-1_
, _ Et.DISEASIE-POLICY LIMIT'$500 , 0_)0 _
OTHER I
•
•
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER I ADOMONALINSUREDpNSURERLET$ER _ _ CANCELLATION
SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Weld County, Colorado DATE THEREOF,THE ISSUING INSURER WILL ENDEAVORTO MAI L3 0 DAYSWRITIEN
NOTICE TOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT,BUT FAILURE TO DO SO SHALL
C/O Board of County IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGE NTS OR
Commissioners P.U . Box 758 REPRESENTATIVES.
Greeley, CO 80632 AUTHORIZED REPRESENTATIVE
Flood f�eyGsso-t Inscaanci, . --7--
ACORD 25-S(7/97)1 of 2 #M161531 PSH
' /?s v'/ (16;,e770/(t. 2000-2058
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