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HomeMy WebLinkAbout20002471.tiff PRODUCER CERTIFICATE OF LIABILITY INSURANCE,PDD 4 I DATE 09/26 00 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Linden Co ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDE .THIS CERTIFICATE DOES NOT AMEND EX ND OR 4100 E. Mississippyi Ave, #900 ALTER THE COVERAGE AFFORDED BY THE POLIC E9 BELOW. Denver CO 80246 Phone: 303-756-6700 Fax:303-756-7700 INSURERS AFFORDING COVERAGE INSURED INSURER A: St. Paul Fire & Marine INSURER B: Pinnacol Assurance Varra Companies, Inc. INSURER C: P.O. -Box 2049 Broomfield CO 80038 wsuRERD: 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. INSH lTR TYPE OF INSURANCE POLICY NUMBER I DATE(MM/DHD/i)E PDATE(MMDIHDAN LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY 1(808301369 10/01/00 10/01/01 FIRE DAMAGE(Any one fire) $ 50000 I CLAIMS MADE I X I OCCUR MED EXP(Any one Person) $ 5000 PERSONAL 8,ADV INJURY $ 1000000 GENERAL AGGREGATE $2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2000000 POLICY X .78f LOC AUTOMOBILE LIABILITY COMBI A X ANY AUTO 8808301369 10/01/00 10/01/01 (Ea acodent)INGLELIMIT 81000000 ALL OWNED AUTOS SCHEDULED AUTOS (Per person) BODILY INJURY X HIRED AUTOS $ X NON-OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DA MAGE $ GARAGE LIABILITY (Per accident) ANY AUTO AUTO ONLY-EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: EXCESS LIABILITY AGG $ EACH OCCURRENCE $ 1000000 A X I OCCUR CLAIMS MADE 8808301369 10/01/00 10/01/01 AGGREGATE $ 1000000 X DEDUCTIBLE $ RETENTION $ 10,000 $ WORKERS COMPENSATION AND $ WCSIAIU- OIH- B EMPLOYERS LIAB!LT' X TORY LIMITS[ ER 3248544 10/01/00 10/01/01 EL.EACHACCIDENr $ 100000 E.L.DISEASE-EA EMPLOYEE $ 100000 OTHER E.L.DISEASE.POLICY LIMIT $ 500000 A Leased/Rented 0808307896 10/01/00 10/01/01 Max An Equipment Y DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS One Item 300,000 ALL OPERATIONS - NELSON ROAD, PIT #13, LONGMONT, COLORAD CERTIFICATE HOLDER I I ADDITIONAL INSURED;INSURER LETTER: _ CANCELLATION WELDC-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL WELD COUNTY IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 915 10TH STREET REPRESENTATIVES. GREELEY CO 80631 AUTHORIZED REPRESENTATIVE Y,r� ! Frank F. Crowe " /�`�"'^'• a ACORD 25-5(7/97) �I Ct7?sei7/ die/70/11, /D-//-OP 2000-2471 ACORD CERTIFICATE OF LIABILITY INSURANC PID DD 4 DATE 09/26%0 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Linden Company HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 4100 E. Mississippi Ave, #900 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver CO 80246 Phone: 303-756-6700 Fax:303-756-7700 INSURERS AFFORDING COVERAGE INSURED INSURER A: St. Paul Fire & Marine INSURER B: Pinnacol Assurance Varra Companies, Inc. INSURER C. P.O. Box 2049 INSURER D: Broomfield CO 80038 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 L TYPE OF INSURANCE POLICY NUMBER POLICY ATE(MWDDD!YY)E POLICY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY KK08301369 10/01/00 10/01/01 I FIREDAMAGE(Anyonefire) $ 50000 CLAIMS MADE X OCCUR MED EXP(Any one person) $ 5000 PERSONAL&ADV INJURY $ 1000000 GENERAL AGGREGATE $2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2000000 POLICY X ! C LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A X ANY AUTO KK08301369 10/01/00 10/01/01 (Eaaccident) $ 1000000 ALL OWNED AUTOS BODILY INJURY 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 $ 1000000 A X I OCCUR CLAIMS MADE ICK08301369 10/01/00 10/01/01 AGGREGATE $ 1000000 X DEDUCTIBLE $ RETENTION $ 10,000 $ WC SIAIU- U WORKERS COMPENSATION AND X TORY LIMITS ER B EMPLOYERS LIABILTV 3248544 10/01/00 10/01/01 E.L.EACH ACCIDENT $ 100000 E.L.DISEASE-EA EMPLOYEE $ 100000 E DISEASE-POLICY LIMIT $ 500000 OTHER A Leased/Rented CK08307896 10/01/00 10/01/01 Max Any Equipment One Item 300,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ALL OPERATIONS - DAKOLIOS PIT, ROAD #13, LONGMONT, COLORADO CERTIFICATE HOLDER I ADDITIONAL INSURED;INSURER LETTER: CANCELLATION WELDC-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR WELD COUNTY 915 10TH STREET REPRESENTATIVES. GREELEY CO 80631 AUTHORIZED REPRESENTATIVE Frank F. Crowe a ACORD 25-S(7/97) " CORD CORPORATION 1991 e0/1- en /D-//-OD ' MARSH USA INC. CERTIFICATE OF INSURANCE CERTIFICATE NUMBER PRODUCER NYC-000494065-00 Marsh USA nC. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Attention Rosalie Belluccia NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE TEL:212 345 5255, FAX:212 345 5991 1166 Avenue of the Amiercas,42nd Floor AFFORDED BY THE POLICIES DESCRIBED HEREIN. New York, NY 10036-2774 COMPANIES AFFORDING COVERAGE 10600-ICI R-RENEW-99-00 COMPANY -- -- -- A OLD REPUBLIC INSURANCE COMPANY INSURED - - - -- --- -- - - COMPANY Tele-Vue Systems, Inc. B NATIONAL UNION FIRE INS CO. 4700 S. Syracuse Street,Suite 1100 Denver,CO 80237 COMPANY - C N/A COMPANY D COVERAGES THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,CONDITIONS AND EXCLUSIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Co - LTR TYPE OF INSURANCE POIJCY NUMBER I POLICY EFFECTIVE r POLICY EXPIRATION DATE(MM/DDNY) DATE(M I LIMITS A I GENERAL LIABILITY IMWZY 54957 110/15/99 10/15/02 j PRODUCTS-CO GATE $ X� COMMERCIAL GENERAL LIABILITY IGENERAL I I PRODUCTS-COMP/OP AGG1$ 2,500,000 I- I- ] CLAIMS MADE I X I OCCUR 1 PERSONAL&ADM INJURY I $ 2,500,000 F OWNER'S 8 CONTRACTOR'S PROT r-- _ EACH OCCURRENCE L$- 2,500,000 - - - - - _- 10/15/99 FIRE DAMAGE(Any one fire) $ — -- — A AUTOMOBILE LIABILITY IMWIB 17862 I MED EXP(Any one person) $ - 10/15/02 _- ANY AUTO I COMBINED SINGLE LIMIT I $ 2,500,000 • ALL OED AUTOS — - .— — _- -- -_—._ --- _ SCHEDULED AUTOS (PeDI LersoNny RV $ I_ HIRED AUTOS -_. —— __ -- — J HNON-OWNED AUTOS BODILY INJURY 7 I (Per accident) $ I 11 — _ _ — — — — t _ -� _ PROPERTY DAMAGE $ GARAGE LIABILITY -- ANY AUTO _AUTO ONLY_EA ACCIDENT $ I OTHER THAN AUTO ONLY. r I_ _ EACH ACCIDENT $ XI B EXCESS LIABILITY BE 357 8851 AGGREGATE $ 10/15/99 10/15/01 EACH OCCURRENCE - UMBRELLA FORM - - -- 4$ - _ 1,000,000 AGGREGATE_ _ $ 1,000,000 OTHER THAN UMBRELLA FORM $._. A I WORKERS COMPENSATION AND MWG 10749300 $ EMPLOYERS'LIABINry 01/01/00 10/15/00' Va STA7U- I IOTH- - X TORY LIMITS ER THE PROPRIETOR/ EL EACH ACCIDENT $ 1,000,000 INCL' PARTNERSIEXECUTIVE - I EL DISEASE-POLICY LIMIT $ 1,000,000 OFFICERS ARE. I X I EXCL OTHER I EL DISEASE-EACH EMPLOYEEI$ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS(LIMITS MAY BE SUBJECT TO DEDUCTIBLES OR RETENTIONS) Term of Contract:8/16/00-8/15/2012. The Certificate Holder is added as an Additional Insured as required by written contract or lease agreement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, Weld County THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR Board of County Commissioners Attention County Clerk LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE,ITS AGENTS OR REPRESENTATIVES. 915 10th Street Greeley,CO 80632 MARSH USA INC. BY: Lisa Trimble ���Th. i �.J CA MM1(9/99) VALID AS S OF: 09/26/00 't- - OCI /v////3C:CC) Hello