HomeMy WebLinkAbout961131.tiff ACOItIL CERTIFICATE OF INSURANCE PR 01887 ISSUE DATE IMM/DO/YY)
n 06/10/96
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE
THE LINDEN COMPANY DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
2000 SO. COLORADO BLVD COMPANIES AFFORDING COVERAGE
DENVER CO 80222-7911
COMPANY A ST. PAUL FIRE & MARINE
LETTER
COMPANY B
INSURED LETTER
ROCHE CONSTRUCTORS, INC COMPANY C
P.O. BOX 1727 LETTER l
3REELEY, CO 80632 COMPANY D
LETTER
COMPANY
LETTER
COVERAGES J
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 OH 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.
POLICY EFFECTIVE POLICY EXPIRATION
TYPE OF INSURANCE POLICY NUMBER LIMITS
-TR MATE (MM/DD/YV) DATE (MWDO/YY)
GENERAL LIABILITY GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY PRODUCTS—COMP/OP AGG. $
kAIMS MADE OCCUR. PERSONAL&AOV.INJURY $
OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $
FIRE DAMAGE(Any one fire) $
MED.EXP.(Any one person) $
AUTOMOBILE LIABILITY COMBINED SINGLE
ANY AUTO LIMIT $
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person) $
HIRED AUTOS BODILY INJURY
NON—OWNED AUTOS (Per accident) S
GARAGE LIABILITY
PROPERTY DAMAGE
EXCESS UABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM
I-STATUTORY LIMITS
WORKER COMPENSATION
EACH ACCIDENT
AND S
EMPLOYERS'LIABILITY DISEASE—POLICY LIMIT S
DISEASE-EACH EMPLOYEE $
OTHEIALL RISK BLDRS KI03800559 12/01/95 12/01/96 $7 ,291, 100
RISK-$2,500 DED INCLUDES EARTH-
QUAKE AND FLOOD
W/$25,000 DED.
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
PROJECT: WELD COUNTY NORTH JAIL COMPLEX. IT IS AGREED THAT THE CERT. HOLDER
AS OWNERS ARE NAMED AS AN ADDITIONAL INSURED ALONG WITH SUBCONTRACTORS, AS
THEIR INTERESTS MAY APPEAR. ADDED TO BLANKET POLICY EFF. -5/7/96
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO
BOARD OF WELD COUNTY MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
kx COMMISSIONERS LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALLIMPOSE NO OBLIGATION OR
(� 915 10TH STREET LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES.
31f✓� �f GREELEY CO 80631 AUTH RIZEDREPRE ENTATIVE
cc h
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AC RD 25.8(y/so) 961131
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