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HomeMy WebLinkAbout972566.tiffACORD CERTIFICATE OF LIABILITY INSURANCkID CS DATE (MM/DD VY) INCA -1 11/19/97 PRODUCER The Linden Co. of Northern Co. 2900 South College Avenue -#3B 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. Fort Collins CO 80525 COMPANIES AFFORDING COVERAGE Phone No. 970-229-9304 Fax No. 970-229-1396 COMPANY A Employers Mutual INSURED COMPANY B C.C.I.A. Kincaid Tree Surgery Co. S Greeley Spray COMPANY , C --I`_i P. O. Box 757 Ft. Collins CO 80522 COMPANY ; rrl D -I _2 COVERAGES (.' - : '. n1Jb •i'. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR T1dE POLICY PERT INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TOM/HICK CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT Tb ALL THFETERMS; ---1 EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.CO L R TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MM/DD/YY) POLICY EXPIRATION DATE(MWDD/YY) LINOS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY 0D8652098 12/01/97 12/01/98 GENERAL AGGREGATE $ 2000000 PRODUCTS. COMP/OP AGG $2000000 CLAIMS MADE X OCCUR PERSONAL BADV INJURY $ 1000000 OWNER'S8. CONTRACTORS PROT EACH OCCURRENCE $ 1000000 FIRE DAMAGE (Any one re) $ 50000 MED EXP (Any one person) $ 5000 A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 0E8652098 12/01/97 12/01/98 COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO AUTO ONLY EA ACCIDENT $ OTHER THAN AUTO ONLY EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE $ AGGREGATE $ $ B WORKERS COMPENSATION EMPLOYERS'LIABILITY THE PROPRIETOR/ PARTNERS/EXECUTIVE OFFICERS ARE'. AND INCL EXCL- 0343512 10/01/97 10/01/98 WC STATU- TORY LIMITS OTH- _ ER EL EACH ACCIDENT _ - L EL DISEASE - POLICCYY LIMIT $ 1000000 $ 1000000 EL DISEASE - EA EMPLOYEE $ 1000000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESISPECUIL ITEMS ALL OPERATIONS -ALL LOCATIONS CERTIFICATE HOLDER WELDCOU 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, WELD COUNTY RISK MANAGEMENT P.Q. BOX 758 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSEINBOB O ILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR NTATIV GREELEY CO 80634 Scrum is a uugss. AUTHORIZED REPRESENTATIVE l _,..... a iatid 111/2V117 972566 Hello