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Home My WebLink About982345.tiff .....wmo'au vaivaxm. • 1 .[�ayiS .. 6�'. E _ s ACORD Qa` """"c4" e 3ATE/11M 98 Y) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CHARLIE ROBERTSON,AGENT ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 720 MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. LONGMONT,� COLORADO 80501-4921 COMPANIES AFFORDING COVERAGE (J03 116 78 _ 342 COMPANY VJ) V' V A Colorado Farm Bureau Mutual Ins. CO. INSURED COMPANY HIGH PLAINS WEED CONTROL INC. B PO BOX 18 COMPANY HYGIENE CO. 80533 C 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 LIMITS LTR DATE IMM/DD/VY) DATE(MWDDNY) GENERAL UABILITY BODILY INJURY OCC $ X COMPREHENSIVE FORM BODILY INJURY AGG $ _ PREMISES/OPERATIONS PROPERTY DAMAGE OCC 1$ X UNDERGROUND CC359642 1/29/98 1/29/99 PROPERTY DAMAGE AGG $ A EXPLOSION&COLLAPSE HAZARD -----X PRODUCTS/COMPLETED OPER BI&PD COMBINED OCC $ 500,000 CONTRACTUAL BI&PD COMBINED AGG 1 ,D(1/$Y(BOO INDEPENDENT CONTRACTORS PERSONAL INJURY AGG $ _rte"-'/1 /,0(L BROAD FORM PROPERTY DAMAGE X PERSONAL INJURY AUTOMOBILE LIABILITY BODILY INJURY i $ (Per Person) ANY AUTO —__—�—— A X ALL OWNED AUTOS(Private PASS) CC359642 1/29/98 1/29/00 BODILY INJURY ALL OWNED AUTOS (Per accitlenil $ (Other lftan Private Passenger) -- ---- ----- I HIRED AUTOS PROPERTY DAMAGE $ _ NON-OWNED AUTOS ._- _ BODILY INJURY& GARAGE LIABILITY COMBS ED DAMAGE $ 300,000 EXCESS UABILITY EACH OCCURRENCE 5 UMBRELLA FORM AGGREGATE S _- OTHER THAN UMBRELLA FORM WC STATU- 0TH WORKERS COMPENSATION AND TORY LIMITS EMPLOYERS'LIABILITY I EL EACH ACCIDENT _._$ THE PROPRIETOR/ I I INCL EL DISEASE-POLICY LIMIT $ PARTNERS/EXECUTIVE OFFICERS ARE: EXCL- EL DISEASE-EA EMPLOYEE 5 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS a SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF A K UPO /' PANT, ITS AGENTS OR REPRESENTATIVES. ALIT R - SENT Vil al/Mr 982345 , , r:T_t,r.'s'xi�,r. .�a ....,...,, ,:�T'> ACORD CERTIFICATE OF LIABILITY INSURANCECR 8D DATE(MM/DDNY) RMSEB-1 10/27/98 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Benner Smith Ins Agency Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4812 South College Ave ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins CO 80525 COMPANIES AFFORDING COVERAGE Charles N. Oster COMPANY A Valley Forge Phone No. 970-223-4744 FaxNo. 970-223-0891 INSURED COMPANY B Transcontinental ( — Rocky Mtn Seeding Specialists COMPANY Fort Collins Hydro Seed DBA C Colorado Compensation Ins 203 Racquette Drive COMPANY - Fort Collins CO 80524 D 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. TYPE OF INSURANCE POLICY NUMBER POLICY EFFE:CTNE POLICY EXPIRATION LIMITS LTR DATE(MM/DD/YY) DATE(MM/DDM') GENERAL LIABILITY 1 GENERAL AGGREGATE $ 2,000,000 A ' X COMMERCIAL GENERALLIABILITY ! 1074747154 10/01/98 10/01/99 PRODUCTS-COMP/OPAGG $ 2,000,000 CLAIMS MADE Xi OCCUR PERSONAL&ADV INJURY $1,000,000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE(Any one fire) $ 100,000 MED EXP(Any one person) $ 10,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 B X ANY AUTO B 1074734422 I 10/01/98 10/01/99 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per aca0ent) $ ti _ _._— _._._ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ I -- - - - AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ I WORKERS COMPENSATION AND X I TORVTLIMRS IOER t EMPLOYERS'LIABILITY EL EACH ACCIDENT $ 100,000 C THE PROPRIETOR/ INCL 2077162 04/01/98 04/01/99 EL DISEASE-POLICY LIMIT $ 500,000 PARTNERS/EXECUTIVE i - OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION WELDCO3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Weld County, Colorado EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Public Works 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 915 10th Street BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY P.O. Box 758 Greeley CO 80632 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Charles N. Oster ACORD 25-S(11195) ' ACORD O RATION 1988 4____ f' /Joey.-,/_ . Hip.ic/o> 9g0i3VS ACORD CERTIFICATE OF LIABILITY INSURANCEP ID MS DATE(MM/DD/VY) COULS-1 06/23/98 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Linden Company HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4100 E. Mississippi Ave, #900 ) n �; • -: ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver CO 80246 _ C0L' . t COMPANIES AFFORDING COVERAGE Craig A. Herten, CPCU ARM COMPANY Phone No. 303-756-6700 Fax No. 303 7T6,a7(� J A USF&G Insurance �, U r��r �O Lt.1 I1: ? !INSURED COMPANY 8 CIGNA Insurance Company CLERK COMPANY Coulson Excavating Co. , In't-WWII,, THE B0ATO _ . C 3609 North County Road #13 COMPANY Loveland CO 80537 ID 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. CO POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDM') DATE(MM/DD/VY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $2000000 A X COMMERCIAL GENERAL LIABILITY 1MP30135357001 03/31/98 03/31/99 PRODUCTS-COMP/OPAGG 82000000 CLAIMS MADE FX1 OCCUR PERSONAL&ADV INJURY $ 1000000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1000000 FIRE DAMAGE(Any one fire) $ 100000 MEDEXP(Anyoneperson) $ 5000 _ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 A X ANY AUTO 1MP30135357001 03/31/98 03/31/99 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ ----- - PROPERTY DAMAGE $ GAR AGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY'. EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ 4000000 A X UMBRELLA FORM 1MP30135357001 03/31/98 03/31/99 AGGREGATE $ 4000000 OTHER THAN UMBRELLA FORM $ WC STATU- 0TH- WORKERSCOMPENSATIONAND X TORY LIMITS ER EMPLOYERS LIABILITY EL EACH ACCIDENT $ 500000 THE PROPRIETOR/ B X Na C42417312 07/01/98 07/01/99 EL DISEASE-POLICY LIMIT $ 500000 PARTNERS/EXECUTIVE ---- - A EM OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS ALL OPERATIONS/ALL LOCATIONS. WELD COUNTY IS AN ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY FOR ANY PROJECT COULSON EXCAVATING CO. , INC. MIGHT PERFORM FOR THEM. 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 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. WELD COUNTY ENGINEER BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 915 10TH STREET P.O. BOX 758 OF ANY KIND UPON THE COMP,ITS AGENTS OR REPRESENTATIVES GREELEY CO 80632 AUTHORIZED REPRESENTATIVE Craig A. Merte , ACORD 25-S(1/95) ACORD CORPORATION 1988 C.cTru>i.e.Tf 04#21101 . ii/a5/g,s7 9,O393 ACORD CERTIFICATE OF LIABILITY INSURANCkID MS DATE(MM/DD,YY) OULS-1 03/03/98 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Linden Company HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 4100 E. Mississippi Ave, #9DDL-D 0C.' .-Pi TiALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. - .Denver CO 80246 COMPANIES AFFORDING COVERAGE -._ _. _- COMPANY Craig A. Morten, CPCU ARM A USF&G Insurance Phone No. 303-756-6700 Fax NIO�''��.'+?