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HomeMy WebLinkAbout990347.tiff ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/'M PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTIER OF INFORMATION Riedman Corporation ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Box 987 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Wheat Ridge, CO 80034-0987 COMPANIES AFFORDING COVERAGE (303) 423-3922 FAX(303) 423-3925 COMPANY A GULF UNDERWRITERS (US RISK) INSURED COMPANY INTERVENTION B CONTINENTAL DIVIDE COMPANY P 0 BOX 330040 C COLORADO COMPENSATION INS AUTH DENVER CO 80233 COMPANY D I COVERAGE$ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POI ICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT 10 WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AIL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCK POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBED POLN:Y EFFECTNE POLICY EXPIRATION LIMITS LTR DATE IMINDD/YY) DATE(MMIDD/YY) A GENERAL LIABILITY G115860944 09/17/99 09/17/00 GENERAL AGGREGATI I$1,009„000 x COMMERCIAL GENERAL LIABILITY PRODUCTS- COMP/OP AGG I$ CLAIMS MADE F—X I OCCUR PERSONALS ADV INJURY $ OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $1,001,M0_ FIRE DAMAGE (Any one fire, $ 100,000— _ _ MED EXP(Any one person) $ B AUTOMOBILE LIABILITY COP4844 09/12/99 09/12/00 COMBINED SINGLELIMT ! sl,000,000 I ANY AUTO ALL OWNED AUTOS BODILY INJU IT $ X SCHEDULED AUTOS (Per per HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident ---- -- PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY EA ACC HUNT $ LANY AUTO I OTHER MAN AUTO ONLY _ E..CH ACCLJENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ dUMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM I $ C I WORKERS COMPENSATION AND 2019722 02/01/99 02/01/00 OHYu°N T5i 'IDA' EMPLOYERS' LIABILITY EL EACH ACCIDENT jI s100,000 -- _ THE PROPRIETOR/ X NaI EL DISEASE -POLICY I MU $500,000 PARTNERS/EXECUTIVE — - -- ---- - I OFFICERS ARE EXCL EL DISEASE FA I Mf ]" E $100.000 OTHER A PROFESSIONAL RENEWAL OF: GU5860944 09/17/99 09/17/00 EA INCIDENT $1,000,000 LIABILITY i AGGREGATE $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED. CERTIFICATE HOLDER CAN(;BLUL`3'fbNj'I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE COUNTY OF WELD EXPNATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL C/O DONALD D WORDEN, DIR OF FINANC 10 _ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, P 0 B9X 758 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY GREELEY CO 80632 OF ANY KMD UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. l TNORIZED.��J(REPRRESEN-AT AC'4130 25-$ (1195)₹ r ti A ',CV © G( 990347 ACORD CERTIFICATE OF LIABILITY INSURANCE CSR DATE(MM/DD/YY) CENTR-W. 09/29/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER.OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Union Colony Insurance HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1218 8th Ave. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Greeley CO 80631 COMPANIES AFFORDING COVERAGE Charles E. Zieman COMPANY Phone No. 970-352-9500 Fax No. A United Fire INSURED COMPANY B TIG Insurance Central Weld County Water COMPANY District C 2235 2nd Ave COMPANY Greeley CO 80631 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 MAN 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(MM/DINYY) DATE(MMODNY) GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY 60031118 10/01/99 10/01/00 PRODUCTS-COMPIOPAGG $ 2,000,000 CLAIMS MADE %] OCCUR PERSONAL 8 ADV INJURY $ 1,000,000 OWNER'S B CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 , FIRE DAMAGE(Anyonefire) $ 100,000 MED EXP(Any one person) $ 5,500 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,0 00,000 ANY AUTO - ALL OWNED AUTOS BODILY INJURY A �' X I SCHEDULED AUTOS (Per person) —$ $ HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) --- - ---— —-- - PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO ''i OTHER THAN AUTO ONLY. EACH ACCIDENT $ AGGREGATE �$ EXCESS LIABILITY EACH OCCURRENCE $ 4,000,000 A X UMBRELLA FORM 60031118 10/01/99 10/01/00 AGGREGATE $ 4,000,000 OTHER THAN UMBRELLA FORM $ WC STATU- I OTH- WORKERS COMPENSATION AND TORY LIMITS _ ER EMPLOYERS'LIABILITY EL EACH ACCIDENT $ 500,000 B THE PROPRIETOR/ X INCL 80038464 10/01/99 ' 10/01/00 EL DISEASE POLICY LIMIT $ 500,000 PARTNERS/EXECUTIVE Y--- ----- - -- -- OFFICERS ARE. EXCL EL DISEASE-EA EMPLOYEE $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHIOLES/SPECIAL ITEMS Certificate holder is named Additional Insured on Auto Liability coverage CERTIFICATE HOLDER CANCELLATION WELD-CO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Weld County /0 _DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, % Weld County Engineers BUT FAILURE TO MAIL SUC OTI SHALL IMPOSE NO OBLIGATION OR LIABILITY PO Box 758 Greeley CO 80632 P KIND NTH O ANY,I S AGENTS OR REPRESENTATIVES. E AT Charles E. Zi ACORD 25-5(1/95) ACORD CORPORATION 1988 Ccn ant OS(flc k WiM-99 pc'. EG Hello