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Home My WebLink About990118.tiff (lrrfi tratr of clittsurantr WELD COUNTY COMMISSIONERS Weld County TO' Department of Engineering Dees: December 28,��.t•glbiV —6 QS Address: 933 North Eleventh Avenue Re: P. O. Box 758 CLERK Greeley, CO 80631-0758 TO THE BOARD Attn: Allen Miller This is to certify that the policies designated below are in force on the date borne by this Certificate. Tho Cgosttcorpnration and_sll Affiliated or Si Crunpaniec NAME of INSURED: including Colorado Interstate Gas Company Coastal Tower, Nine Greenway Plaza Address: Houston, TX 77046 TYPE OF INSURANCE POLICY• - POLICY PERIOD POLICY LNATS/VALUES Worker's Compensation Statutory Employer's Liability NWA1498599-08 01/01/99-00 $1,000,000 Each Accident & NWA1498589-0d 01/01/99-00 $1,000,000 Policy Limit-Disease $1,000,000 Each Employee-Disease Commercial General $500,000 Each Occurrence/Combined Liability including Contractual & Single Limit Products - Completed Operations $500,000 General Aggregate (except) All States NGA1498595-08 01/01/99-00 $500,000 Products & Completed Operations Aggregate $500,000 Personal and Advertising Injury Excess of$500,000 Self Insured Retention Each Occurrence Comprehensive Automobile Liability Texas NKA1498598-08 01/01/99-00 $1,000,000 Combined Single Limit Each All Other States NKA1498596-08 01/01/99-00 Accident This certificate of insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by those policy(les) numbered above and issued by companies listed below. Shoutgetny of the above described policies be cancelled before the expiration date thereof, the issuing company will endeavor to mail days-written notice to the above named certificate holder, but failure to mail such notice shall impose no obligation or liability of any kind upon the company,or upon this agency. SEVERAL LIABILITY NOTICE (LSW 1001) AON Aon Risk Services The subscribing insurers'obligations under contracts of insurance to Natural Resources which they subscribe are several and not Joint and are limited solely to Group the extent of their individual subscriptions.The subscribing insurers are Aon Risk Services of Texas, Inc. not responsible for the subscription of any co-subscribing Insurer who 2000 Bering Drive,Suite 900 • Houston,Texas 77057-3790 for any reason does not satisfy all or part of Its obligations. tel:(713)430-6000• fax:(713)430-6590 INSURANCE COMPANY(IES) ISSUING COVERAGE: Reliance National Indemnity Company By F:\CLIENTSVan\CgASTAL\POLICIES^01-01-9a-0C.cae\6-142.dg.doc.15 614-99 990118 eatiLb T, //1//99 Ti1IG A CORD ' CERTIFICATE QF LIABILITY 1N, U1 A( CE oiioa%legs PRODUCER` (303)824-6600 FAX (303)370-0118 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Moody Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ‘VELD COUI I HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 3773 Cherry Creek North Drive ,p. ./I Ir.,-,I..F,, .ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 800 4 -' - COMPANIES AFFORDING COVERAGE Denver, CO 80209-3804 1999 J. -7 6Alt 8:cle NY Transportation Ins. Co. (CNA) Attn: Tammy Engler xt: 6 INSURED Tri-State Mechanical , Inc. CLERK COMPANY Transcontinental Ins. Co. (CNA) B 1640 W Girard TO THE BOARD? Englewood, CO 80110 COMPANY COMPANY D 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 • POLICY DATE(MWIODIYV) DATE(MWDDNY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 2,000,000 A `!' ._ CLAIMS MADE X OCCUR 1074770692 12/31/1998 12/31/1999 PERSONALSADVINJURY $ 1,000,000 OWNER'S&CONTRACTORS PROT EACH OCCURRENCE $ 1,000,000 X Blkt Addtl Insd FIRE DAMAGE(Any one fire) $ 300,000 X Per Proj Aggregate MED EXP(Any one person) $ 5,000 AUTOMOBILE LIABILITY X ANY AUTO COMBINED SINGLE LIMIT $ 1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) A C174783913 12/31/1998 12/31/1999 X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY.EA ACCIDENT $ ANY AUTO :::.a<::.:....: OTHER THAN AUTO ONLY: x .�»b5„gW?' EACH ACCIDENT S AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ 2,000,000 A X UMBRELLA FORM C174783927 12/31/1998 12/31/1999 AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND- -. WLMAIU- aIH=`#::j:?e3;i:.,.un.