},f5�{b7bd II: 71 -- -'- INSURED COMPANY CLERK B CIGNA Insurance Company COULSON EXCAVATING TO THE ET IC COMPANY CO. , INC. -. C - - 3609 NORTH COUNTY ROAD #13 COMPANY LOVELAND CO 80537 D 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. CO POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR TYPE OF INSURANCE DATE(MM/DI]NY) DATE(MMIDDNY) • GENEP..AL AGGREGATE $ 2000000 GENERAL LIABILITY '"" A X COMMERCIAL GENERAL LIABILITY 1MP30135357001 03/31/98 03/31/99 PRODUCTS-COMP/OPAGG $ 2000000 JCLAIMS MADE X OCCUR PERSONAL BAOV INJURY $ 1000000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1000000 FIRE DAMAGE(Any one lire) $ 100000 -- - MED EXP(Anyone person) $ 5000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 A X ANY AUTO 1MP30135357001 03/31/98 03/31/99 ALL OWNED AUTOS BODILY INJURY $ _, (Per person) SCHEDULED AUTOS -- X HIRED AUTOS BODILY INJURY $ (Per accident) X NON-OWNED AUTOS " PROPERTY DAMAGE $ AUTO ONLY-EA ACCIDENT $ GARAGE LIABILITY - - OTHER THAN AUTO ONLY'. ANY AUTO — EACH ACCIDENT $ AGGREGATE $ EACH OCCURRENCE $ 4000000 -. EXCESS LIABILITY ""' A X UMBRELLA FORM 1MP30135357001 03/31/98 03/31/99 AGGREGATE $ 4000000 OTHER THAN UMBRELLA FORM $ WC STATU- OTH WORKERS COMPENSATION AND _X TORY LIMITS -ER EMPLOYERS'LIABILITY EL EACH ACCIDENT $ 500000 B THE PROPRIETOR/ X INCL C4229178A 07/01/97 07/01/98 EL DISEASE POLICYLIMIT $ 500000 PARTNERS/EXECUTIVE EL DISEASE-EA EMPLOYEE $ 500000 OFFICERS ARE EXCL OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPECIAL ITEMS ALL OPERATIONS/ALL LOCATIONS. WELD COUNTY IS AN ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY FOR ANY PROJECT COULSON EXCAVATING CO. , INC. MIGHT PERFORM FOR THEM. 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 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, WELD COUNTY ENGINEER BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 915 10TH STREET OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESyE.NTATIVES. P.O. BOX TSB AUTHORIZED REPRESENTATIVE a1 u-C - /! • 7'(,-(7(;h GREELEY CO 80632 L( JJJI Craig A. Marten, CPCU ARS lll///4144(• ©ACORD CORPORATION 1988. ACORD 25-5(1/95) .. (10724.F.id � ) 73/415�91 S ACORD CERTIFICATE OF LIABILITY INSURANCEoPID BI DAtE(MMRIIYY) 0GRS--1 05/28/98 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Linden Co. of Northern Co. U j) Ch; -I`,' HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 2900 South College Avenue-#3B �' `-` ALTER.THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins CO 80525 COMPANIES AFFORDING COVERAGE Robert Pests 9�1� �� .`) ��: ZiMPANY .. -. ^� u ;,,t A USF&G Insurance Phone No. 970-229-9304 Fax No. 970-22 13 INSURED COMPANY CLERK B Business Insurance Company TO THE Ear P.D COMPANY C C G R S, Inc. --- - P. 0. Box 1489 COMPANY Ft. Collins CO 80522 D 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. COI POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR TYPE OF INSURANCE DATE(MWDDPM DATE(MWDDNY) GENERAL LIABILITY GENERAL AGGREGATE $COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ JCLAIMS MADE OCCUR PERSONAL&ADV INJURY $ OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ '-- FIRE DAMAGE(Any one fire) $ - _ - - - -- MED EXP(Anyone person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 A X ANY AUTO 1CP30031922800 03/16/98 03/16/99 ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS -- --" HIRED AUTOS BODILY INJURY $ (Per accident) NON OWNEDAUTOS - - PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY EA ACCIDENT $ OTHER THAN AUTO ONLY: �� - AUTO - — EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE - $ $ OTHER THAN UMBRELLA FORM _ I WORKERS COMPENSATION AND TORY LIMIITS IOER EMPLOYERS'LIABILITY EL EACH ACCIDENT $ 100000 _ B THE PROPRIETOR/ I INCL W982153966 02/01/98 02/01/99 EL DISEASE.POLICY LIMIT $ 500000 PARTNERS/EXECUTIVE EL DISEASE EAEMPLOYEE $ 100000 OFFICERS ARE: I EXCL OTHER DESCRIPTION OF OPERATIOggN��SILOCATIONSNEHICLES/SPECIAL ITEMS ALLURED AATIOH RLALLLSPECLB ATTIOONNS. CERTIFICATE CAIROLDER IS NAMED AS ADDITIONAL "". CERTIFICATE HOLDER CANCELLATION [ WELD-02 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THp EXPIRATION DA le,THE ISSUING COMPANY WILL ENDEAVOR TO MAI$ WELD COUNTY 10 DAYS TO THE CERTIFICATE HOLDER NAMED TO THE Lilt. C/O OFFICE or PUBLIC WORKS BUT FAILURE alarICE SHALL IMPOSE NO OBLIGATION OR LIABILITY ATOM: DON SUMMERS P.O. BOX 758 OF ANY KIND UPOPANY, E SO REPR ATIVEy� AUTHORIZED REPRESENTATIVE GREELEY CO 80632 Robert Pests $ CGR ACllIelP® CERTIFICATE OF INSURANCE DATE PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Van Gilder Insurance VWY1p) "fl I`-.'T�. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 700 Broadway, Suite ];--00-67,-"'� ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80203 COMPANIES AFFORDING COVERAGE IYJU 1"17 '?0 Pi II: 21 COMPANY ` l: AUnionamerica Ins . Co. , Ltd. INSURED / t LERK COMPANY CGRS, Inc . B P . 0. Box 1489 TO THE E0/1' D COMPANY Ft . Collins, 80522 C COMPANY D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEEN 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. LTR TYPE OF INSURANCE 1 POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE(MM/DDNY) DATE(MM/DDNY) A GENERAL LIABILITY UA06926200 01/21/98 01/21/99 GENERAL AGGREGATE $2 , 000_ 000_ X OMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPAGG $2, 000, 000 - CLAIMS MADE Xi OCCUR I PERSONAL BADVINJURY $1, 000, 000_ WNER'S&CONTRACTOR'S PROT LEACH OCCURRENCE $1, 000, 000 FIRE DAMAGE(Any one fire) $ 50, 000 MEDEXP(Any one person) $ 5, 000 AUTOMOBILE LIABILITY 1 COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per person) i SCHEDULED AUTOS $ HIRED AUTOS BODILY INJURY I 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 I OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND I STATUTORY LIMITS I EMPLOYERS'LIABILITY EACH ACCIDENT I$ THE PROPRIETOR/ INCL DISEASE-POLICY LIMIT I$ PARTNERS/EXECUTIVE . — OFFICERS ARE. EXCL DISEASE-EACH EMPLOYEE $ A OTHER (Professional UAL6005350 1/21/98 1/21/99 $1 , 000 , 000 . Ea Occ & Pollution . $2 , 000 , 000 . Aggregate Liability , $5 , 000 . Ded @Occ DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS The Certificate Holder is listed as an Additional Insured, under General Liability only, in respects to their interest in work performed by the insured as per written specified contracts . CERTIFICATE.HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Weld County EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL c/o Office of Public Works 30 _DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn : Don Summers BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY P.O. Box 758 OF ANY • UPON THE COMPANY, GENTS OR REPRESENTATIVES. Greeley, CO 80632 AUTH•' ED•"' SENTATe • ACORD 25-S(393)1 Ot 1 #S3393/M1370 JJC © ACORD CORPORATION 19193 ACflItI ® CERTIFICATE OF 1 INSURANCE ! DATE(mmlDDlvv) -, - - 2/09/98 PRODUCER - -- THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Van Gilder Insurance Corp ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P �,7 C011 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 700 Broadway , Suite 1035 - - - ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver , CO 80203 / I m COMPANIES AFFORDING COVERAGE IPOn "011 11 ''7© t' COMPANY 303-837-8500 - i II: ? A U S F & G INSURED COMPANY CLERK Diversified Operating Corp.i.