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Home My WebLink About20001193.tiff ACQRD. CERTIFICATE OF LIABILITY INSURANCEPID JO DATE(Wili LEVY, TELEC-1 04/].3/00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Colorado West Insurance HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 359 Main Street, Suite 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Grand Junction CO 81501 COMPANIES AFFORDING COVERAGE Ronald K Brock COMPANY Phone No. 970-245-6960 Fax No. 970-245-9520 A CNA Commercial Insurance INSURED COMPANY B COMPANY Telephone & Cable Inc C PO Box 880 COMPANY Louisville CO 80027-0880 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 POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER LIMITS Ll R DATE WM/DEWY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 A - X COMMERCIAL GENERAL LIABILITY C131647147 12/31/99 12/31/00 PRODUCTS.COMP/OP AG'T $ 2,000,000 CLAIMS MADE L X I OCCUR PERSONAL B ADV INJURY $ 1,000,000 ' OWNER'S B CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE(Any one lire: $ 100,000 MED EXP(Any one person) $ 10,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000 ,000 A ANY AUTO C131562602 12/31/99 12/31/00 X ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X 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 $ I EXCESS LIABILITY EACH OCCURRENCE $ 5,000 ,000 A XIUMBRELLAFORM C176745479 12/31/99 12/31/00 AGGREGATE 5,000 ,000 OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND LWTORC ST IOTHER VLIMITATU-S 1 . EMPLOYERS LIABILITY EL EACH ACCIDENT THE PROPRIETOR/ - INCL EL DISEASE POL ICY LIMIT $ PARTNERS/EXECUTIVE - - -- -OFFICERS AREL EXCL EL DISEASE EA EMPLOYEE $ OTHER A Install/Builders R C131647147 12/31/99 12/31/001, limit 1,000,000 1:04A, _ � DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Certificate holder is named as additional insured APR 13 2000 CERTIFICATE HOLDER CANCELLATION #P ages ____._.-- - -- WELDC-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL LED BEFORE 'HE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Weld County 10 _DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE^.t I:FT %Office of Public Works BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABI.IT" PO Box 758 Greeley CO 80362 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVE`. AUTHORIZED REPRESENTATIVE Ronald K Brock ACORD 25-S(1/95) 2000-1193 ACORD CERTIFICATE OF LIABILITY INSURANCE,ARNE-3 DAua�is o'o 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. Bituminous Insurance INSURER B: Superior National Ins. Group -_ Farner Enterprises, Inc. INSURER C: • 12280 Sable Blvd. INSURER D: • Brighton CO 80601 — ---- -- --- ---- -- 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.INS R POLICY TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY)E DATE POLTCYEXPIRATION (MM/DD/YY) LIMITS GENERAL LIABILITY , EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLP2315033 04/25/00 04/25/01 FIRE DAMAGE(Any one fire) $ 100,.000 LI CLAIMS MADE LXJ OCCUR MED EXP(Any one person) $ 10,000 PERSONAL&ADVINJURY 31, 000 000 GENERALAGGREGATE $ 2,000 000 GENII_AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000, 000 —� — PRO- POLICY X 1 JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT s 1, 000, OOO A X ANY AUTO CAP3057797B 04/25/00 04/25/01 (Ea accident) ALL OWNED AUTOS ' BODILY INJURY ' SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY (Per accident) X NON-OWNED AUTOS PROPERTY DAMAGE $ --- - "'— _—" - (Per accident) GAR AGE LIABILITY AUTO ONLY EAACCIDENT S ANY AUTO OTHER THAN EA ACC_, $ AUTO ONLY: AGG $ EXCESS LIABILITY I EACH OCCURRENCE $ _ - . OCCUR —I CLAIMS MADE AGGREGATE DEDUCTIBLE - RETENTION $ I I WORKERS COMPENSATION AND Xi TORY LIMITSI LO ER-.i _ ___ EMPLOYERS'LIABILITY B W997160505 07/01/99 07/01/00 E.L.EACH ACCIDENT $ 1000000 PLDISFASE-EAEMPLOYEE. $ 1000000 �(E.L.DISEASE-POLICY LIMIT S 1000000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ALL OPERATIONS/ALL LOCATIONS 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 ENGINEER 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE ATTN: ALAN MILLER LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILII Y OF P.O. BOX 758 GREELEY CO 80632 ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES Jeff Broyles R�D �° ACORD 25-S(7/97) �" AC• '+../ "' j„- TiON 1988 Hello