HomeMy WebLinkAbout20000734.tiff ACORD. CERTIFICATE OF LIABILITY INSURANCEPID MP DATE(MM/DEFY,:
&LCD 1 03/08/00
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 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
INSURER B: Colorado Compensation Ins.
H & L Concrete, Inc. , , INSURER C:
Herman Naranjo ------ - -- - .. .
651 28th Street INSURER O:
Greeley CO 80631-8436 ------- - -- - --
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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFEC IVE POLICY EXPIRATION LIMITS
LIE DATE(MM/DDNY) DATE(MM/DDIVV)
GENERAL LIABILITY EACH OCCURRENCE S 1,000, 000
A X COMMERCIAL GENERAL LIABILITY H228320 02/18/00 02/18/01 FIRE'DAMAGE(Any one fire) t$ 250,000
I CLAIMS MADE X OCCUR MED EXP(Any one person) I $ 5,000
PERSONAL 8ADViNJURY T$ 1,000,000
' GENERAL AGGREGATE • $ 2,0 0 0,00 0
I GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG ! $ 2,000,000
POLICY PRO- lOC I- - --_ -
I JECT
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT 51,000, 000
A ANY AUTO H228321 02/18/00 02/18/01 (Ea accident)
_ —I__.
ALL OWNED AUTOS BODILY INJURY
X SCHEDULED AUTOS per person) $
X HIRED AUTOS BODILY INJURY
$
X NON-OWNED AUTOS (Per accitlenaccident) —--PROPERTY DAMAGE $
(Per accident)
_ Jr
GARAGE LIABILITY AUTO ONLY-EA ACCICENT I $
ANY AUTO N/A OTHER THAN EA ACC $AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE S
I OCCUR [_ CLAIMS MADE N/A AGGREGATE _ -. $
$
DEDUCTIBLE $
—~'I RETENTION $ I $
Wt,SIAIU-
WORKERS COMPENSATION AND X TORY LIMITS ER
EMPLOYERS'LIABILITY
B 1452910 01/01/00 06/01/00 EL,EACH ACCIDENT 5100, 000_
li E.L.DISEASE-EA EMPLOYEE 5100, 000
I E.L.DISEASE-POLICY L.IM:T $ 500,000
OTHER
N/A
I
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER N I ADDITIONAL INSURED;INSURER LETTER: _ CANCELLATION
WCBOARD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCE LL ED BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL
Weld County Board 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
of County Commissioners LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
PO Box 758
Greeley CO 80632 ANY KIND UPON THE INSURER,ITS AGEaJTSOauE_,PRESENTATIVES.
\V i\-1-" �ZV YY 11 ... �__
ACORD 25-S(7/97)
C A- 2-
I S-
- .2000 2000-0734
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