�) .��.{Ee I B Guaranty National Ins . OMB Gas Gathering LLC )C ' !,l COMPANY 1675 Larimer #400 C Denver CO 80202 COMPANY I D COVERAGES THISIS TO CERTIFY THAT THEPOLICIESOF INSURANCE LISTED BELOWHAVEBEENISSUED TO THE INSURED NAMEDABOVEFOR THEPOLICYPERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERMOR CONDITION OF ANY CONTRACT OROTHER DOCUMENTWITH RESPECT TO WHICHTHIS 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 LIMITS LTR DATE(M DATE IMMIDDIYY), GENERAL LIABILITY GENERAL AGGREGATE $ 20 ,000 A X COMMERCIAL GENERAL LIABILITY 1MP30098931504 2/ 15/98 2/15/99 PRODUCTS-COMP/OP AGG $ 2 ,000 ,000 lCLAIMS MADE LJ OCCUR PERSONAL & ADV INJURY $ 1 ,000,_000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1 000 ,000 A X DEX $1 ,000 ,000 FIRE DAMAGE (Any one Bre)I$ 50 ,000 MED EXP (Any one person) $ 5 ,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ A X ANY AUTO 1MP30098931504 2/15/98 2/15/99 1 ,000 ,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) A X HIRED AUTOS BODILY INJURY $ A X 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 $ 3000000 B X UMBRELLA FORM UMC1011270 2/ 15/98 2/15/99 AGGREGATE $ 3000000 OTHER THAN UMBRELLA FORM SIR $ 10000 WORKERS COMPENSATION AND STATUTORY LIMITS EMPLOYERS'LIABILITY EACH ACCIDENT $ THE PROPRIETOR/ INCL DISEASE POLICY LIMIT $ PARTNERS/EXECUTIVE - OFFICERS ARE EXCL DISEASE•EACH EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Weld County 1 0 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 P .O. Box 758 OF ANY KIND UPON THE COMPANI ITS AG pr /DR REPRESENTATIVES. AUTHORIZEDIRLSSNTATIVE 023735000 Greeley , CO 80632 ky s AGOti0 26I$(3/93) 0 ACORO CORPORATION t993'. �.n71L1_vs- t C1Q<�,rlR_. i1/45/e9 9tO739S` ' { a� �'R : : DATE A1//1�r�1 (MM/D 4/27/98 PRODUCER CO WEST INSURANCE GROUP DTC _ !+ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 7200 EAST DRY CREEK ROAD, G101 1 .';-I n Ch --`-'F+ - ONLY HOLDER.AND H SCONFERS CERT FICATE D ES NOTUPON AMEND,CERTIFICATE OR ENGLEWOOD CO 80112 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. e COMPANIES AFFORDING COVERAGE 1993 NOV 20 !-1 II: 2 6MPANY THE OHIO CASUALTY GROUP A INSURED B & T EXCAVATING, INC. & CLERK COMPANY E.L.T. CONSTRUCTION TO THE BOAflD __- 4563 EAST COUNTY ROAD, #68 COMPANY WELLINGTON CO 80549 COMPANY D ,OV'EHAGES 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. _ POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER LIMITS LTH DATE(MM/DDNY) DATE(MM/DDNY) A GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000 X COMMERCIAL GENERAL UABAITY PRODUCTS-COMP/OP AGG $ 1,000,000 CLAIMS MADE X OCCUR BLW (97) 52081653 7/12/97 7/12/98 PERSONAL&ADV INJURY $ 500,000 X OWNER'S&CONTRACTOR'S PROT EACH IrrURRENCE $ 500,000 FIRE DAMAGE(Any one fee) $ 100,000 MED EXP(Any one person) $ 5,000 A AUTOMOBILE LIABILITY COMBINED SINGLE OMIT $ ANY AUTO _ 1,000,000 ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS BAO (97) 52081653 7/12/97 7/12/98 (Per person) $ X HIRED AUTOS BODILY INJURY X 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 $ WORKERS COMPENSATION AND STATUTORYUMITS EMPLOYERS'LIABILITY EACH ACCIDENT THE PROPRIETOR/ INCL DISFASE-POUCY UMIT $ -_ PARTNERS/EXECUTIVE OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERwI ATE HO R ,. -: CAKGELi i4T[OXi SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL WELD COUNTY OFFICE OF PUBLIC WORKS __DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, PO BOX 758 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY GREELEY CO 80632 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD CORPORATION 3885:: �aJ3`/.� (iw itf-- a/asj4a ATTN: ALAN MILLER P.O. BOX 758 OF ANY KIND UPON THE COM AG NTS 0 R •ESE ES GREELEY CO 80632 AUTHORIZED REPRESENTATI _. . ' `s Robert Peats Aet MOM"IRS 1/GRl At!H1Ff!,IIDDnDATItm!T ORR (.1O-72 ao.:,/'' 4 d , //as/9> 95,13V--s ACORDT. CERTIFICATE OF LIABILITY INSURANCE DATE TEI M ) 1998 1 PRODUCER Serial# A1037 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION AON RISK SERVICES,INC.OF COLORADO ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 14023 DENVER WEST PARKWAY,SUITE 300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. GOLDEN,COLORADO 80401 + `LD C Yl .`TY TOLL-FREE:PHONE 677.266-9727 (877-AONWIiAP�)'' I->T INSURERS AFFORDING COVERAGE INSURED INSURER A ZURICH AMERICAN INSURANCE GROUP GILBERT NETWORK SERVICE W91 t:OV 20 M I I' Z NSURER B: ALLENDALE MUTUAL 13251 OLD DENTON ROAD INSURER C ROYAL INSURANCE COMPANY FORT WORTH,TX 76178 CLERK INSURER o: INDEMNITY INSURANCE CO OF NORTH AMERICA TO THE BOARD INSURERS _ 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 TYPE OF INSURANCE POLICY NUMBER PD F IMDDYYOLICY E POLICY EXPIRATION DATE IMMI DNYI LTR T MV LIMITS LT GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A X i COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ CLAIMS MADE X OCCUR GL 2908557-00 08/01/98 08/01/01 MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 4,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,000 X l POLICY PRO- LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS I (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG_ $ EXCESS LIABILITY EACH OCCURRENCE $ 100,000,000 C OCCUR CLAIMS MADE PHN 203008 08/01/98 08/01/01 AGGREGATE $ 100,000,000 D XLXG 19500214 08/01/98 08/01/01 $ DEDUCTIBLE $ RETENTION $ $ WC STATU- i iOTH- - WORKERS COMPENSATION AND X TORY LIMITSI I ER A EMPLOYERS'LIABILITY WC2918857 08/01/98 08/01/99 E.L.EACH ACCIDENT $ 1,000,000 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 E.L.DISEASE-POLICY LIMIT $ 1,000,000 B OTHER $50,000,000 UNSCHEDULED BUILDERS RISK FL303 05/01/98 05/01/01 LOCATIONS, SPECIAL FORM $25,000 DEDUCTIBLE I DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: PERMIT FOR ROAD CROSSINGS CERTIFICATE HOLDER I ADDITIONAL INSURED;INSURER LETTER: _ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION OFFICE OF PUBLIC WORKS DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN DON SUMMER, DIRECTOR NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL WELD COUNTY COLORADO IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR P.O. BOX 758 REPRESS ATIVES. GREELEY,CO 80632 HD REPRESENTA,Y" - • /47244...,ACORD 25-S(7/97) /ln 0 A ORD CORPORATION 1988 4>1 c ��/.2s/9� 9Wa.WV3 .4CORD CERTIFICATE OF LIABILITY INSURANCE CSR LS °ATEIMN/°°"" HINEratm 01/26/98 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Bradley Insurance Group 1 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3401 W. 38th Avenue y:!:LD COI i Y ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver CO 80211 �� 'T�'�' COMPANIES AFFORDING COVERAGE _ David A. Bradley COMPANY PHoneNo. 