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HomeMy WebLinkAbout20001209 ACORR.. CERTIFICATE OF LIABILITY INSURANCEOPID ZB °ATEIMM/°°"Y, CONWE01 04/18/00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Lockton Companies of Colorado HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4500 Cherry Creek Dr. S. , #400 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver CO 80246-1532 COMPANIESAFFORDING COVERAGE COMPANY PhoneNo. 303-753-2000 FaxNo. 303-753-2099 A TRANSPORTATION INSURANCE CO. INSURED COMPANY B TRANSCONTINENTAL INS. CO. Continental West Constructors, Inc. COMPANY CWC North, LLC C TIG INSURANCE COMPANY__ 1703 E. 18th St. #2B M6 COMPANY - -- - 1-_ Loveland CO 80538 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 POI ICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS ' LTR DATE(MM/DENY) DATE(MM/DDNY) L.l GENERAL LIABILITY GENERAL AGGREGATE I $ 2,000, 000 A X COMMERCIAL GENERAL LIABILITY CO1056448099 01/01/00I 01/01/01 PRODUCTS-COMP/OPAGG $ 2,000, 000 CLAIMS MADE X I OCCUR PERSONAL B ADV INJURY $ 1,000, 000 OWNER'SS CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000, 000 X Per Project Agg. FIRE DAMAGE(Any one fire) II $ 300,000 MEDEXP(Any one person) $ 10, 000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 B XI ANY AUTO BUA1063856290 01/01/00 01/01/01 ALL OWNED AUTOS — BODILY INJURY SCHEDULED AUTOS ' (Per person) $ X i HIRED AUTOS - -__ BODILY INJURY $ X NON-OWNED AUTOS (Per accident) ---- - ------_ PROPERTY DAMAGE $ GARAGE LIABILITY - AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ 8,000,000 C X 1 UMBRELLA FORM XLB9234022 I 01/01/00 01/01/01 AGGREGATE k$.8,000, 000 I OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND X WC STATU OTH- TORY LIMITS ER EMPLOYERS'LIABILITY EL EACH ACCIDENT Ls100,000 THE PROPRIETOR/ B X INCL WC2023135774 01/01/00 01/01/01 EL DISEASE POLICYLIMIT $ 500,000 PARTNERS/EXECUTIVE - ----- _.__ '., OFFICERS ARE'. EXCL EL DISEASE-EA EMPLOYEE I $ 100,000 OTHER I DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Weld County, Colorado by & through the Board of County Commissioners of the County of Weld, its officers & employees are included as Additional Insured on the General Liability. CERTIFICATE HOLDER '.CANCELLATION WELCO10 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAI 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Weld County Engineering BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Department PO Box 758 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. Greeley CO 80632r /. ) "nn ACORD 25-S(f/95) 6)4424,740i t O_S-Oi-02000 2000-1209 Certificate of Insurance t THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND,EXTEND,OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. This is to Certify that FV-7-ALMONT INDUSTRIES, INC. +,_tom Name and LIBERTY at ATTN: KATHY JOHNSON 4-4--- address of MUTUAL® . ONE VALMONT PLAZA Insured. • OMAHA, NE 68154-5215 Is,at the issue date of this certificate,insured by the Company under the policy(ies)listed below. The insurance afforded by the listed policy(ies)is subject to all their terms,exclusions and conditions and is not altered by any requirement,term or condition of any contract or other document with respect to which this certificate may be issued. EXP.DATE ---- "—"------ . ❑CONTINUOUS TYPE OF POLICY ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY ® POLICY TERM WORKERS 1/1/2001 WA1-64D-004195-010 COVERAGE AFFORDED UNDER WC COMPENSATION LAW OF THE FOLLOWING STATES: EMPLOYERS LIABILITY INCLUDES OTHER WC2.641-004195-020 AZ, CA, CO, FL, GA, ID, IL, Bodily Injury By Accident STATES IN, MN, NE, NV, OK, OR, $500,000 Each ENDORSEMENTS Accident (EXCEPT MONOPOLISTIC