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HomeMy WebLinkAbout990263.tiff ACORD CERTIFICATE OF LIABILITY INSURANCEOP ID sr DATE(MM/DDNY) CGRS--1 01/26/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Linden Co. of Northern Co. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 2900 South College Avenue-#35 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins CO 80525 COMPANIES AFFORDING COVERAGE _ Jeff Broyles COMPANY Phone No. 970-229-9304 Fax No. 970-229-1398 A USF&G Insurance INSURED COMPANY B Business Insurance Company,-5 COMPANY C G R S, Inc. P. O. Box 1489 COMPANY Ft. Collins CO 80522 p ;i i THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOQHEPOUQ.PERIObr INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESR CT TO WHICH THICI CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TQ*.LL THE TORMS, -1 - EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. n.1 CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS lJ'i LTR DATE(MM/DD/YY) DATE(MM/CO/VY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ CLAIMS MADE OCCUR PERSONAL Er ADV INJURY $ OWNERS&CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ MED EXP(Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 000,000 A X ANY AUTO 1CP30031922800 03/16/98 03/16/99 1, ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS UABILTTY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM I$ WORKERS COMPENSATION AND WC STATU KITH TORY LIMBS EMPLOYERS LIABILITY EL EACH ACCIDENT $ 100000 B THE PROPRIETOR/ INCL W992153966 02/01/99 02/01/00 EL DISEASE-POLICY LIMIT $ 500000 PARTNERSIEXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 100000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS ALL OPERATIONS/ALL LOCATIONS. CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED WITH RESPECTS TO AUTOMOBILE LIABILITY. CERTIFICATE HOLDER CANCELLATION. WELD-02 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL WELD COUNTY 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, c/o OFFICE OF PUBLIC WORKS BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY ATTN: DON SUMMERS P.O. BOX 758 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. GREELEY CO 80632 AUTHORIZED REPRESENTATIVE i. �) 1 . .Jeff Broyles. . ' ,�! '" r-# v , /-. ,. . " 990263 l/., t 31 � /1^O D A I�`° • , AM DATE(MM1007YY) /'"1V f- D' OF- LIABILITY, INSURANCE 1�+x�is a. ,.� i,k4•. t l .-< 1 103101 12121!98 vRODucE WILLIS CORROON CORPORATION (�^1 a .,!, •II TT�� ONLY THIS ANDCONFERS ISSUED AS H A MATTNR H INFORMAL I TE NO RIGHTS UPON THE CERTIFICATE OF LOS ANGELES HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 80GL N.BRAALE, DCA 91203#400 IBn9 Cn A! COMPANIES AFFORDING COVERAGE GLENDALE, /`' �'- � j �: 00 COMPANY OLD REPUBLIC INSURANCE COMPANY _ �! L FRK A INSURED TELE-VUE SYSTEMS,INC. I U THE O," '� coMBPANYAMERICAN ALTERNATIVE INS.CO. LLOYDS OF LONDON--- COMPANY P.O.BOX 5630 C COMPANY DENVER,CO 80217-5630 D ,�. ,• Ir.�i�� a... .. .::.,�tS")•�,.rat;�:;;-.;!;:a.::;c:,i;;.;•:,:.,•.........................................................:�I�ta;"'a:i:•!?,r: COV GA Y iii/ iiiiii33 I�iiii i chi �ii i�'ii I i'liiitiiii'h si`•'<?Ih'ii;i,l, ,t 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 I LIMITS LTR DATE(MM/CDJYY) DATE(MM/DD/YY) A GENERAL LIABILITY MWZY54872 1/1/99 1/1/00 GENERAL AGGREGATE 5 1,000,000 x COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 1,000,000 JCLAIMS MADE I x 1 OCCUR PERSONAL 8 ADV INJURY 5 1,000,000 OWNER'S 8 CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE(Any one fire) $ 100,000 MED EXP(My one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WL.JIAI U- WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS'LIABILITY --I.---"" "------- --- ""-- EL EACH ACCIDENT $ THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT $ PARTNERS/EXECUTIVE -- -. OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLESISPECIAL ITEMS RE:FRANCHISE AGREEMENT.CERTHOLDER IS NAMED AS ADDITIONAL INSURED ON THE GENERAL LIABILITY POLICY IF REQUIRED BY WRITTEN CONTRACT. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL COUNTY OF WELD 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ATTN:COUNTY ATTORNEY BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY WELD COUNTY CLERK&RECORDER OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. 915 10TH STREET AUTHORIZED REPRESENTATIVE GREELEY,CO 80632 pp ,.. .�:•p,�:;.:;;,ra::'•r"i�a'I''""a ilu `1 Ill r+I:x:.;5`' �'a I?I�1 it i I I r I '.; : 111 I3r.t !I ct r AG D CORPORATIGN.1988 ................ � ,. • _.,....,•, +-,--,!n,�- f-_..P„ ....,-ri-,.#aLdtR.'ttl•�t�.ii4�:,o,6!".-bhaA-! s....,;tli -Jzi,ty....��_, tt,1, .._ J, :..' �,h�=.a� .t Hello