HomeMy WebLinkAbout970703.tiffACOOR;IP, CERTIFICATE
OF INSURANCE
vB 02802 ISSUE
n
DATE (MM/OD/YV)
03/21/97
PRODUCER -
HE LINDEN COMPANY
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.
000 SO. COLORADO BLVD -
ENVER CO 80222-7911
COMPANIES AFFORDING COVERAGE
COMPANY AU. S. F. & G. INSURANCE
LETTER
COMPANY B THE MARYLAND INSURANCE GROUP
INSURED
LETTER
OULSON EXCAVATING CO.
609 N. COUNTY ROAD #13
COMPANY C
LETTER
OVELAND, CO 80537
COMPANY D
LETTER
COMPANY E
LETTER
COVERAGES s ?
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
WNFMAY HAVE BEEN POLICIES DBY PAID CLLAIMSEIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIIONS MAY CONDITIONS OF SUCH POLICIES. LIMITS INSURANCE
0
TR
TYPE OF INSURANCE
POLICY NUMBER DATE
POLICY EFFECTIVE
(MWDD/YY)
POLICY EXPIRATION
DATE (MM/DD/YY)
LIMITS
1MP30135357000
03/31/97
03/31/98
GENERAL AGGREGATE
$ 2,000,000
GENERAL UABILITY
$ 2,000,000
LIABILITY
PRODUCTS-COMP/OPAGG.
X kOMMERCIALGENERAL
$
kLAIMS
OCCUR.
PERSONAL S ADV. INJURY
1,000,000
MADE
X
$
PROT.
EACH OCCURRENCE
1,000,000
OWNER'S & CONTRACTOR'S
FIRE DAMAGE (Any one lire)
$ 100,000
X
AGGREGATE LIMIT
one
$ 5,000
PER PROJ END'T
MED.EXP.(Any person)
AUTO MOBILE LABILITY
1MP30135357000
03/31/97
03/31/98
COMBINED SINGLE
LIMIT
$ 1,000,000
X
ANY AUTO
BODILY INJURY
ALL OWNED AUTOS
(Per person)
$
SCHEDULED AUTOS
BODILY INJURY
X
HIRED AUTOS
(Per accident)
$
X
NON —OWNED AUTOS
GARAGE LIABILITY
PROPERTY DAMAGE
$
03/31/97
03/31/98
EACH OCCURRENCE
S 4,000,000
EXCESS UABILI TY
1MP30135357000
$ 4, 000, 000
S
UMBRELLA FORM
AGGREGATE
OTHER THAN UMBRELLA FORM
07/01/96
07/01/97
I STATUTORYUMITS
WORKER'S COMPENSATION
TC791960915
EACH ACCIDENT
$ 500,000
AND
DISEASE -POLICY LIMIT
$ 500,000
EMPLOYERSUABILITY
DISEASE -EACH EMPLOYEE
$ 500,000
OTHER
DESCRIPTION
LL
E:
OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
OPERATIONS - ALL LOCATIONS
ROTH SUBDIVISION LOCAL IMPROVEMENT DISTRICT
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 3 ❑ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
WELD COUNTY
P . O . BOX 758 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
GREELEY CO 80632 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHOR' 1RESENTATIVE
/ 1 t, 401101 //yeAtzi
A 970703
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