HomeMy WebLinkAbout982574.tiff ACORQ, CERTIFICATE OF LIABILITY INSURANCE S E°1 DZzi15D(98 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
'-�-Q COt ITY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Benner Smith Ins Agency Inct flr " '!" -nn HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
4812 South College Ave - ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80525 COMPANIES AFFORDING COVERAGE
1498 PEr 21 Fit 1= 33
Charles N. Oster COMPANY
Phone No. 970-223-4744 Fax No. 970-223CQ$-9�1((c A Valley Forge
INSURED LLL����
COMBPANY
TO THE BO ri 1 Transcontinental
Rocky Mtn Seeding Specialists lJ L COMPANY
Fort Collins Hydro Seed DBA C Colorado Compensation Ins
203 Racquette Drive COMPANY
Fort Collins CO 80524 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 I TYPE OF INSURANCEPOLICY EFFECTIVE POLICY EXPIRATION
LTR POLICY NUMBER PATE(MM/DD/YY) DATE(MM/DD/VY) LIMITS
GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000
A 1.X_. COMMERCIAL GENERAL LIABILITY 1074747154 10/01/98 10/01/99 PRODUCTS-COMP/OPAGG $ 2,000,000
1 CLAIMS MADE X ' OCCUR. PERSONAL&ADV INJURY $ 1,000,000
OWNER'S&CONTRACTOR'S PROT
�I EACH OCCURRENCE $ 1,000,000
-- ---- - - - --- FIRE DAMAGE(Any one fire) $ 100,000
MEDEXP(Any one person) I $ 10,000
AUTOMOBILE LIABILITY
B 7LANY AUTO B 1074734422 10/01/98 10/01/99 COMBINED SINGLE LIMIT $ 1,000,000
-.-_ALL OWNED AUTOS
, SCHEDULED AUTOS BODILY INJURY $
(Per person)
HIRED AUTOS
NON OWNED AUTOS BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO
----� OTHER THAN AUTO ONLY:
-- -- - --- EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND WC STATU- OTH-
EMPLOYERS'LIABILITY X TORY LIMITS ER
EL EACH ACCIDENT $ 100,000
C THE PROPRIETOR/ I I INCL 2077162
PARTNERS/EXECUTIVE I 04/01/9$ 04/01/99 EL DISEASE-POLICY LIMIT $ 500,000
OFFICERS ARE EXCL Ir 1I--EL DISEASE-EA EMPLOYEE $ 100,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
Fax (970) 352-2868
CERTIFICATE HOLDER CANCELLATION
WELDGOV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Weld County Government EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
Public Works Dept 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Ron Broda
Po Box 758 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
Greeley CO 80632 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Charle er /,�s/q �f,,� 982574
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