�:._o:..:.e:.:.. EMPLOYERS'LIABILITY X :TORY LIMBS iER X,n'ry5>;r,',��fi;i?:#':r;. ur :..,�'.;: A WCC174783944 12/31/1998 12 31/1999 EL EACH ACCIDENT $ 100,000 / THE PROPRIETOR/ X INCL EL DISEASE-POLICYLIMIT $ 500,000 PARTNERS/EXECUTIVE , OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 100,000 OTHER DESCRIPTION OF OPERATION OCATIONSNEHICLES/SPECIAL ITEMS All Operations/All Jobs q� �yy��y ,�y,� µ��y <aYr,#.. .:.�.�,.........,:><:�>ii:yl;a:.:::..............:::�:.:�:,.........,.:.,.:..�:.. n ;,„. "Noy,.,y,;�Aaury:-: S/^::>:f::Y`#i;,�q:" a:£a;,aa: VFTY },YISiG`RVYIVIGR n :.. ) . ...... :.� ... .:n:..<,.�j�!kL� > I <.t < ac i ENNEN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, City of Greeley BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 915 10th St. , Rm 342 OF ANY KIND UPOIyTHE COMPANY,ITS GENTS OR REPRESENTATIVES. Greeley, CO 80631 AUTHORED REPRE NTATIVE / s:'ra.s: :<. .... . ...Ri.... ..:.:...�:::... ...... .:..£....... .....::.:..........:...........:.... e.≥.te:x..,.., '?iis:?+n:�i>`.'.oi:>.e.:..X:.:.. aa4' ... ......:_.. .e.....................>..........,._:.>::..r..>:::::.v.......„,,......:::...,.:Y.::.�s::.e::.:..:. S . ... ,,..�o,.Y .. .:. , .... '»<»':> b i�.��'A.�'y�y ��i: . ..... ...:. . . . .n�. .. ..<.,.R.:a ..:....,.,. 7,�x:....,in A':as::aa>4s::' f.,e�...:,,1.1m.,:.,,,�.,�.............. i:,''�y, G a€, , ///�q9 Cc. 64- 990//8 ACORD CERTIFICATE OF LIABILITY INSURANCE ,,DATE(MMIDDTY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER O !IRFORMIITION Aon Risk Services of Texas,Inc. WELD COUNTY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 2000 Bering Drive,Suite 900 COMMI^i OMIT R^ HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Houston,Texas 77057 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 713/430.8000 JAN 713/ 1999 -6 PM 3: 05 INSURERS AFFORDING COVERAGE INSURED INSURER A: Pacific Employers Insurance Company Veritas DGC Land Inc. CLERKK 3701 Kirby Drive TO THE BOARD INSURER B: Houston,Texas 77098 INSURER C: I INSURER D: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I I TR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE !POLICY EXPIRATION I GATE MMWDDTYI DATE IMwDDTYI ' LIMITS II GENERAL LIABILITYII ! EACH OCCURRENCE $ 1,000,000 A 7C I COMMERCIAL GENERAL LIABILITY HDO-GI-965788-7 ' 08/01/98 !! 08/01/99 !! FIRE DAMAGE(Any one fire) i $ 1,000,000 !H- I !I CLAIMS MADE X I OCCUR • MED EXP(Any one person) $ 10,000 X Includes Time ElementI ! PERSONAL 8 ADV INJURY I $ 1,000,000 !Pollution Liability GENERAL AGGREGATE ' $ 2,000,000 �EN'L AGGREGATE LIMIT APPLES PER: PRODUCTS-COMPIOP AGG I $ 2,000,000 POLICY _JECT LOC AUTOMOBILE LIABILITY COBA I I7( ANY AUTO ISA-HO-7406770 08/01/98 08/01/98 Ea acciident)NEDSINGLE lIM1T $ 1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS ' (Per PODILY INJURY $ person) j I HIRED AUTOS •I7 NON-OWNED AUTOS 9er acc INJURY (Per accident) $ I PROPERTY DAMAGE (Per accident) $ I GARAGE LIABILITY AUTO ONLY•EA ACCIDENT ! $ ANY AUTO EA ACC I $ OTHER THAN I AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE I $ $ DEDUCTIBLE I $ RETENTION S F$ WORKERS COMPENSATION AND �( WC STATU- ER A EMPLOYERS'LIABILITY 08/30/98 08/30/99 TORY LIMITS! _- -- 1 WLR-C4-2483280 i E.L.EACH ACCIDENT I$ 1,000,000 1pYEg1 �L�Oa1B8__- OTHER E.L.DISEASE-POLICY LIMIT $ 1,000000 DESCRIPTION OF OPERATIONMAcAMONONMECLgnICLBt.n, ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Workers Compensation policy Includes MEL,USLSIH,OCS,Blanket Waiver of Subrogation all po9Cla as required by written contract and Blanket Additional Insured on General LIaN ity&all policies a required by written contract but only M accordance with policy terms,conditions and exclusions. CERTIFICATE HOLDER I I ADOmONAL meuaED;aeons LETTER: CANCELLATION Weld County Colorado PUBLIC Works Department SHOULD ANY OF THE ABOVE MSCRIBED POLICIES SE CANCELLED BEFORE ME EXPIRATION Attn: Don Sumer DATE THEREOF.THE'IawNG saUREpnCMTLL�rIpEAvpR7QyAL��3�0��yg�Mrp�77EN 933 N. 11th Avenue NOTICE TO THE CERTwICATE HOLD NAMED �TOOTM LEFT0�FAILURE TO DO SO SHALL Greeley, CO 80631 IMPOSE NO OBLIGATION OR U BLTY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUI11011]a(,p�/p7EPPRESE (/lam ///J ACORD 25-S(7/97) // ' b Y0 ACORD CORPORATION 1988 • IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S(7/97) Hello