HomeMy WebLinkAbout970718.tiffac11:iti10 gin:
PNODUCER
Keller -Lowry Insyyynce Inc
3801 E Florida Aa 6100
Denver CO 80210-2538
.
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 POLICES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY
A Gnat West CaaYty
INSURED
Misr Bros Inc
8540 N Washington
Denver CO 80229
- ., ^c• •„.'S' _
THIS IS • • '"" � T '• I 5 0 I 1' '7 "TYLISTED BELOW HAVE BEEN ISSU•
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. OMITS SHOWN MAY HAVE BEEN REDUCED
COMPANY
B Colorado Compostsdon
COMPANY
C
COMPANY
D
' • POLICY
• - D NAM • ABOVE FOR THE POLICY PERIOD-,
PERIOD,
OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
BY PAID CLAIMS.
CO
TYPE OF e1B11RAMCE
POLICY NUMBEFI
PY1l1CY 6i6CTIYE
p1MDOMY)
F]MMAT
DATE (MAODM!,
UDINTS1.1111.111DATE
A
GENERAL
LIABILITY
COMMERCIAL GENERAL LIABILITY
CLP031221
11/01/96
11/01/97
GENERAL AGGREGATE
$ 1,000,000
X
PRODUCTS - COAP/OP AGG
$ 1,000,000
X
CLAMS MADE X OCCUR
PERSONAL & ADV INJURY
$ 1,000,000
OWNER'S M CONTRACTORS PROT
EACH OCCURRENCE
$ 1,000,000
FIRE DAMAGE (My one Ire)
$ 50,000
MED EXP (My one person)
S 5,000
A
AUTOMOBLE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULE) AUTOS
HIRED AUTOS
NON -OWNED AUTOS
CLP031221
11/01/96
11/01/97
COMBINED SINGLE LIMIT
$ 1,000,000
X
BODILY INJURY
(Per poison)
$
X
X
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
$
GARAGE
LIABILITY
AUTO
AUTO ONLY • EA ACCIDENT
B
OTHER THAN AUTO ONLY:
a..._........,...m. —r ��' •M..
S
1INY
$
A
EXCESSLMBLm
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
CCP005641
11/01/96
11/01/97
EACH OCCURRENCE
$ 1,000,000
-I
AGGREGATE
S
$
B
WORKERS COMPENSATION AND
EMPLOYERS LIABLITY
THE PR0PRIETOV
PARTNERSEXECUTIVE
OFFICERS ARE:
INCL
EXCL
2193402
04/01/97
04/01/98
I TOORRYSLI ES I ER
S 100,000
EL EACHACCIDENT
a Dream . POLICY LIMIT
1 500,000
a DISEASE • EA EMPLOYEE
S 100,000
A
OTHER
CARGO LIABILITY
BROAD FOFM
CLP031221
11/01/96
11/01/97
PER AUTO 100,000
PER LOSS 200,000
DEDUCTIBLE 5,000
DESCRIPTION OF OPERATIONSLOCATKINSVEHaESsPECIAL ITEMS
♦ ns ,d... :�< STs ,__G,'�' .::
Weld Human Resources
PO Box 758
Greeley CO
5t- ::t� .3'Nn.. _n. tfiAi'�'°°,
80632
ai e��(,°..ik
SHOULD MNY Of
DATE
30 DAYS WRITTEN
.�.. �::, v,r .a. '�F �� .. _. _ '};.
THE ABOVE DESCRBED POLICIES BE CANCELLED BEFORE THE
THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAL
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
MAL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABLTY
THE COMM S AGENTS OR REPRESENTATIVES.
BUT FAILURE TO
OF ANY END
"—
runroniamRobert L Shinn --4:40--, dI ✓A,
04 /098 c?'7
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