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HomeMy WebLinkAbout981488.tiff DATE(MM/DD/YY) ACORD� CERTIFICATE OF LIABILITY INSURANCE 04/27(98 PRODUCER 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 GARY CARTER INSURANCE AGENCY ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 6901 S . PIERCE - SUITE #220 COMPANIES AFFORDING COVERAGE LITTLETON, CO 80123 COMPANY (303) 971-0680 FAX : 972-0072 A INSURED COMPANY DUMAR CONTRACTORS, INC. B 102 NORTH 8TH AVENUE COMPANY GREELEY, CO 80631 C MID CENTURY INSURANCE 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DD/YY) DATE(MM/D0P/Y) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ CLAIMS MADE OCCUR PERSONAL&ADV INJURY $ OWNERS&CONTRACTORS PROT EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ MED EXP(Any one person) $ AUTOMOBILE LIABILITY —I COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABIUTY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY'. EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ I OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND XJ WC STATUS OTH- - TORY LIMITS ER EMPLOYERS'LIABILITY EL EACH ACCIDENT $100, 000 C THE PROPRIETOR/ INCL B0408-06-54 4-15-98 4-15-99 EL DISEASE-POLICY LIMIT $500 , 000 PARTNERS/EXECUTIVE - -- OFFICERSARE I EXCL EL DISEASE-EA EMPLOYEE $100 , 000 OTHER I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS COLORADO : PROJECT: STATE ARMORY PARKING LOT 970-356-5661 CERTIFICATE HOLDER . . : .: . : . ..:'... .....:':'. ' ' ' ' ' ..:CANCEUATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF GREELEY EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL wIOFATTN: ADEL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 1000 10TH STREET BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY GREELEY, CO 80631 ANY KIND UPON THE CO NY, ITS AO TS ORRlSENTATIVES. \�\ AUTHORIZED REPRESENTATIVE AGOF3D B{f/9 40ACt 981488 /N5&VN Hello