TN, TX, UT, VA Bodily Injury By Disease STATES) $500,000 Limit Liolicy Bodily Injury By Disease $500,000 Each Person GENERAL LIABILITY General Aggregate-Other than Products/Completed Operations 1/1/2001 RG2-641-004195.030 $2,000,000 IglI OCCURRENCE Products/Completed Operations Aggregate $1,000,000 O CLAIMS MADE Bodily Injury and Property Damage Liability $1,000,000 Ocr Occurrence Personal Injury RETRO DATE $1,000,000 Per Person/ Organization Other FIRE LEGAL$50,000 Other MED PAY$5,000 AUTOMOBILE LIABILITY 1/1/2001 AS2-641-004195-050 $1,000,000 Each Accident-Single Limit B.I.and P.D.Combined ® OWNED Each Person ® NON-OWNED Each Accident or Occurrence ® HIRED Each Accident or Occurrence OTHER 1/1/2001 UMBRELLA EXCESS RE1-641-004195-040 $1,000,000 COMBINED SINGLE LIMIT FOR BI& PD LIABILITY OVER UNDERLYING LIMITS. ADDITIONAL COMMENTS•It the certificate expiration date is continuous or extended term,you will be notified if coverage is terminated or reduced before the certificate expiration date. SPECIAL NOTICE-OHIO: ANY PERSON WHO,WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER,SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. IABOUT THIS MPORTANT NOTICE TO FLORIDA POLICYHOLDERS AND CERTIFICATE HOLDERS : IN THE EVENT YOU HAVE ANY QUESTIONS OR NEED INFORMATION LOWER RIGHT EHAND CORNER OF THIS CERTIFICATE.E THECO APPNTATROPRIATOE LOCAL SALESO OFFICOUR Lcal_SALES EMAILING ADDRESS MAY ALSO BE OBTAINED BYPCAL LNG THIS4 WHOSE NAME AND TELEPHONE NUMBER APEARS IN "lUfrfy Mutual Group NOME OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: 30 DAYS �1AT.r.FY IRRIGATION OF GREELEY 44-8-1 4'1 /J, ATTN: DARLA A-11 J JUDITH S. O'NEAL/ HOLDER ATE 651 "0" STREET AUTHORIZED REPRESENTATIVE P.O. BOX 307 �J Overland Park, KS 913-681-1700 03/13/2000 GREELEY, CO 80832 L' OFFICE PHONE NUMBER DATE ISSUED I This ci•rl,fica to is executed by LIBERTY MUTUAL GROUP as respects such insurance as is afforded by Those Com panics 15,9 7721 R2 ACORD CERTIFICATE OF LIABILITY INSURANC�PID RS DATE(MnvDDm) ZBZX 1 04/24/00 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 ALTERTHECOVERAGEAFFORDEDBYTHEPOLICIESBELOW. Greeley CO 80634 Phone: 970-356-1133 Fax:970-356-4088 INSURERS AFFORDING COVERAGE INSURED INSURERA: Union Insurance INSURER B: CCIA/Pinnacol Assurance DZ BZ X-Kavating, Inc. INSURER C: 3933 High Plains Dr. INSURERD: Berthoud CO 80513 I . 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. . • INSR POLICY ATE(MM/DDNY)E DATE EXPIRATION( / M )) LIMITS- . TYPE OF INSURANCE POLICY NUMBER GENERAL LIABILITY EACHOCCURRENCE $'1,000,000 A X COMMERCIAL GENERAL LIABILITY UPK5018996 09/17/99 09/17/00 FIRE DAMAGE(Any one fire) 'b.00,000 I I CLAIMS MADE X I OCCUR MED EXP(Any one person) $ 5,000 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 PRO- LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A ANY AUTO UPK5018996 09/17/99 09/17/00 (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY $ X 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 AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND rH- X TORY LIMITS ER ER B EMPLOYERS'u u 48! TY 3329375 ' 05/01/00 " 05/01/01 'E.L.EACH ACCIDENT $ 100000 E.L.DISEASE-EA EMPLOYEE $100000 E.L.DISEASE-POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER I I ADDITIONAL INSURED:INSURER LETTER: CANCELLATION WECTYPU SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL WELD COUNTY PUBLIC 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE WORKS DEPT LEFT,BUT FAILURE TO DO SO SHAL NO OBLIGATION 0 LIABI TY OF 1111 H STREET GREELEY CO 80632 ANY KIND UPON THE INSURER,ITS A NTS OR EPRBSEN E I David Austin, CIC 5eOR 7/9ja, " ACORD CORPORATION 1988 CieneLaghtt `/,�'�A^,'nds os or aceo Hello