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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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20001180.tiff
ACORD CERTIFICATE OF LIABILITY INSURANCkTD GS DATE(M ECC1 04/07/00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE J. R. Misken, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3575 S. Sherman St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Englewood CO 80110 Phone: 303-762-1717 INSURERS AFFORDING COVERAGE INSURED INSURER A: Pinnacol Assurance INSURERS: Employers Mutual Companies Integrated Communications INSURER Group, Inc. 255 S.W. 42nd St. Unit D INSURERO: _ Loveland CO 80537 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 CONTRACTOR 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE(MM/DDIYY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE 51,000,000 B X COMMERCIAL GENERAL LIABILITY 1D1-84-65---00 09/22/99 ! 09/22/00 FIRE DAMAGE(Any one tire) $ 100,000 CLAIMS MADE XI OCCUR ' MED EXP(Any one person) S 5,000 PERSONAL&ADV INJURY 51,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG 52,000,000 POLICY r 1 PRO- LOC AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT 51,000,000 ALL OWNED AUTOS E; X ANY AUTO09/22/00 (Ea accident) 1E1-84-65---00 09 22 99 I _ BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS - BODILY INJURY $ NON-OWNED AUTOS (Per accident) —— — PROPERTY DAMAGE (Per accident) $ I i GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO EA ACC S _.— OTHER THAN AUTO ONLY: AGG S EXCESS LIABILITY EACH OCCURRENCE $ 1,000,000 B XJ OCCUR Li CLAIMS MADE 1J1-84-65---00 09/22/99 ! 09/22/00 AGGREGATE $ 1 ,000,000 $ DEDUCTIBLE 5 RETENTION $ $ WORKERS COMPENSATION AND X LIMITS AMU-TORY [I ER - EMPLOYERS'LIABILITY A 3429303 04/01/00 10/01/00 E.L.EACH ACCIDENT 5100,000 E.L.DISEASE-EA EMPLOYEE $ 100,000 E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER B Lease/Rented Equip 1C1-84-65---00 09/22/99 09/22/00 $250. Ded $10,000 B Contractors Equip 1C1-84-65---00 09/22/99 09/22/00 $250. Ded $127,025 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER y I ADDITIONAL INSURED;INSURER LETTER: CANCELLATION WELDCON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Weld County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DC SO SHALL C/O Office of Public Works IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR P.O. Box 758 Greeley CO 80632 REPRESENTATIVES. {..... . »g WI IT Richard M. For/24) 6.1k- .- (l /'jl'`;f Irt r ��/ ACORD 25-S(7/97) (DV raid. de-CL 01-/7-° °° 2000-1180 ACORD CERTIFICATE OF LIABILITY INSURANC PID TM DATE(MM:DIOYY) RRI-4 04/10/00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Linden\Bartels & Noe Agency 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: Maryland/Zurich Commercial INSURER B: C.C.I.A. Rex Harris DBA -INSURER C'. Harris Construction --__ ---- 1429 W 39th Place INSURER D: Loveland CO 80538 -- -- -- - -- 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. LTLR TYPE OF INSURANCE POLICY NUMBER POLICY DATE(MM DD/Y)E i POLICY (MM DD EXPIRATION N LIMITS GENERAL LIABILITY • EACH OCCURRENCE $ 500000 - . A X COMMERCIAL GENERAL LIABILITY 5CP33380321 06/03/99 06/03/00 FIRE DAMAGE(Any one fire) I $ 300000 CLAIMS MADE X OCCUR MED EXP(Any one person) 510000 PERSONAL BADV INJURY 5500000 GENERAL AGGREGATE 51000000 E LIMIT APPLIES PER. qq I PRODUCTS-COMP/OP AGG $ 1000000 AUTOMOBILE LIABILITY PRO- - -�- ---- GEN'L AGGREGATE POLICY I JEGT , LOC ' ILITV Ifr� 0 COMBINED SINGLE LIMIT (Ea accident) ANY AUTO ALL OWNED AUTOS O BODILY INJURY SCHEDULED AUTOS 0 1 (Per person) HIRED AIJTO5 • j ' BODILY INJURY $ (Per accident)NON-OWNED AUTOS PROPERTY DAMAGE (Per accident) GARAGE LIABILITY I AUTO ONLY EA ACCIDENT $ ANY AUTO I OTHER THAN EA ACC $ -AUTO ONLY ACG $ EXCESS LIABILITY EACH OCCURRENCE OCCUR r CLAIMS MADE AGGREGATE 1 S S DEDUCTIBLE _1 r —I RETENTION $ �. - ��_ -.