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Home My WebLink About960691.tiff ACORp Issue Date: Certificate of Insurance March 29, 1996 Producer: THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS W Will•is Corroon Corporation of Minnesota NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT 200 South Sixth Street, Suite 1600 AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Minneapolis, MN 55402-1436 Contact: Corry Orvis 612-333-3182 Insured: COMPANIES AFFORDING COVERAGE Park Construction Company Company Letter A Reliance Insurance Company . , : Attn: Marie McLaughlin Company Letter B Westchester Fire Ins. Co./Tct ity Brol erag6,rChicago 5802 Franklin, Suite 107 Company Letter C ri O% I o Denver, CO 80216 Company Letter D _' -' ' 0 Company Letter E ` r Coverages „ .c! THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATEQMOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY f EM1 TAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO Policy Policy LTR Type of Insurance Policy Number Effective Expiration Limits Date Date General Liability General Aggregate $ 2,000,000 Products-Comp Ops Agg. $ 1,000,000 A OCommercial General Liability VQ855533401 4-1-96 4-1-97 Personal&Adv. Injury $ 1,000,000 0 Claims Made ® Occur. Each Occurrence $ 1,000,000 ❑ Owner's&Contractor's Prot Fire Damage(any One Fire) $ 50,000 ❑ Med.Expense(Any one Person) $ 5,000 Automobile Liability Combined Single Limit $ 1,000,000 ©Any Auto El All Owned Autos Bodily Injury(Per Person) $ ® Scheduled Autos VQ855533501 4-1-96 4-1-97 A ID Hired Autos Bodily Injury(Per Accident) $ El Non-Owned Autos ❑ Garage Liability Property Damage $ ID Excess Liability Each Occurrence $ 20,000,000 B CI Umbrella Form CUA102815-0 4-1-96 4-1-97 Aggregate $ 20,000,000 ❑ Other than Umbrella Form CO I Statutory Limits Worker's Compensation WD855533301 4-1-96 4-1-97 Each Accident $ 500,000 A and Disease-Policy Limit $ 500,000 Employers' Liability Disease-Each Employee $ 500,000 Other DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS It is hereby agreed that the certificate holder is included as Additional Insured under the General Liability and Automobile Liability policy as respects work performed by the named insured. CERTIFICATE HOLDER CANCELLATION Weld County, Colorado SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE do The Board of County Commissioners of the EXPIRAON THEO , UING COMPANY WIA TO MA DAYS WRITTENTI DA NOTICEETER TO FT HETHE CERTIFICATEISS HOLDER NAMED LLENDE TO THE VOR LEFT,IL BUT County of Weld FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF 915 Tenth St. ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. Greeley, CO 80631 ,/'1 �� '� J�� AUTHORIZED REP 5ENTATIVE O.,.F 960691 ACORD 25-S(7/90) parkdenv.dot Hello