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HomeMy WebLinkAbout20000231 ACORP. CERTIFICATE OF LIABILITY INSURANC SR RK DATE(MM/DDIVY) C-1 01/07/00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Community First Insurance ' ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agencies, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 4812 South College Ave ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins CO 80525 Phone: 970-223-4744 Fax: 970-223-0891 • . ... INSURERS AFFORDING COVERAGE INSURED INSURER A: Valley Forge INSURER B: Federal Insurance Company Ward Construction INSURER C: Continental Casualty Franklin Ward P.O. Box 265 INSURERD: National Fire Ins. Co. Loveland CO 80539 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 POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/VY) LIMITS GENERAL LIABILITY EACH OCCURRENCE _1 $ 1,000,000 -_r A X COMMERCIAL GENERAL LIABILITY Cl 23424677 • 01/01/00 01/01/01 FIRE DAMAGE(Any one fire) • $ 50,000 JCLAIMS MADE f X OCCUR _MED EXP(Any one person) $ 5,000 • PERSONAL BADV INJURY I $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 EPLIIMMIT APPLIES LPER: PRODUCTS-COMP/OP AGG ' $ 1,000,000 GEN'L AGGREGATE POLICY JECT I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT C X ANY AUTO C1 23424680 01/01/00 01/01/01 (Ea accident) '. $ 1,000,000 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 I $• - ANY AUTO • ' OTHER THAN EA ACC $ • AUTO ONLY: AGG • $ EXCESS LIABILITY EACH OCCURRENCE $2,000,000 B XOCCUR I CI CLAIMS MADE 79428343 01/01/00 '. 01/01/01 AGGREGATE I $ 2,000,000 $ DEDUCTIBLE I I $ RETENTION $ $ WLSIAIU- UIH- WORKERS COMPENSATION AND TORY LIMITS ER D EMPLOYERS'LIABILITY WCC 1 23424694 01/01/00 01/01/01 E.L.EACH ACCIDENT $ 500,000 E.L.DISEASE-EA EMPLOYEE $ 500,000 E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER • DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS The Blanket Additional Insured Endorsement G17957-B applies to this Certificate Holder but NOT with respect to Workers Compensation. CERTIFICATE HOLDER N ADDITIONAL INSURED;INSURER LETTER: CANCELLATION GENERAL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL GENERAL SERVICES DIRECTOR 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE WELD COUNTY LEFT,BUT FAILURE TO DO SO SHALL I OSE NO OBLIGATION OR LIABILITY OF PO BOX 758 GREELEY CO 80632 ANY KIND UPON THE INSURER,ITS AG NTS OR REPRESENTATIVES. • Keith BeT....p ACORD (1I971 �_ /_ /7-4000 [�C/J �-� G`f�6�- 2000-0231 ACORD CERTIFICATE OF LIABILITY INSURANC SR RK DATE(MM/DD/YY) K-1 01/10/00 PRODUCER - - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Community First Insurance - ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agencies, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 4812 South College Ave ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins CO 80525 .:7 INSURERS AFFORDING COVERAGE Phone: 970-223-4744 Fax: 970-223-0891 INSURED INSURER A: Transcontinental - iwsORER B: Transportation Ins. Co. Jake Kauffman and Son, Inc. 1 Frank Kauffman INSURER C: 808 S. County Rd. 9E INSURER D: 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 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 POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE(MWDD/YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A COMMERCIAL GENERAL LIABILITY C 131565872 12/23/99 12/23/00 FIRE DAMAGE(Any one fire) 'IS 50,000 I CLAIMS MADE OCCUR! MED EXP(Any one person) ' S 5,000 J ,. I PERSONAL BADV INJURY I S 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PERT PRODUCTS-COMP/OP AGG S 1,000,000 POLICY 1 PRO- --1 LOC 1 JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT B I ANY AUTO C 1031552796 12/23/99 12/23/00 (Ea accident) ' S1,000,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY S NON-OWNED AUTOS (Per accident) - -_- - PROPERTY DAMAGE $ �I (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S j ANY AUTO OTHER THAN EA ACC I $ 1 AUTO ONLY: AGG I S EXCESS LIABILITY EACH OCCURRENCE 51,000,000 B _ OCCUR Li CLAIMS MADE Cl 31552801 '� 12/23/99 12/23/00 AGGREGATE $ 1,000,000 DEDUCTIBLE S RETENTION S $ Wt.JIAIU- IOtH-I WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS'LIABILITY B WC 1 36347844 12/23/99 I., 12/23/00 E.L.EACH ACCIDENT Ss 100,000 1 E.L.DISEASE-EA EMPLOYE $ 100,000 E.L.DISEASE-POLICY LIMIT I $ 500,000 OTHER I DESCRIPTION OF OPERATIONS/LOCATIONSNE.HICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS The following is named as an additional insured as respects the activities of the named insured for general liability and automobile liability: Weld County, Colorado, by and through the Board of County Commissioners of Weld County, its employees and agents. This endorsement does not apply to workers compensation coverage. CERTIFICATE HOLDER ADDITIONAL INSURED:INSURER LETTER: CANCELLATION WELDCOU SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE I ING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE 0 THE CERTIFICATE HOLDER NAMED TO THE WELD COUNTY, COLORADO LEFT,BUT FAILU E 0 SO S L M ENO OBLIGATION OR LIABILITY OF 915 10TH STREET GREELEY CO 80631 ANY KIND UP URER,I GEN EPRESENTATIVES. Keith Behiner A ORD 25-S(7/97 ACORD CORPORATION 1988 xa i-i7 Aaov Hello