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Home My WebLink About980783.tiff a1:IIRII CERTIFICATE OF INSURANCE ' 03i`8° 98 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Ins . Inc . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. O. BOX 578 •• ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 87 W. 18th Street COMPANIES AFFORDING COVERAGE ,.reeley, CO 80632 COMPANY AHARTFORD LIFE & ACCIDENT INSURED COMPANY Ideal Services Corp. BFREMONT INDEMNITY COMPANY P . O. Box 328 COMPANY -� — Greeley, CO 80632 C 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 D/YY) DATE WM/CONY) A GENERAL LIABILITY 34UUNFW0476 04/01/98 05/01/99 GENERAL AGGREGATE $2, 000, 000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG$2 , 000, 000 (CLAIMS MADE L X OCCUR I PERSONAL&ADV INJURY $1, 000, 000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $1, 000 , 000 FIRE DAMAGE(Any one tire)$ 50, 000 MED EXP(Any one person) $ 5, 000 A AUTOMOBILE LIABILITY 34UUNFW0476 04/01/98 ' 05/01/99 COMBINED SINGLE LIMIT $1, 000 , 000 X ANY AUTO - ALLOWNEDAUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS - -HIRED AUTOS BODILY INJURY '$ (Per accident) NON-OWNED AUTOS - --- PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ }RH ANYAUTo OTHER THAN AUTO ONLY EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ _ _ UMBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM $ B WORKERS COMPENSATION AND W01413601 04/01/98 05/01/99 X I STATUTORY LIMITS EMPLOYERS'LIABILITY EACH ACCIDENT $10 0 , 000 THE PROPRIETOR/ Xl INCL DISEASE-POLICY LIMIT $500, 000 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE I$10 0, 0 0 0 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE WELD COUNTY VICTIMS ASSISTANCE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 915 10TH STREET .30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Greeley, CO 80631 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 980783 ACORD25-S(3/93}1 of 1 #M10473704'737 RKS © ACC Hello