The URL can be used to link to this page

Browse Search

Home My WebLink About990926.tiff DATE MM/DDIYY ACORD CERTIFICATE F LIABILITY INSURANCE 04/16/1999 PRODUCER (303)824-6600 FAX (303)370-0118 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MOOd Insurance Agency, Inc. ( • ' 1 rII"T ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Y 9 Y, - r ..i; . �I HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 3773 Cherry Creek North Drive s ALTERTHECOVERAGEAFFORDEDBYTHEPOLICIESBELOW. Suite 800 COMPANIES AFFORDING COVERAGE Denver, CO 80209-3804 I'" " ^ # / r. '(4MPANY Travelers Property Casualty Attn: Clare Shine Ext: A INSURED CI I'!'( COMPANY Cob Comp Ins Authori ty Rhoads Construction, Inc B 2290 E Prospect Rd '—{' COMPANY Ste 6 C Fort Collins, CO 80524 COMPANV D COVERS 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MMIDD/YV) DATE(MM/DDIVY) GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY - PRODUCTS-COMROP AGG $ 2,000,000 A CLAIMS MADE X OCCUR U1CO754G5432 12/31/1998 12/31/1999 PERSONALS AD✓INJURY $ 1,000,000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 X Per Proj/Loc Agg E FIRE DAMAGE(Any one nre) $ 300,000 MED EXP(Any one person) $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ X ANY AUTO 1,000,000 ALL OWNED AUTOS BODILY INJURY (Per person) SCHEDULED AUTOS A DT810754G5432 12/31/199812/31/1999 X HIRED AUTOS BODILY INJURY $ (Per accident) X NON-OWNED AUTOS _. _... PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY'. EACH ACCIDENT $ AGGREGATE$ EXCESS LIABILITY EACH OCCURRENCE $ 5,000,000 A X UMBRELLA FORM DTSMCUP754G5432 12/31/1998 12/31/1999 AGGREGATE $ 5,000,000 OTHER THAN UMBRELLA FORM - $ X WCSIATU OTH WORKERS COMPENSATION AND TORY LIMITS; ER EMPLOYERS'LIABILITY EL EACH ACCIDEEN $ 100,000 B THE PROPRIETOR/ 4018689 04/01/1999 04/01/2000 EL DISEASE-POLIOV LIMIT $ 500,000 INCL PARTNERS/EXECUTIVE EL DISEASE-EA.EMPLOYEE $ 100,000 OFFICERS AR E'. EXCL OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEH ICLESISPECIAL ITEMS Project: Weld County Public Health Building/1555 N 17th/Greeley, CO 80634 Architect: Bley Associates, Architects / 2020 Clubhouse Dr/Greely, CO 80634 CERT ICATE HOLDER GANCELLAIION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NI)OBLIGATION OR LIABILITY Weld County Colorado 915 10th St OF ANY KIND UPON THE COMPANY,ITS AGENTS OR RE'.PRESENTATIVES. Greeley, CO 80634 AUTHORIZED R ESENTATIVE ACORD 26$(1f68) ACORD CORPORATION 1888 0}xsoy 990926 Al/ 3AGFAX 4128 10:40AM F PE1 EHSON I H NCE INC L'1 WK1' PA E I M"' :>y<:g';i'r.:3.:v3:.:>33,k.. DATEIMM/DD/YY)... dr. I:"r iv:i 3ik:::::L:;%i4b;_.:• - . iii≥!'3:%$; 'Y:niy.3'S.Li33a,.::, 4:43::::* 4154 'S.'_;:;: 4.,.v:n,./V v:t'..- PRODUCER y: •' ,• " y^"":: s1 �� '� THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE S CERTIFICATE DOMS NOT AMEND EXTEND OR 211 First Street ALTTEE.R� I THE COVERAGE AFFORDED BY THE POLICIES BELOW. Eaton, CO 80615 COMPANIES AFFORDING CON/FRAGE 970-454-3381 COMPANY AEMC Insurance Company INSURED I COMPANY Little Thompson Water District I °Reliance National Insurance Drawer G COMPANY 835 E . Highway 56 I c Berthoud, CO 80513 COMPANY D 1 ;,t om_ x�. T. : :.„:. d . ,,< a A s THAT ≥DIES, B.C .'E Z`1`. B:,N°ISS�`.a*+�'3T � ASPANYPBKX)o . �.e�.z THIS IS TO t,tH11FV THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POJCY PeiOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TETWA 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. DO ' TYPEOF INSURANCE POLICY NUMBER IPOL!CY EFFECTIVE POLICY IXP!RAT!ON LIMITS LTR DATEIMM/DC" DATEMM/COMO A GENERAL LIABILITY 1D47111 05/01/98 05/01/99 I GENERALAGGREGATE $2, 000, 000 X I COMMERGIAI GENEPAL I IAHII IIv (PRODUCTS-COMPIOPAGG $2_ 000,000 CLAIMS MADE! X I OCCUR PERSONAL&ADV INJURY IS1000, 000 i OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE i$1, 000,000 FIRE DAMAGE(Any one tire) I$100,000 _ MED EXP(Any one person) s5, 000 A ' AUTOMOBILEL'ABILITY 1E47111 05/01/98 05/01/99 1, 000,000 COMBINEDSINGLELIMIT a 1ANY AUTO _ - _5555 AL L OWN ED AUI OS BODILY INJURY $ SCHEDULED AUTOS (Per person) IIREU AU 105 ODHYINJiUHV IS NON-OWNED AUTOS _ PROPER FY DAMA6 E $ GARAGE LIABILITY AUTO ONLY.EA ACCIDENT $ .n r— 0!HER"!HAN