HomeMy WebLinkAbout981396.tiff ACORD CERTIFICATE OF LIABILITY INSURANCE asp xP DATE(MM/DD/Y1')
THOMPS2 07/15/98
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Thomas J. Sisk & Company, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
1675 Broadway Suite 1630 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Denver CO 80202 COMPANIES AFFORDING COVERAGE
John (Jay) M. Piercy IV COMPANY
PnoneNo. 303-629-7923 FaxNo. 303-892-1031 A CNA Insurance Company
INSURED COMPANY
B Transportation Insurance Co.
Thompson Valley Sealcoating Co COMPANY
Deb C American Int'l Companies (AIG)
909 Des Moines Avenue COMPANY
Loveland CO 80537-5106 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
LTR DATE(MM/DDNY)DATE(MWDD/VY) LIMITS
GENERAL LIABILITY GENERAL AGGREGATE $2,000,000
A X COMMERCIAL GENERAL LIABILITY 1056393055 05/15/98 05/15/99 PRODUCTS-COMP/OPAGG $2,000,000
CLAIMS MADE X OCCUR PERSONAL B ADV INJURY $ 1,000,000
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE(Any one fire) $ 50,000
MED EXP(Any one person) $ 5,000
AUTOMOBILE LIABILITY
COMBINED SINGLELIMfT $ 1,000,000
B X ANY AUTO C156393069 05/15/98 05/15/99
ALL OWNED AUTOS
BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS
BODILY INJURY $
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:.
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $ 1,000,000
A X UMBRELLA FORM 1056393072 05/15/98 05/15/99 AGGREGATE $ 1,000,000 .
OTHER THAN UMBRELLA FORM F $
WORKERS COMPENSATION AND X I"JC STATU- OTH-'
TORY LIMITS I ER
EMPLOYERS'LIABILITY EL EACH ACCIDENT $ 100,000_
C THE PROPRIETOR/ INCL TBA 05/15/98 05/15/99 EL DISEASE-POLICY LIMIT $ 500,000
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 100,000
OTHER
A Property Section 1056393055 05/15/98 05/15/99
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
The certificate holder is added as an additional insured as their interest
may appear.
CERTIFICATE HOLDER CANCELLATION
WELDCD1 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,
` 1A t BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
Weld Couny Colorado
1,A$1 P.O. BOX 7S8 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES.
11 Greeley, CO 80632 AUTHORIZED REPRESENTATIVE
John (Jay) M. Piercy IV ACORD 25.5(1/95) - ACORD 981396
/981396;CORPOR,
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