HomeMy WebLinkAbout960713.tiff CERTIFICATE OF INSURANCE MAS 0218$ ISSUEDATE (MM/DOMI
a F :n. n 04/09/96
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 ALTER THE COVERAGE AFFORDED BY THE
THE LINDEN COMPANY POLICIES BELOW.
2000 SO. COLORADO BLVD COMPANIES AFFORDING COVERAGE
DENVER CO 80222-7911 COMPANY A MARYLAND INS GRP
LETTER
_
COMPANY B -. , ,,INSURED LETTER
COULSON EXCAVATING CO. COMPANY LETTER Ve C -- —. J
i H r
3609 N. COUNTY ROAD #13 1 -3 -)
LOVELAND, CO 80537 COMPANY D
LETTER
COMPANY E - •? -,,
LETTER
COVERAGES
INDICATEDCNOTWITHSTANDING ANY REQUIREMENT TERM LISTED OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT POLICY
O WHICH THIS
OCCLUSIIONS AND CONDITIONS OF SUCH POLIIdIES.t LIMITS SSHOWN MAY HAVE BEEN REDUCE BY AID CL.AD IMSEIN IS SUBJECT TO ALL THE TERMS,
DO POUCY EFFECTIVE POLICY EXPIRATION LIMITS
TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YYI
.TIT
A GENERALUABIUTY EPA21798187 03/31/96 03/31/97 GENERAL AGGREGATE $ 2,000 ,000
1JOMMERCIAL GENERAL UABILTTY PRODUCTS-COMP/OP AGG. $ 2,000,000
�LAIMS MADE OOCCUR. PERSONAL&ADV.INJURY $ 1,000,000
WNER'9&CONTRACTOR'S PROT. EACH OCCURRENCE $ 1,000,000
AGGREGATE LIMIT FIRE DAMAGE(MY one fire) $ 300,000
MED.DP.(AnY one Person) $ 10, 000
A AUTOMOBILE UABIUTY ECA21798195 03/31/96 03/31/97 COMBINEDSINGLE
flANY AUTO LIMIT $ 1,000,000
BODILY INJURY
ALL OWNED AUTOS
Per Person) S
SCHEDULED AUTOS BODILY INJURY
X HIRED AUTOS
(Per eccideny $
X NON—OWNED AUTOS
GARAGE UABIUTY PROPERTY DAMAGE $
A EXCESSUABILITY UB86732600 03/31/96 03/31/97 EACH OCCURRENCE $ 4 ,000 ,000
}{ IUMBRELLA FORM AGGREGATE $ 4 ,000,000
OTHER THAN UMBRELLA FORM
A TC685891951 07/01/95 07/01/96 ISTAMORVUMITS
WORKER'S COMPENSATION EACH ACCIDENT $ 500,000
AND DISEASE-POLICY UMIT $ 500,000
EMPLOYERS'LIABILITY DISEASE-EACH EMPLOYEE $ 500 , 000
OTHER I.
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
ALL OPERATIONS - ALL LOCATIONS. WELD COUNTY IS AN ADDITIONAL INSURED AS
RESPECTS GENERAL LIABILITY FOR ANY PROJECT COULSON EXCAVATING CO. , INC. MIGHT
PERFORM FOR THEM. *10 DAY NOTICE WILL BE GIVEN FOR NON-PAYMENT OF PREMIUM.*
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO
WELD COUNTY MAIL 3f1 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
915 10TH STREET LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
P. 0. BOX 758 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES.
GREELEY CO 80632 AUTHORIZE PRESENTATIVE
R 960713
EC �/� a &nwwnv wvHYVHRI 191110801
ACORD 254(Two)
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