AUI O ONLY: x. .. .:; I .w;a�:r< MANY AUTO - '%<"r"�lk t%3::^^{yr�s{:�ijc�:�i EACH ACCIDENT $ ASOH Ea A I E $ A EXCESS LIABILITY 1347111 05/01/98 05/01/99 I EACH OCCURRENCE $5, 000, 000 X UMBRELLA FORM I AGGHEGAIE - _. I$5, 000,-000 I OTHER THAN UMBRELLA FORM $ B WORKERS OOMPENSATION AND NWX6006564 07/01/98 07/01/99 X iS-ATUTORYI Mlr_S- gROINN0VM EMPLOYERS'L ABILITY EACH ACCIDENT $100, 000 I HEPROPRIEIOHI INCI DISEASF-POI ICY I IMIT ¢00,000 PARTN ERRIEXECUTIVF ( F OARE:EIDERS EXCL DISEASE-EACH EMPLOYEE Ia0 0 000 II OTHER I I DESCRIPTION OF OPERATIONS/LOCATIONS/V EHICLES/SPECIAL ITEMS Fax: 970-352-2868 SHOO LO ANY OF THE ABOV E DESCRIBED POLICIES BE CANCELLED BEFORETHE Weld County - Engineering EXPIRATION DATE THEREOF,THE ISSUING COMPA NY WI LL ENDEAVOR TO MAIL Attn: Don Summer 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, P O Box 758 BUTFAILURE TO MAIL SUCH NOTICE SHALL IMPOBENOOB'LIGATION OR LIABILITY Greeley, CO 80632 OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE _ I.r.:.:..:55 : •r>2>...... ,>t ?;;•'s: r�s'�, s's13 e.t, . art. / nL.� A,S� any, . I. ; .. :;:.a1 :. ', :.,a„o.:.x.,'",o ,{.>:...:%io:;:: . : , ^.S. `.etid,...,'.,., 4.:2;�::S;.L/1 ..... ... 5555.. ;... ...L........��'. .>:.:�.;:::.., . ::. ,.»:.;..::..�::::::..5;555::.. ..:.r:.:?.;.3.:^...:.:i:3..,:55'5::5;:: e,::.. .:: :. . .k 00"5(hi/r HRSWAT _ ACORDT. CERTIFICATE OF INSURANCE, DATE(MWDD/YY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Van Gilder Insurance Corp . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 700 Broadway, 1000 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Y rSuite ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80203 COMPANIES AFFORDING COVERAGE COMPANY ASt . Paul Insurance INSURED COMPANY HRS Water Consultants, Inc . BKemper Ins Cos 200 Union Blvd . , #200 COMPANY Union Plaza Building cSecurity Ins Co of Hartford Lakewood, CO 80228 COMPANY 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. POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE(MMIDO/YY) DATE(MMIDDNY) LIMITS A I GENERAL LIABILITY RP06612545 04/08/99 04/08/00 GENERAL AGGREGATE ($2 , 000 , 000 X I COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $2 , 000 , 000 CLAIMS MADE X OCCUR PERSONAL&ADV INJURY $1, 000 , 000 OWNER'S 8 CONTRACTOR'S PROT EACH OCCURRENCE i$1 , 000 , 000 FIRE DAMAGE(Any one(Ire) $Included -- MED EXP(Any one person) $ 5, 000 A AUTOMOBILE LIABILITY RP06612545 04/08/99 04/08/00 COMBINED SINGLE LIMIT $1 , 000, 000 ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per person) SCHEDULED AUTOS $ X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per acmdent) $ ----- - - I PROPERTY DAMAGE '$ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT I$ ANY AUTO I OTHER THAN ALTO ONLY'. EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE S UMBRELLA FORM (AGGREGATE I$ OTHER THAN UMBRELLA FORM !1 _ S B WORKERS COMPENSATION AND 7CQ26278707 05/01/98 05/01/99 STATUTORY LIMITS EMPLOYERS'LIABILITY EACH ACCIDENT $ 100 , 000 THE PROPRIETOR/ li INCL DISEASE-POLICY LIMIT Iii$ 500 , 000 PARTNERS/EXECUTIVE I OFFICERS ARE: (I EXCL DISEASE-EACH EMPLOYEE? $ 100 , 000 C OTHER Architects/' PL512842 04/01/98 04/01/01 $1 , 000 , 000 Per Claim Engineers $1 , 000 , 000 Aggregate Professional $15 , 000 Ded. Ea . C1m. Liability DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS RE : Ground Water Exploration The Certificate Holder is listed as an Additional Insured, under General (See Attached Schedule . ) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Weld County Dept . of Public EXPIRATION DATE THEREOF.THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Works 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn: Mr. Don Somers BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 933 N. 11th Ave . OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Greeley, CO 80631 AUTHORIZ ESENTATIV�E ACORD 29-B(3/3311 of. 2 #543972/M43952 JJC '. C ACORD CCO�RPORATION 1993 /) _ - t n / Ai//,-,i inn ( n q2 DESCRIPTIONS (Continued from page 1.) Liability only, in respects to their interest in work performed by the insured as per written specified contracts . ascem25.2(3/93)2 of 2 #S43972/M43952 : '.. Hello