HomeMy WebLinkAbout20002369.tiff ACORD. CERTIFICATE OF LIABILITY INSURANC &IL >o 1 DA )
09/27/0� 0
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Linden/Bartels & Noe Agency-GR HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
3459 W 20th Street Suite 224 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Greeley CO 80634
Phone: 970-356-1133 Fax:970-356-4088 INSURERS AFFORDING COVERAGE
INSURED INSURER A: Continental Western Insurance
INSURERB: Pinnacol Assurance
H & L Concrete, Inc. INSURER C.
Herman Naranjo
651 28th Street INSURER D:
Greeley CO 80631-8436
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 TYPE OF INSURANCE POLICY NUMBER POUCY
VE POLICY
(MMIDDIDmEN LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
A X COMMERCIAL GENERAL LIABILITY H228320 02/18/00 02/18/01 FIREDAMAGE(Anyonefire) $ 250,000
CLAIMS MADE X OCCUR MED EXP(Any one person) $ 5,000
PERSONAL 8 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- �JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
A ANY AUTO H228321 02/18/00 02/18/01 (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 N/A OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE 5
OCCUR CLAIMS MADE N/A AGGREGATE $
$
DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND X I TORY IMITSI OER
B EMPLOVERS'LIABILITY 1452910 06/01/00 06/01/01 E.L.EACH ACCIDENT $ 100,000
E.L.DISEASE-EA EMPLOYEE $ 100,000
E.L.DISEASE-POLICY LIMIT $ 500,000
OTHER
N/A
DESCRIPTION OF OPERATONS/LOCATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
PROJECT: Rehabilitation of Bridge Abutments. Weld County, Colorado by and
through the Board of County Commissioners of Weld County, its employees and
agents are an ADDITIONAL INSURED as respects to this project.
CERTIFICATE HOLDER IN I ADDITIONAL INSURED;INSURER LETTER:_ CANCELLATION
WCBOARD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
Weld County Board NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
of County Commissioners IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPO INSURER,ITS AGENTS OR
P.O. Box 758
Greeley CO 80632 REPRESEN MVES. •
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ACORD 25-S(7/97)
60/7_5617// I/ge/'d2.
7D -,1) 0 2000-2369
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