303-480-5005 Fa,Ne. 3031 9 & I5?U ' th 21 A Commericial Underwriters INSURED COMPANY �/� CLERK B West American Insurance Co. R M Hiner Construction co.II:THE BAD COMPANY Rex and Sharon Hiner C 11 Austin Road COMPANY Lamar CO 81052 D 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DDNYI DATE IMM/DDNYI GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY EWC5000350 12/31/97 12/31/98 PRODUCTS-COMP/OPAGG $ 1,000,000 CLAIMS MADE X OCCUR PERSONAL&ADV INJURY S 1,000,000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 X INCLUDES X,C & U FIRE DAMAGE Any one fire) $Excluded MED EXP(Any one person) $Excluded AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000 B X ANY AUTO BAW52119408 12/31/97 12/31/98 ALL OWNED AUTOS BODILY on)INJ $ SCHEDULED AUTOS Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS IPer accident) PROPERTY DAMAGE S GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE S UMBRELLA FORM AGGREGATE S OTHER THAN UMBRELLA FORM S WORKERS COMPENSATION AND WC S M O TORS LIMITS E ER R TH EMPLOYERS LIABILITY EL EACH ACCIDENT 5 THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT S PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE S OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Oil/Gas Rostabout Operations $2,500 Each Claim Deductible CERTIFICATE HOLDER CANCELLATION WELDD 02 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, WELD COUNTY ENGINEERING BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY P.O. BOX 758 GREELEY CO 80632 OF ANY KIND UPON THE COMPANY,IT GENTS OR REPRESENTATIVES. AUTH I D REPRESEN TI D . ACORD 25S (1/95) ACORD CORPORATION 1988 ( t can n/e5%9� 9,9a3Vs— ACORD,M CERTIFICATE OF LIABILITY INSURANCE DATE WCDIYT 3/ 6/1998 PRODUCER _ _ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION V:11-D CC 1,-n 7 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Riedman Corporation j'_ HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 1439 �. _ .� ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Longmont, CO 80502-1439 COMPANIES AFFORDING COVERAGE (303) 776-3421 Fax(303) 7761tE X1920 fi II: 2clommy A HAWKEYE SECURITY INSURED CLERK COMPANY HIRSCHFELD BACKHOE & PIPELIP$THE BOA.?D B COMPUIV 12971 NORTH 87TH C LONGMONT CO 80501 COMPMIY I D 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. CO POLICY EFFECTIVE POUCY EXPIRATION TYPE OF INSURANCE POLK:Y NUMBER LIMITS LTiI DATE(MWDD/YY) DATE(MLVDD/1'Y) GENERAL WBILITY 071486 03/06/98 03/06/99 GENERAL AGGREGATE $1A00000 A X COMMERCIA GENERA LIABILI PRODUCTS-COMP/OP AGG $I O4)Q 000 CLAIMS MADE Fri OCCUR PERSONAL&ADV INJURY S 500.000 -- OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE _ S won I FIRE DAMAGE(Any one fire) $ -_50,000 _ PIED EXP(Any one person) $ 5.000 AUTOMOBILE LIABILITY 071486 03/06/98 03/06/99 COMDINEDSINGLE LIMIT $ 500,000 A _X. ANY AUTO ALL OWNED AUTOS - BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE DABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN AUTO ONLY'. EACH ACCIDENT $ EXCESS WBWTY 071486 03/06/98 03/06/99 EACHOCCURRENCE sum= _ A ]{ UMBREL A FORM AGGREGATE S2amom Imo`"OTHER THAN UMBRELLA FORM $ WC STATULMIT OTH A I WORKERS COMPENSATION AND 071486 03/06/98 03/06/99—_?oRYUMIr$ EMPLOYERS' LIABILITY EL EACH ACCIDENT l$ 500.000 THE PROPRIETOR! X INCL EL DISEASE-POLICY LIMIT $ 500 PAATNERS,EXECUTIVE OFFICERS ARE EXCL EL DISEASE-EA EMPLOYEE $ 500.000 OTHER rl DESORPTION OF OPERATIONB'LOCATTON&VEHICLE&SPECIAL REVS CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED IN RESPECTS TO GENERAL LIABILITY. CERTIFICATE HOLDER _ CANCELI.AIUM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE WELD COUNTY E%PNAIWN DATE THEREOF, THE 188UNG COMPANY WILL ENDEAVOR TO MAIL C/O OFFICES OF PUBLIC WORKS 10 DAYS WRRIEN NOT CE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, P.O. BOX 758 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY GREELEY CO 80632 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTNORG,PRESENTATIVE ACOHD 2s4 (1*) ! , 'A^." OACOND CDRPO WWW 1141e /'.... ...TI- /2n...,1, ///c2S'/9k 7Sa 3VS A C111r1/e CERTIFICATE OF INSURANCE CSR TM ISSUE DATE IMM/DD/YV) INTECG1'. 03/26/98 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND 1` i 1) C " iONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE J. R. Misken, Inc. = DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 3575 S. Sherman St. PbLICIES BELOW. Englewood CO 80110 1913 (' V �� (�: ( COMPANIES AFFORDING COVERAGE Richard M. Forsberg 303-762-1717 I LETTER I "V A Colorado Compensation Ins Auth CLERK TO THE BOAF,DC°MPANY B... . Employers Mutual Companies INSURED LETTER P COMPANY `. . LETTER Integrated Communications COMPANY LETTER D Group, Inc. 437 N. Cty. Road 21 COMPANY Berthoud CO 80513 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE IMM/DD/YYI DATE IMM/ODNY) GENERAL LIABILITY GENERAL AGGREGATE S2,000,000 B X COMMERCIAL GENERAL LIABILITY 1D1-84-65---98 09/22/97 09/22/98 PRODUCTS-COMP/OP AGG. 52,000,000 CLAIMS MADE X OCCUR. PERSONAL ADV.INJURY 51,000,000 OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE 51,000,000 FIRE DAMAGE(Any one fire) 5 100,000 MED.EXPENSE(Any one person) S 9,000 AUTOMOBILE LIABILITY COMBINED SINGLE B. R ANY AUTO 1E1-84-65---98 09/22/97 09/22/98 LIMIT 51,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS IPer person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS IPer accidentl GARAGE LIABILITY - - PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE S UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM A WORKER'S COMPENSATION 3429303 04/01/98 04/01/99 X STATUTORY LIMITS EACH ACCIDENT 5100,000 AND DISEASE—POLICY LIMIT 5500000 A EMPLOYERS LIABILITY 3429303 04/01/98 04/01/99 100, DISEASE—EACH EMPLOYEE $ 100,000 000 OTHER B Lease/Rented Equip 1C1-84-65---98 09/22/97 09/22/98 $250. Ded $25,000. B Contractors Equip. 1C1-84-65---98 09/22/97 09/22/98 $250. Ded $42,475. DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS 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 C/O Office of Public Works MAIL 10 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 AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ��J//► Richard M. For= -erg ►V.:.'p1 ACORD 25-S (7/90) D CORPO , ON 1990 4„,,,,„f llon„da di,-2C/42 9f,2 a/ MD IDRII CERTIFICATE OF INSURANCE 03/(3oi98 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Ins . Inc . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P. 0. BOX 578 V.'