HomeMy WebLinkAbout971805.tiffAikiwo. CERTIFICATE
OF
INSURANCE
RAE 01785
ISSUE
n
DATE (MM,DD YY
07/25/97
PRODUCER
THE LINDEN CO OF NO COLO
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.
2900 S COLLEGE, STE 3B
FORT COLLINS CO 80525
COMPANIES AFFORDING COVERAGE
COMPANY A EMPLOYERS MUTUAL
LETTER
COMPANY COLO COMP INS AUTHORITY
INSURED
B
LETTER
3ROWLING BEAR CO., INC.
2330 4TH AVE.
COMPANY C -
LETTER :I
3REELEY, CO 80631
COMPANY D
LETTER
COMPANY -
E ..-�
LETTER
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.
DO
-TR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD IYY)
POLICY EXPIRATION
DATE (MM/DD/Y1')
LIMITS
A
GENERAL LIABILITY
0D9652298
07/31/97
07/31/98
GENERAL AGGREGATE
$ 2,000 000
X J3OMMEROIAL GENERAL LIABILITY
PRODUCTS-COMP/OP AGG.
$ 2,000,000
�LAIMS MADE
X
OCCUR.
PERSONAL & ADV. INJURY
$ 1,000,000
OWNERS & CONTRACTORS PROT.
EACH OCCURRENCE
$ 1,000/000
FIRE DAMAGE (Any one fire)
$ 100,000
PER PROJECT AGG
MED.EXP.(Any one person)
$ 5,000
A
AUTOMOBILEUABILITY
0E9652298
07/31/97
07/31/98
COMBINED SINGLE
LIMIT
$ 1,000,000
X
ANYAUTO
ALL OWNED AUTOS
BODILY INJURY
(Per person)
$
SCHEDULED AUTOS
X
HIRED AUTOS
BODILY INJURY
(Par eccitlanq
$
X
NON —OWNED AUTOS
GARAGE LIABILITY
PROPERTY DAMAGE
S
A
EXCESS LIABILITY
0J9652298
07/31/97
07/31/98
EACH OCCURRENCE
$ 1,000,000
K
UMBRELLA FORM
AGGREGATE
$ 1/000/000
OTHER THAN UMBRELLA FORM
B
WORKER'S COMPENSATION
AND
EMPLOYERS' UABIUTY
1436910
10/01/96
10/01/97
I STATUTORYLIMITS
EACH ACCIDENT
$ 100,000
DISEASE -POLICY LIMIT
$ 500,000
DISEASE -EACH EMPLOYEE
$ 10 0 0 0 0
OTHER
.
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
RE: HAZARDOUS WASTE BLDG. SOUTHWEST WELD COUNTY, COLORADO
WEST OF DACONO, COLORADO
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, COLORADO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
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 PRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD254(7/ ) 4 971805
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