��— ' WG Y COMPENSATION AND X TORY AMU- 1OTH- WORKERS LIMITS I IER 1 B EMPLOYERS'LIABILITY 4005313 09/12/99 09/01/00 1_EL_EACH ACCIDENT I5100000 - E.L.DISEASE_EA EMPLOYEE 5100000 E.L.DISEASE-POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS All Locations / All Operations • • CERTIFICATE HOLDER N ADDITIONAL INSURED;INSURER LETTER: CANCELLATION - WELD-02 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL Weld County 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Dept of Public Works LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILIT Y OF P.O. Box 758 ANY KIND UPON THE INSURER,ITS AGENTS OR RESEN TIVVEEES Greeley CO 80632 TLC-Special Accounts /41//. c/ )71 C-"-� ACORD 25-S(7/97) '7 1 f ����- /7-,w��1� I - fRD CORPORATION 1988 Cdr r 't _ _ Client# : 26899 FREXC a CERTIFICATE OF LIABILITY INSURANCE o4i(izioo) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4£321 Wheaton Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P O Box 270370 Fort Collins, CO 80527 INSURERS AFFORDING COVERAGE INSURED ' INSURER A:Continental Western Front Range Excavation 9 INSURER B:Pinnacol Assurance 4411 West County Road 52E INSURER C: Laporte, CO 80535 INSURER D: 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 EFFECTIVE POLICYEXPIRATIONI - - -- LTR TYPE OF INSURANCE POLICY NUMBER DATE DAM/DD/YYI DATE IMM/DD/YYI LIMITS A I GENERAL LIABILITY iHE774 10/10/99 10/10/00 EACH OCCURRENCE $1 , 000 , 000 X I COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one file)$250, 000 CL AIMS MADE XI OCCUR MED EXP(Any one peaen) ES, 000 PERSONAL&ADV INJURY $1 , 000 , 000 • I GENERAL AGGREGATE $2 , 000 , 000 • GEN'L AGGREGATE LIMIT APPLIES PER: I PRODUCTS-COMP/OP AGG'I$2 , 000 , 000 POLICY I PRO- LOC JECT ---- -- A AUTOMOBILE LIABILITY ',14E77421 10/10/99 10/10/00 COMBINED SINGLE L!WI X ANY AUTO (Ea accident) $1 , 000 , 000 ' ALL OWNED AUTOS BODILY INJURY I I(Per person) SCHEDULED AUTOS - _. . X I HIRED AUTOS I BODILY INJURY (Per accitlent) $ X I NON-OWNED AUTOS ',I I I PROPERTY DAMAGE $ I(Per accident) GARAGE LIABILITY ' AUTO ONLY-EA ACCIDENT]$ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESS LIABILITY .HE77423 10/10/99 10/10/00 EACHOCCURRENCE $1 , 000 , 000 X OCCUR - CLAIMS MADE I AGGREGATE $1 , 000 , 000 DEDUCTIBLE , $ XI RETENTION $10000 $ B WORKERS COMPENSATION AND 1370000 04/01/00 04/01/01 xTORYLIM TS. IOEH EMPLOYERS'LIABILITY I FL.EACH ACCIDENT $100 , 000 E.L.DISEASE-EA EMPLOYEE $100 , 000 E.L.DISEASE-POLiGN.LWIT $500 , 000 OTHER • DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS • CERTIFICATE HOLDER ADDMONAL INSURED;INSURER LETTER _. CANCELLATION SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Weld County public Works DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TOMAIL30 DAYSWRITTEN Attn: Don Summers NOTICETOTHE CERTIFICATE HOLDERNAMEDTOTHE LEFT,BUTFAILURE TO DO SO SHALL P.O. Box 758 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Greeley, CO 80632 REPRESENTATIVES. UT ORI2ED REPRESENTATIyF-� 74 ACRD 25-S(7197)1 - . #M15 0 4 04 , - l,"(J MAE © ACORD CORPORATION 1988 i (_e.-TYL2Fut tf-Lda O2/-/7-..2OO3
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