. D CCj:. (`( HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 4687 W. 18th Street COMPANIES AFFORDING COVERAGE Greeley, CO 80632 fc 4L .J) 20 hhl II. 29DAANHARTFORD LIFE & ACCIDENT INSURED COMPANY Ideal Services Corp. CLERK BFREMONT INDEMNITY COMPANY P. O. Box 328 TO THEHQ ':D COMPANY Greeley, CO 80632 c COMPANY D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED 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.UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(PAM/DD/YY) DATE(MM/DD/YY) A GENERAL LIABILITY 34UUNFW0476 04/01./98 05/01/99 GENERAL AGGREGATE Ib2, 000, 000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGO $2, 000, 000 CLAIMS MADE`_X OCCUR', PERSONAL&ADV INJURY $1, 000, 000 _OWNER'S&CONTRACTORS PROT EACH OCCURRENCE $1, 000, 000 FIRE DAMAGE(Any one fire)$ 50, 000 MEDEXP(Any one person) $ 5, 000 A AUTOMOBILE LIABILITY li 34UUNFW0476 04/01./98 05/01/99 COMBINED SINGLE LIMIT $1, 000, 000 X ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY i$ NON OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY III AUTO ONLY EAACCIDENT $ I ANY AUTO OTHER THAN AUTO ONLY. 9 '._ EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM $ BWORKERS COMPENSATION AND W01413601 04/01./98 05/01/99 X STATUTORY LIMITS `. EMPLOYERS'LIABILITY EACH ACCIDENT $100, 000 rr THE PROPRIETOR/ X INCL DISEASE POLICYLIMIT $500 , 000 PARTNERS/EXECUTIVE --OFFICERS ARE EXCL DISEASE EACH EMPLOYEE $100 , 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE GREELEY PUBLIC WORKS EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 933 NORTH 11TH AVENUE 10 ,DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Greeley, CO 80631 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPREl�MA� ACORDR5•S(3/93)1 of 1 '< #M104737 RKS oACORDCORPORATION1993 ()nail &p d1. /642s/qj 9Wat3v1 A/DIII.I/. CERTIFICATE OF INSURANCE CSR TM ISSUE DATE INIM/DONY) 09/14/98 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE J. R. Misken, Inc. I ) I el 1 , ViOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 3575 S. Sherman St. 1 3r QLICIES BELOW. Englewood CO 8013.0 COMPANIES AFFORDING COVERAGE Richard M. Forsberg e : l 2r/ „ 21 303-762-1717 LENTIERNY A Colorado Compensation Ins Auth CLERK TO THE Linrt ,1ETTERNY B Employers Mutual Companies INSURED COMPANY `. LETTER Integrated Communications COMPANY Group, Inc. LETTER D 437 N. Cty. Road 21 COMPANY Berthoud CO 80513 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. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE IMM/DD/YY) DATE IMM/DD/YYI GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 B X COMMERCIAL GENERAL LIABILITY 1D1-84-65---99 09/22/98 09/22/99 PRODUCTS-COMP/OP AGG. $ 2,000,000 CLAIMS MADE X '. OCCUR PERSONAL&ADV.INJURY 81,000,000 OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE(Any one fire) $ 100,000 MED.EXPENSE(Any one person} $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE B X ANY AUTO .181-84-65---99 09/22/98 09/22/99 LIMIT $ 1,000,000 ALL OWNED AUTOS BODILY INJURY IPer person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY $ IPer accident) NON OWNED AUTOS GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM A WORKER'S COMPENSATION 3429303 04/01/98 04/01/99 x STATUTORY LIMITS . EACH ACCIDENT $ 100,000 AND A3429303 04/01/98 04/01/99 DISEASE-POLICY LIMIT BS00,OOO EMPLOYERS'LIABILITY DISEASE-EACH EMPLOYEE $ 100,000 OTHER B Lease/Rented Equip 1C1-84-65---99 09/22/98 09/22/99 $250. Ded $25,000 B Contractors Equip 1C1-84-65---99 09/22/98 09/22/99 $250. Ded $42,475. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS 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 c/o Office of Public Works MAIL 10 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 AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 1 R : "U Richard M. Forsb rg ACORD 25-S (71901 S A CORPORA, O 1990 (A7,,,...,± Q,0�n4A, a/as19 9-a?3 AI/III:II. {T/� r T F I i DATE /DDN11 ... ... _. .. 09/01/98 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CARR INSURANCE AGENCY, INC. W L. CO "r "I___Y HOLDER.ONLY AND CONFERS NO RIGHTS UPON CERTIFICATE TH S CERT FICATE D ES NOT AM ND, EXTENDOR 12000 N. WASHINGTON SUITE 200 - .- 7' ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. p _ COMPANIES AFFORDING COVERAGE THORNTON, CO 80241- 19901JY 20 Ati It: 2ICOMPANY (303) 451-5547 (303) 451-0605 FAXM A UNITED SECURITY INSURANCE COMPANY INSURED "CLERK COMPANY J & L Pipeline Contractors, In TO THE BOARD '__, B BUSINESS INS. CO. CBICO) 4505 E. 122nd Ct. COMPANY C Thornton CO 80241- COMPANY (303) 25110712 D COVEI18 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 LIMITS LTR DATE IMM/DDP/Y) DATE(MM/DDM0 A GENERAL LIABILITY GENERAL AGGREGATE $2,000,000 X COMMERCIAL GENERAL LIABILITY PP074544 09/01/98 09/01/99 PRODUCTS-COMP/OPAGG $2,000,000 CLAIMS MADE iX OCCUR PERSONAL&ADV INJURY $1,000,000 OWNERS&CONTRACTORS PROT EACH OCCURRENCE $1,000,000 FIRE DAMAGE(Any one fire) $ 50,000 MED E)(P(Any one person) $ 5,000 A AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT I $ X ANY AUTO PP074544 09/01/98 09/01/99 1,000,000 ALL OWNED AUTOS BODILY INJURY $ L SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO F / / / / OTHER THAN AUTO ONLY', EACH ACCIDENT $ AGGREGATE $ EXCESS UABIUTY EACH OCCURRENCE $ - _ UMBRELLA FORM i / / ''i / / AGGREGATE I$ r OTHER THAN UMBRELLA FORM $ B WORKERS COMPENSATION AND X STATUTORY UMITS EMPLOYERS'LIABIUTY PENDING 09/01/98 09/01/99 EACH ACCIDENT $ 100,000 THE PROPRIETOR/ I INCL DISEASE-POUCY LIMIT $ 500,000 PARTNERS/EXECUTIVE -OFFICERS ARE: EXCL ') DISEASE-EACH EMPLOYEE $ 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERT„., , . !E HC!DER CANCELLATION 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, Weld County C/0 Office Of Public Works BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE 0 OBLIGATION OR LIABIUTY P.O. Box 758 Y KIND UPON THE COMPANY, ITS A TS OR REPRESENTATIVES. Greeley CO 80632 ¢E9.pEpRESENTATIV ACGk>ULala} ` Q�L��/j�/(//moo c Baas DATE CERTIFICAA OOF LIABILITY INSURANCE 9 ) THIS CERTIFICATE IS ISSUED AS A MATTER OFINFORATION PRODUCER M GOODSON INS AGENCY ONLY AND CONFERS CA RIDOES UPON THE CERTIFICATE _ HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTENDOR r• Cu'_', T Y ALTER THE COVERAGE AFFORDED BY THE POLICIESIELOW. 5600 SO QUEBEC #200C f`- ' COMPANIES AFFORDING COVERAGE GREENWOOD VILLAGE CO 80111 COMPANY 1993 rIV 7n m 1i: 9 ' A TIG INSURANCE CO. INSURED COMPANY JONES PLUMBING CLERK B THOMAS C JONES TO THE EOAPD COMPANY 619 4TH ST C BERTHOUD CO 80513 COMPANY D I COVERAGES f, 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. POLICY EFFECTIVE POLICY EXPIRATIONI CO TYPE OF MSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MMMD/YY) LIMITS LTR GENERAL LIABILITY GENERAL AGGREGATE I S I COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPAGG IS i CLAIMS MADE OCCUR PERSONAL&ADV INJURY I S OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE S FIRE DAMAGE(Any one fire) I S MED EXP(Any one person) I$ I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT I S ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per person) I S I .SCHEDULED AUTOSI BODILY INJURY HIRED AUTOS (Per aceidcnr) S NON-OWNED AUTOS PROPERTY DAMAGE S I GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO I OTHER THAN AUTO ONLY: EACH ACCIDENT S AGGREGATE !S EXCESS LIABILITY EACH OCCURRENCE I S I UMBRELLA FORM AGGREGATE IS S OTHER THAN UMBRELLA FORM 4/01/98 4/01/99 I t IMITSI TER EMPLOYERS'!WORKERS COMPENLTIONAND 80037674 x LIABILITY EL EACH ACCIDENT E 100 , 000 THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT S 500, 000 PARTNERS/EXECUTIVE EL DISEASE EAEMPLOYEE I E 10 0 x 0 0 0 OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE ROWER CANCELLATION '; SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE WELD COUNTY PUBLIC WORKS DEPT. EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR T61.AII, },I__ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOWER NAMED TO THECFT, 933 N. 11TH AVE. