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HomeMy WebLinkAbout951666.tiffAC:OOitIL ERTIF LATE OF INSURANC ISSUE DATE (MM/DD/YY) 10—JUL-1995 Willis Corroon Corporation of Maryland 10 North Park Drive Hunt Valley MD 21030 1410) 527-1200 Contact : Kimberly S. Suarez—Murias INSURED 30242 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Western Mobile Inc. and its subsidiaries Mobile Premix 1400 W. 64th Avenue Denver CO 80221 COMPANIES AFFORDING COVERAGE COMPANY National Union Fire Insurance Co of LETTER A Pittsburgh PA COMPANY LETTER B COMPANY LETTER a COMPANY LETTER D COMPANY LETTER E COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR T POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPETO 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DO/YY) LIMITS A A GENERAL LIABILITY X X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR. OWNER'S & CONTRACTOR'S PROT. AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON -OWNED AUTOS GARAGE LIABILITY RMGL1212727 RMCA1351224 15-JUL-1995 15-JUL-1995 15-JUL-1996 15-JUL-1996 GENERAL AGGREGATE PRODUCTS-COMP/OP AGG PERSONAL & ADV. INJURY $ 2,000,000 $ 2,000,000 EACH OCCURRENCE FIRE DAMAGE (Any one tire) MED. EXPENSE (Any one person COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE 1 000,000 1,000,000 1,000 000 5,000 1,000,000 EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE AGGREGATE WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY OTHER RMWC0171732 X STATUTORY LIMITS 15-JUL-1995 15-JUL-1996 EACH ACCIDENT DISEASE -POLICY LIMIT 1,000,000 $ 1,000,000 DISEASE -EACH EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/SPECIAL ITEMS Project: Weld County Road 8 Weld County, Colorado is hereby named as an Additional Insured CERTIFICATE HOLDER Weld County Commissioners 915 10th Street Greeley CO 80632 ACORD 25.8.3 } sn'1-+-t 7/u /C 3 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO r MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ND UPON THE CO Y, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPPRE 51666 ACOItD. CERTIFICATE OF INSURANC ISSUE DATE (MM/OD/YY) 10—JUL-1995 Willis Corroon Corporation of Maryland 10 North Park Drive Hunt Valley MD 21030 (410) 527-1200 Contact : Kimberly S. Suarez—Murias INSURED Western Mobile Inc. and its subsidiaries Mobile Premix 1400 W. 64th Avenue Denver CO 80221 30242 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY LETTER Pittsburgh PA _ COMPANY LETTER A National Union Fire Insurance Co of B COMPANY LETTER le C": COMPANY LETTER COMPANY LETTER D E COVERAGES THIS it 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 LT0. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS A A OENERAL LIABILITY X X COMMERCIAL GENERAL LIABILITY 1 CLAIMS MADE L XI OCCUR. OWNER'S & CONTRACTOR'S PROT. AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON -OWNED AUTOS GARAGE LIABILITY RMGL1212727 RMCA 1351224 15-JUL-1995 15-JUL-1995 15-JUL-1996 15-JUL-1996 GENERAL AGGREGATE PRODUCTS-COMP/OP AGG. PERSONAL & ADV. INJURY EACH OCCURRENCE FIRE DAMAGE (Any one fire) $ _ 1,000,000 MED. EXPENSE (Any one person) $ 5,000 COMBINED SINGLE LIMIT $ _ 2,000,000 $ 2,000,000 s 1,000 000 $ 1,000,000 BODILY INJURY (Per person) BODILY INJURY Per accident) S 1,000,000 PROPERTY DAMAGE EXCESS LIABILITY J UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE AGGREGATE WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY OTHER Rivi W C0171732 -JUL-1905 15-JUL-1996 X STATUTORY LIMITS 1,000,000 1,000,000 1,000,000 EACH ACCIDENT DISEASE -POLICY LIMIT DISEASE -EACH EMPLOYEE DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLESISPECIAL ITEMS CERTIFICATE:H DE Weld County Commissioners 915 10th Street Greeley CO 80631 ANCELLATION 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 N®TICE SHALL IMPOSE NO OBLIGATION OR .; LIABILITY OFyJy'I�(IND UPON THE CO Y, ITS AGENTS OR REPRESENTATIVES. 