HomeMy WebLinkAbout960329.tiff AC%OItIl• CERTIFICATE OF INSURANCE ISSUE DATE IMjy1/DflJAN o I
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
POLICIES BELOW.
RIEDMAN CORPORATION .. -..
P.O. BOX 1439 COMPANIES AFFORDING COVERAGE-
LONGMONT, CO. 80502
COMPANY
303-776-3421 LETTER A Union Insurance r I •
0 7i
OM
INSURED CPANYB
Ohio CasualtyCOMPA
Joe & Kelly Clark LETTER C �---r
DBA: Joe Clark Excavating COMPANY -
2202 Vivian LETTER Longmont, CO 80501 COMPANY
LETTER E
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 IMM/DD/YY) DATE IMM/DONVI
GENERAL LIABILITY GENERAL AGGREGATE S ,D00,0VV '
'.A X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPAGG. $2,000,000
CLAIMS MADE OCCUR. UDK5021581 01-26-96 01-26-97 PERSONAL&ADV.INJURY $1,000,000
OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $1,000,000
FIRE DAMAGE Any one fire) $ 50,000
MED.EXPENSE(Any one person) $ 5,000
AUTOMOBILE LIABILITY
;Bo ANY AUTO COMBINED SINGLE LIMIT $ 500,000
ALL OWNED AUTOS 50432777 01-26-96 01-26-97 BODILY INJURY
X SCHEDULED AUTOS (Per person)
HIRED AUTOS
BODILY INJURY $
NON-OWNED AUTOS (Per accident)
GARAGE LIABILITY
PROPERTY DAMAGE $
EXCESS LIABILITY EACH OCCURRENCE S
UMBRELLA FORM AGGREGATE S
OTHER THAN UMBRELLA FORM
STATUTORY LIMITS
WORKER'S COMPENSATION
EACH ACCIDENT $
AND
DISEASE-POLICY LIMIT $
EMPLOYERS'LIABILITY DISEASE-EACH EMPLOYEE $
I OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
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 Government
915 10th Street MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Greeley, CO 80632 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
/� (� 1. / AUTHORIZED REP ENTATIVE .. # 960329
ACORD 25-S(7/90.) <c)ACOnt,.. ,990
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