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OILIABILITY GREELEY, CO 80631 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. ANIIORIZED REPRESENTATIVE /) Grant_ GONaltni t„-x.7.!w ' LS A $ACORN CORPORATION 1983 ACORD 25-5 Qi195? n � /1-.. _....-t 6_,,„„/Q ,i/as/9k `�lo?gys I'. :41.2P14.2‘sil 111:1-1111u,do,. f£pa py PRODUCER „ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION LD 00T' ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE TAGGART d ASSOCIATES INC. I B, HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 147 ' ALTER THE COVERAGE AFFORDED BY THE POLICES BELOW. CO 803060147 Igr 'LOMPANY n il,' ,. tt++ COMPANIES AFFORDING COVERAGE Boulder ± j 11• A CNA INSURED CLERj\ COMPANY Lone And Assoanre Inc TO THE R;a C B Continental Cu Co (CNA) 2735 IS Menus, Suite B COMPANY Boulder CO 8030 C COMPANY D J '•I . • ^ • • • HEINSURE* NAM 11=• FO' H `.J ' -E-1•• HIS I 0 I ' U I • NSW E• - LOW V BEN BSU 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO AU.THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO POLICY fl11 E POLICY E7a'IRATION LIR TYPE a INSURANCE POLICY NUMBER DATE SNAOD/rn DATE 9AMODA'Y) A GENERAL LIABILITY 1 68919560 03/01/98 03/01/99 GENERAL AGGREGATE $ 2,000,000 X COMMERCIAL GENERA.LIABILITY PRODUCTS-COMP/OP AGG $ 2,000,000 .'_.a CLAMS MADE O OCCUR PERSONAL&MW INJURY $ 1,000,000 OWNERS&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE(My on*M4 $ 100,000 MEG EXP(My as person) $ 10,000 A AUTOMOBILE LIABILITY B1 68919574 03/01/98 03/01/99 COMBINED SINGLE LIMIT $ 1,000,000 (ANY AUTO ALL OWNED AUTOS BOOZY INJURY SCHEDULED AUTOS (Pa fin) HIRED AUTOS BODE)/INJURY NON-OWNED AUTOS (Pa•md•ni PROPERTY DAMAGE S GARAGE LIABILITY AUTO ONLY-EA ACCDENT $ 1 ANY AUTO OTHER THAN AUTO ONLY: u,1 EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE S OTHER THAN UMBRELLA FORM S WORKERS COMPENSATION AND I TOPYSLIMRS EMPLOYERS LIABILITY EL EACH ACCIDENT $ THE PROPRIETOR/ [ NCL EL DISEASE-POLICY LINT $ SEX PARTNERECUTNE II—Jt OFRCERS ARE: EXCL EL DISEASE-EA BAPLOYEE S OTHER B Architects/Engineers AEN 00.616-11-63 05/14/98 05/08/99 Limit of Liability 1,000,000 Professional Liability Aggregate Limit 2,000,000 ppEE oPE 4c �v €APE Deductible 5,000 CERTrFII.A9TE HOLADERSYS ANPIAED AS ADDI I�fJnAECSINSURED AS RESPECT TO PROJECTS PERPoRAED BY TIE NAMED INSIIFED. o-._'4R, 1_A.'�iBi�.aYa. }:.:t ..�. ,.d �:ol)�''. . ' � : :.• SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE WELD COUNTY COLORADO ENGINEERING DEPT. EXRRATX)N DATE THEREOF,THE ISSUING COMPANY WEL ENDEAVOR TO MAIL P. 0. BOX 758 _330 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LABILITY GREELEY CO 80632-0758 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE John NeB I♦♦ g `AL %iti'1 '�a i! E Sax - .r r),,,,4,t. b/.as/4x 7S 3Y3 PROFESSIONAL LIABILITY ARCHITECTS/ENGINEERS Per Al 6e Cesslt.ale Tee Mat INSURED: Loris and Associates, Inc. Policy AEN 00-616-11-63 MEMORANDUM OF INSURANCE ARCHITECTS AND ENGINEERS PROFESSIONAL LIABILITY This memorandum is issued Addressee: as a matter of information only and confers no rights Weld County Dept. of Engineering upon the holder. By its Weld County Colordo issuance the Company does P.O. Box 758 not alter, change, modify Greeley, CO 80632 or extend the provisions of said policy and does not waive any of its rights thereunder. Name and Address of Insured: Loris and Associates, Inc. 2735 Iris Avenue Suite B Boulder, CO 80304 Policy Period: 05/08/98 to 05/08/99 $ 1, 000,000 Per Claim limit of liability (including claim expenses) $ 1, 000,000 Aggregate limit of liability (including claim expenses) In the event of the cancellation of the Insurance as shown herein, the Continental Casualty Company or its authorized representative will provide thirty (30) days prior written notice to the party to whom this certificate is addressed at the address stated herein. The mailing of such notice shall be sufficient proof of notice. The above policy has been issued by the Continental Casualty Company and is in force at the date indicated below: Dated at: Chevy Chase, Maryland Date: 06/22/98 rxr O cn .�i:... Z f7 N • °om C:) :L7 C5 C7 "C N VICTOR O. SCHINNERER & CO. BY: DgNtie AutHorized Representative 1-41249-A C rer— 4ea /1/45-h8 913V3 AI:OI:D CERTIFICATE OF INSURANCE skm 01718 ISSUE DATE (MM/Ull/YY) [1 08/ 13/98 PROHUCFR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Moody Herbert Insurance � ;�: Li;;!_ Cr '' CERTIFICATE O CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE Phone ( 303 ) 939 -9921 Pr ' r r T POLICIES BELOW. Fax ( 303 ) 939-9926 COMPANIES AFFORDING COVERAGE 275 S Main St, Suite @ ‘,7_11 20 if ii:_2.I_- t1ongmont. CO 80501 "°MI'ANY A HARTFORD INSURANCE GROUP CLERK l I „III RD LCMI'ANV ��?TMEOP <dD B TRAVELERS INSURANCE CO INSIDE!11 IL I NH H Nixcavatinq, Inc . COMPANY C COLO COMP INS AUTHORITY ]Cott, Nix II IIIII P. O. Box 2232 I:OMPANY D Longmont, CO 80501 IIFTIIi FIWFANY E II III H COVERAGES win. IfICIIIIII Y II IA1 I I II POI IC.IIS01 IN UIIANtI I ISII II III IOWIIAVI II INSUIII II NAMIIIAl1OV11!1111111 I'OI ICY PI Moll INI)IF All IINI II PIA 101 --NI)1110 -1ANYCON I i IAGIrt)11111III)(CIIMI NIWII II III S IIFiitVVI11CII 1 IIIS CI III II 1CAI I MAY III 19UI DOH MAY 19 WAIN, 1111 INSUIIANCI Al f 011111 II HV 1111 I'011 II S III SCIIIIi1 1)111111 IN 1.)SWIM CI TO AI I I III IF HMS, 1 XCI IIJIUNS AND CONIIII IONS 01 SUCH POI ICII S. 1 IMIIS SI'OWN MAY IIAVI III I N HI DUO 1111Y PAID CI AIMS ;O POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE P01ICY NUMBER LIMITS Ill DATE 1MM/I II I/YYI DATE IMM/Illl/YYI 3 GENERAL lABIIITY I680999W0350TIA 01/01/98 01/01/99 NEW IIAIAIII1HF1Au 5_ 2000 ooQ X : in,.MMI in,. I,INI HAI M I'IH ARIE HY UIIll{HL CA IMP/4,1 ' /V 1, 1 I 2 000 000 }IIAIMF MAUI �UI'.LIIII II li INAI A,Al IV Nil IIIY SI000 000 IIWNIIFI NIJ(NIFIA.I IYLIII''r IA'.IIou.un111N' 1, 000, 00 11 - NO [Anon l {Any Ira) S 300 ,00 MI I I I XI 1Anv one prr.uni I, 5, 00 AU IOMOHILF LEARN ITY I81.0156Y3741PIIX 01/01/98 01/01/99 I'IM"INFI1',IN,II X ANY Alms IIMll - -_--.l 1 , 000,00Q AlI i'WN1 II At lira; 1(11)11Y INJURY A ill[K it l l l Ai ni P: rte,PcicnnlI. X MIRE II AI III'', 1,111111Y IN 11IIFY X NEN I'WNI II AI IIII', IPHrnu.Irlent) ',AHAI, IIAIIIIIIV _.. 1111111 MY UAMAGI x EXCESS LIABILITY I Nil I IL(alfikii NIA- $ IlMlnn IlAlNmn Al.PHl',nn Sr 'I I II II I I IAN MIp II I I A I UI IM 2113100 01 /01 /98 01 /01 /99 L ,Ieli niyilMOS WORKER SCITMPENSADUN IAI KI A((All NI $ 100 , 00 AND I NIIIA r I'() _0 I II_YI IMII $ 5000 I:MPuweus LIABILITY OILIAI;I -I:ACE IFMPIOYFI. S 100, 000 A OIHEglented & Leased 34MSEX6528 01/01/98 01/01/99 $100 , 000 limit Equipment $500 ded. DI SCHIPIION OF OPERATIONS/I OCATIONS/VEHICLES/SPECIAL ITEMS ALL OPERATIONS/ALL LOCATIONS 10 DAY NOTICE OF CANCELLATION APPLIES TO WORKERS COMPENSATION CERTIFICATE HOLDER CANCELLATION SHOOS II ANY 01 1111 /MOW 111:CIIIHII)POI ICIiS III CANCI II F II HI I OM 1111 I XI'IIIAIION 11AI 1 1111 111 01, 1111 ISSUING COMPANY WII I 1 NIII AVON 10 Weld County Public Work MAII 30 DAYS II N NOIIC.11011 II GI 11111ICAI 111011)1 IINAMI 1110 IIII dept . III 1,11111 I All UHI. I O MAII SLICII NFl I ICI SI IAI I IMPOSE NO 0111 IGAI ION ON 933 N . 