'i?: AUTHORIZED REPRE ........................... PORATIC CERTIFICATE WILLIS OF INSURANCE CORROON OESCRIPTION OF' OPERATION � 7TAf:HM�NT .. ISSUE DATE (MM/DD/YY) 10-JUL-1995 P'ACa PRODUCER V.E 30242 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Willis Corroon Corporation of Maryland 10 North Park Drive Hunt Valley MD 21030 (410) 527-1200 Contact : Kimberly S. Suarez—Murias INSURED Western Mobile Inc. and its subsidiaries Mobile Premix 1400 W. 64th Avenue Denver CO 80221 CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY LETTER COMPANY LETTER A B National Union Fire Insurance Co of Pittsburgh PA COMPANY LETTER C COMPANY LETTER D COMPANY LETTER E O THIS DESCRIPTION OF OPERATIONS ATTACHMENT MAY BE RELIED UPON ONLY IF THE CERTIFICATE REFERRED TO HEREIN IS ATTACHED HERETO. r Certificate Holder : Weld County General Liability - The Certificate Holder is an Additional Insured solely as respects work performed by or for the Named Insured in connection with 1992 Chip and Seal Project, provided, however, that a written contract requiring that the Certificate Holder be an Additional Insured exists. sr WILLIS CORROON.25SA t WILLIS G0RROON 19 ACOItil• CERTIFICATE PRODUCER --- " Willis Corroon Corporation of Maryland 10 North Park Drive Hunt Valley MD 21030 (410) 527-1200 Contact : Kimberly S. Suarez—Murias F. 30242 INSURED Western Mobile Inc. and its subsidiaries Mobile Premix 1400 W. 64th Avenue Denver CO 80221 IN ISSUE DATE (MM/DD/YY) 10—JUL-1995 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY National Union Fire Insurance Co of LETTER A Pittsburgh PA COMPANY LETTER B COMPANY LETTER Ci COMPANY LETTER D COMPANY LETTER E 0 70 0 COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORT POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPETO 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MWDD/YY) DATE (MM/DD/YY) LIMITS A A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR X OWNER'S & CONTRACTOR'S PROT. AUTOMOBILE LIABILITY X X X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY RMGL1212727 RMCA1351224 15-JUL-1995 15-JUL-1995 15-JUL-1996 15-JUL-1996 GENERAL AGGREGATE PRODUCTS-COMP/OP AGG. PERSONAL & ADV. INJURY EACH OCCURRENCE FIRE DAMAGE (Any one fire) MED. EXPENSE (Any one pe COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE son $ 2,000,000 $ 2,000 000_ 1,000,000_ $ 1,000,000 $ 1,000,000 5,000 1,000,000 EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE AGGREGATE WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY OTHER RMWC0171732 15-JUL-1995 15-JUL-1996 X STATUTORY LIMITS EACH ACCIDENT $ 1,000,000 DISEASE -POLICY LIMIT $1,000,000 DISEASE -EACH EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONSA.00ATIONSIVEHICLES/SPECIAL ITEMS THIS CERTIFICATE MAY BE RELIED UPON ONLY IF THE DESCRIPTION OF OPERATIONS ATTACHMENT REFERRED TO HEREIN IS ATTACHED HERETO. CERTIFICATE HORDER. Weld County 915 10th Street Greeley CO 80632 A i•. 90) CANCELLATION 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 NO LIABILITY O .. K D UPY, ITS AGER REPRESENTATIVES. ci AUTHORIZED REPRES SHALL IMPOSE NO OBLIGATION OR (`ACO4 CLt1RPORA I '1 Hello