11th ve IIA111111YOI /ANY KIND I WON II II sOMPANY,IIS AGE.NIS OIIIiI.I'lll_SI_NI AIIVLS. Greeley Co 8(1631. AUTHORIZED�k��,--REPMSSEENN'TA/ATTIfIVVE ACORD 25-S(7/90) V /&l°f-4G4 I' CO ACORD CCOR]PORATIOO 1990 . ._i/I_ -1_ /:. . II in,- 41..-. %S..JT�I ,<S Form A Certificate Number: 33696A16 ASSOCIATED ELECTRIC & GAS INSURANCE SERVIGE AIT9 IJI Hamilton, Bermuda r CERTIFICATE OF INSURANCE My 20 AN 11: 20 (Excess Liability) CLERK This Certificate is furnished to the Certificate Holder named below as a mI@eFNH motion only. Neither this Certificate nor the issuance hereof makes the Certificate Holder an additional Insured under the policy of insurance identified below (the "Policy") or modifies the Policy in any manner. The Policy terms are solely as stated in the Policy or in any endorsement thereto. Any amendment, change or extension of the Policy can only be effected by a specific endorsement issued by the Company and attached to the Policy. The undersigned hereby certifies that the Policy has been issued by Associated Electric & Gas Insurance Services Limited (the "Company") to the Named Insured identified below for the coverage described and for the policy period specified. Notwithstanding any requirements, terms or conditions of any contract or other document with respect to which this Certificate may be issued or to which it may pertain, the insurance afforded by the Policy is subject to all of the terms of the Policy. NAME OF INSURED: New Century Energies, Inc., Public Service Company of Colorado et al PRINCIPAL ADDRESS: 1225 17th Street, Denver, CO 80202-5533 POLICY POLICY From: 06/01/98 NUMBER: X0619A1A98 PERIOD: To: 06/01/99 RETROACTIVE DATE: 09/30/86 DESCRIPTION OF COVERAGE: Claims-First-Made Excess Liability Policy LIMIT OF $25,000,000 per occurrence and in the aggregate, where applicable LIABILITY: DESCRIPTION Operations of the Insured as described in the Policy Declaration - OF OPERATIONS: Continental U.S.A. Should the Policy be cancelled, assigned or changed in a manner that is materially adverse to the Insured(s) under the Policy, the undersigned will endeavor to give 30 days advance written notice thereof to the Certificate Holder, but failure to give such notice will impose no obligation or liability of any kind upon the Company, the undersigned or any agent or representative of either. DATE: June 1, 1998 ISSUED TO: Weld County Colorado ("Certificate Holder") ADDRESS: Attn: Allan Miller Engineering Department P.O. Box 1948 Greeley, CO 80631 AEGIS` INSURANCE SERVICES, INC. BY: T`� ' 9001 (8/87) At Jersey City, New Jersey dOflaDMa`- /O5/4 9143 A D,p CERTIFICATE QF LIABILITY INSURANCE DATE(MMIDD VY) PAGE OF 2 24SEP-1998 PR9•D R 91189 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION W s Corroon Corporation of Los Angeles ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 801 N.Brand Blvd.#400 WELD COT`uTY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Ca.Dept.of Ins. L,•' _-- ^ ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. License#0507516 COMPANIES AFFORDING COVERAGE Glendale CA 91203 t G n,I ,� t Zurich Insurance Company,U.S.Branch (818) 548-7500 ir}fB P2V 20 L;H II: 20 COMPANY Ernesto Cardoze _ _ A - INSURED CLERK COMPANY American Guarantee&Liability Insurance Company TO THE BOAPJ B SCS Engineers L) American Home Assurance Company 3711 Long Beach Blvd. COMPANY C 9th Fl. Long Beach CA 90807 COMPANY I 0 COVERAGES _ REPORTED ASOF O1-OG7--1998 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 POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/(V) DATE(MM/DD/YY) LIMITS A GENERAL LIABILITY GLO8O444O4O4 O1-APR-1998 O1-APR-1999 GENERAL AGGREGATE $ 1.0 0 0,0 0 0 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGO $ 1 ,000,000 CLAIMS MADE X OCCUR PERSONAL&ADV INJURY $ 1.000.000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1.000.000 FIRE DAMAGE(Antone fire) $ 1 ,000,000 MED EXP(Any one person) $ 10,000 B ' AUTOMOBILE LIABILITY AOS BAP8O444O5O4 O1-APR-1998 O1-APR-1999 COMBINED SINGLE LIMIT $ 1,000,000 _X ANY AUTO - --- - - - — -- ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS - - — -- - ' X HIRED AUTOS BODILY INJURY $ (Par accident) X NON-OWNED AUTOS - ---- - -- PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY EACH ACCIDENT !$ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ 1 OTHER THAN UMBRELLA FORM $ C WORKERS COMPENSATION AND AOS WC571O978RA 01-OCT-1998 O1-OCT-1999 I X WeTRY STATuTS oTH- O LIMI ER -EMPLOYERS'LIABILITY EL EACH ACCIDENT r$ 1,000.000 THE PROPRIETOR/ EL DISEASEPOLICV LIMIT $ 1•000•000 PARTNERS/EXECUTIVE INCL A OFFICERS ARE EXCL EL DISEASE EA EMPLOYEE $ 1•000•000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS SEE ATTACHED GEETBaaAiE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Weld County EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL c/o Office of Public Work 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn:Dir.of Public Work BHT FAILU T MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY P.O.Box 758 F ANY K UPON THE PANY, ITS AGENTS OR REPRESENTATIVES. Greeley 80632 AUT EPRESENTATIVE I ACOWD254 .0195.1 0113 ORD COfi RATioN CO18ga (?,uwd- (2ri Il�a5/9s 9Sa35-S ACORD. CERTIFICATE OF LIABILITY INSURANCE- D BI_ DATE`MWDD STARC 2 06/01/98 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Linden Co. of Northern Co. I';�-_ _1) >r-HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 2900 South College Avenue-#3B C��-I'• I ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins CO 80525 COMPANIES AFFORDING COVERAGE Michael D. Pierce Ipeq COMPANY "8 7� ��• Employers Mutual Phone No. 970-229-9304 Far No. 970-229-1398 ` INSURED COMPANY CLERK B C.C.I.A. TO THE EO:, (t ` 1,FOMPAIVY Starck Brothers Construction C 932 N. Meadowlark Dr. COMPANY Berthoud CO 80513 D 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. COI TYPE OF INSURANCE POLICY NUMBER POLICY EFFEiCTIVE POLICY EXPIRATION LIMITS LTR DATE(MWEC/YY) DATE(MMIDD/VY) GENERAL LIABILITY GENERAL AGGREGATE $2000000 A X COMIMERCIAL GENERAL LIABILITY 0X8233299 05/27/98 05/27/99 PRODUCTS-COMP/OP AGG $ 2000000 _I CLAIMS MADE rX I OCCUR PERSONAL&ADV INJURY $ 1000000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1000000 A X $250 PD Deductibl FIRE DAMAGE(Any one fire) $ 100000 MED EXP(Any one person) $ 5000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 A X ANY AUTO 0X8233299 05/27/98 05/27/99 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per Person) HIRED AUTOS BODILY INJURY $ (Per accident) AUTOS PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ —I ANY AUTO OTHER THAN AUTO ONLY. EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WC STATU- OTH- WORKERS COMPENSATION AND TORY LIMITS I ER EMPLOYERS LIABILITY EL EACH ACCIDENT $ 1000000 B THE PROPRIETOR/ ,_ 1INCL 3420780 03/01/98 03/01/99 EL DISEASE-POLICY LIMIT $ 1000000 PARTNERS/EXECUTIVE EL DISEASE-EA EMPLOYEE I$ 1000000 OFFICERS ARE: EXCL I OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS ALL OPERATIONS/ALL LOCATIONS 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 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, WELD COUNTY - DEPARTMENT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOS NO R❑AQkITY OF PUBLIC WORKS P.O. BOX 758 OF ANY KIND UPON THE COMPANY,ITS AGENTS..OR 2 NTATWE r GREELEY CO 80632 AUTHORIZED REPRESENTATIVE Michael D. Pierce ._....�..�•��- ^-� - dc ....-- Cd {� ///25/937 9g)3 ACORDn CERTIFICATE OF LIABILITY INSURANCE CSR DATE IMM/DDNYI WARDC-1 01/14/98 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Benner Smith Ins Agency Inc. i"' i 0 COO'J'.-ITY HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4812 South College Ave -.., - ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins CO 80525 - - COMPANIES AFFORDING COVERAGE Jeryl L. Benner, President IfCf P!PIj 7 09 COMPANY PBoneNo. 970-223-4744 FaxNe. 970-223-d8 1'_ �9 il� 2J A CNA Insurance Companies INSURED CLERK �} COMPANY Federal Insurance Company TO THE BOARD COMPANY Ward Construction C_ P.O. Box 265 COMPANY Loveland CO 80539 D 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. CO TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION POUCY NUMBER LIMITS LTR DATE IMM/DDNYI DATE IMM/DDNYI GENERAL LIABILITY GENERAL AGGREGATE $2,000,000 A X COMMERCIAL GENERAL LIABILITY GL 123424677 01/01/98 01/01/99 PRODUCTS-COMP/OPAGG 91,000,000 CLAIMS MADE X OCCUR PERSONAL&ADV INJURY 91,000,000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE(Any one tire) 5 50,000 IMED EXP(Any one person) 5 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 51,000,000 A X ANY AUTO TRK 123424680 01/01/98 01/01/99 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON OWNED AUTOS (Per eccitlentl 9 PROPERTY DAMAGE 5 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT 5 ANY AUTO OTHER THAN AUTO ONLY EACH ACCIDENT $ AGGREGATE 5 EXCESS LIABILITY EACH OCCURRENCE $2,000,000 B X UMBRELLA FORM (98) 7942-83-43 01/01/98 01/01/99 AGGREGATE 52,000,000 OTHER THAN UMBRELLA FORM $ WC STATU- [ OTH WORKERS COMPENSATION AND I TORY LIMITS ER EMPLOYERS'LIABILITY EL EACH ACCIDENT $ 500,000 A THE PROPRIETOR/ INCL WCC 1 23424694 01/01/98 01/01/99 EL DISEASE POLICY LIMIT $ 500,000 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE 9500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS FAX: 970-352-2868 CERTIFICATE HOLDER CANCELLATION WELDCOU SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. MR. DON SOMMER BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY WELD COUNTY ENGINEERING DEPT 933 N 11TH AVE OF ANY KIND UPON THE PANY,ITS AGENTS OR REPRESE F�TATIVES. GREELEY CO 80631 AUTHORIZED REPRESENT IVE Jeryl L. Benne et'm A,(_,, , /rn ACORD 25.8(1/95) � �((.�, ,' E ACOFD't f ORA71ON 1988 /�mr n o -'{'.. .. /_,LJ!! � ///&5/0?E `9S4.347/5--- ACORD CERTIFICATEE OF LIABILITY INSURANCE DATE(MMIDONYY) 09/301998 PRODUCER (303)939-9921 FAX CTq3{p?��)L($q�7q,S 9C Q THIS GERIU-LATE IS ISSUED AS A MA`'lR bF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Moody-Herbert Insurance Agency,"I476 .')' i HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 275 South Main Street r' ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 208 COMPANIES AFFORDING COVERAGE Longmont, CO 80501 1.77 '' 70 ?:1 I!: 2.0 COMPANY CNA Insurance Companies Attn: Stephanie Schneider Ext: 224 A INSURED CLERK COMPANY Colorado Comp Ins Authority Zak Dirt, Inc. � ,,-r B 14290 Hilltop Road �� ii ,`l COMPANY Hartford Insurance Group Longmont, CO 80501 COMPANY D COV cc' :. , ' 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 LIMITS LTR DATE(MM/DDNY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 2,000,000 CLAIMS MADE X OCCUR PERSONAL S ADV INJURY $ 1,000,000 A B136298161 10/01/1998 10/01/1999 OWNER'S&CONTRACTOR'S PROT 1,000,000 EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ 50,000 MED EXP(Any one person) $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ X ANY AUTO 1,000,000 ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS A X HIRED AUTOS B131661792 10/01/1998 10/01/1999 BODILY INJURY $ (Per ccidenl) X NON-OWNED AUTOS PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ 1,000,000 A X UMBRELLA FORM B163852580 10/01/1998 10/01/1999 AGGREGATE $ OTHER THAN UMBRELLA FORM $ __-__ — ri�aini u- vin WORKERS COMPENSATION AND TORY LIMITS ER „ EMPLOYERS'LIABILITY EL EACH ACCIDENT $ B 846620 10/01/1998 10/01/1999 100,000 THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT $ 500,000 PARTNERS/EXECUTIVE OFFICERS ARE EXCL EL DISEASE-EA EMPLOYEE $ 100 1000 OTHER Limit $250,000 1% of ACV ded Rented and Leased C Equipment, Actual 34MSEV2507 10/01/1998 10/01/1999 $250 min ded Cash Value $1,000 max ded DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Re: Weld County Bridge 33-86A. Certificate Holder is Additional Insured. CER Cfp(C1 TE Ht7l D�12 `C IC 1104 l , , 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, Weld County Colorado BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Public Works Department P. 0. Box 758 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPR ENTATIVE � Greeley, CO 80632 \ , o 11/ /��t/.,4z. „ / i. ACOR4 258(7496 4t � i�' ©IkCiJR�}CORPORATION"88 (s ,A ( q „dw /�a5/9e . 98.�3V-r Clrrtifiratr Df insuranrr v:LID COU dTY cr cry TO: Weld County Date: December 17, 1(':' ;CCU 20 AN 11: 21 Department of Engineering Address: 933 North Eleventh Avenue Rea 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. The Coastal Corporation and all Affiliated or Subsidiary Companies NAME OF INSURED: including Colorado Interstate Gas Company Coastal Tower, Nine Greenway Plaza Address: Houston, TX 77046 TYPE OF INSURANCE POLICY# POLICY PERIOD POLICY LIMITS/VALUES Worker's Compensation Statutory Employer's Liability A)NWA1498599-07 01/01/98-99 $1,000,000 Each Accident & NWA1498589-07 01/01/98-99 $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 $500,000 General Aggregate(except) Operations $500,000 Products&Completed All States A)NGA1498595-07 01/01/98-99 Operations Aggregate $500,000 Personal and Advertising Injury Excess of$500,000 Self Insured Retention Each Occurrence Comprehensive Automobile Liability Texas A)NKA1498598-07 01/01/98-99 $1,000,000 Combined Single Limit Each All Other States A)NKA1498596-07 01/01/98-99 Accident This certificate of insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by those policy(ies) numbered above and issued by companies listed below. 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 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 Natural Resources The subscribing insurers'obligations under contracts of insurance to 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. rel: (713)430-6000 • fax:(713)430-6590 INSURANCE COMPANY(IES) ISSUING COVERAGE: A) Reliance National Indemnity Company By 9f438 S ARSM-cm.CL da-1 (Rev.Z9]` 11 B ( - G742tm.CLG.tloG112n d rklent IIAG. I/iaS174 Hello