HomeMy WebLinkAbout962163.tiff AIDIIItII® CERTIFICATE OF INSURANCE DATE( )
31/96
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
HRH of Denver ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
455 Sherman Street, Suite 390 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P.O. Box 9364 COMPANIES AFFORDING COVERAGE
Denver, CO 80209
COMPANY
ACNA Insurance Companies
INSURED COMPANY
Weinland Construction, Inc . BColorado Compensation Insur. Authori
4212 North Garfield Ave . COMPANY
Loveland, CO 80538 ;
COMPANY I•;;
D 5
COVERAGES "
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE.F'bR THE'POLICY P IIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH,RESIPECT TO WHIbHdTHIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO`.ALL THE TERMS,
EXCLUSIONS AND . '....._.I CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS 2 i
CO . TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION: - - LIMITS
LTR DATE(MM/0 DM) DATE(MM/DD/YY)
A GENERAL LIABILITY C131101304 11/01/96 06/01/98 GENERAL AGGREGATE Is2 , 000, 000
X OMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPAGG $2, 000, 000
CLAIMS MADE X OCCUR PERSONAL&ADV INJURY i$1, 000, 000
WNER'S3 CONTRACTOR'S PROT EACH OCCURRENCE $1, 000, 000
FIRE DAMAGE(Any one fire)$ 50, 000
MED EXP(Any one person) $ 5, 000
A AUTOMOBILE LIABILITY C131100623 11/01/96 06/01/98
COMBINED SINGLE LIMIT $1, 000 , 000
X ANY AUTO !
ALL OWNED AUTOS
BODILY )URY $
'., SCHEDULED AUTOS !„ ,(Per person)Per
X HIRED AUTOS
BODILY INJURY
X NON OWNEDAUTOS (Per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
- -� _- AGGREGATE $
A EXCESS LIABILITY 5530313241 ''! 11/01/96 06/01/98 EACH OCCURRENCE a000 , 000
000 , 000
X UMBRELLA FORM AGGREGATE $1, 000 , 000
I OTHER THAN UMBRELLA FORM $
B WORKERS COMPENSATION AND 0542720 04/01/96 04/01/97 X I STATUTORY LIMITS
EMPLOYERS'LIABILITY
EACH ACCIDENT $100 , 000
THE PROPRIETOR/ INCL DISEASE POLICYLIMIT $500 , 000
PARTNERS/EXECUTIVE
I OFFICERS ARE: EXCL DISEASE EACHEMPLOYEE $100 , 000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
RE : H Street Sewer & Water Improvements
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
915 10th Street 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Greeley, CO 80631 BUT FAILURE TO M L SUCH NOTICE SHALL I SE NO OBLIGATION OR LIABILITY
OF ANY KIND U O TH • P Y, N OR REPRESENTATIVES.
tYl-(7 I AUTHORIZED REP E ENT TI
ACORD25•S(s/43)1 oil #S30595/M30579 SAS 0 O)D 962163
ii/O6-2/9(2 v 6-2/9(2 - 1_-
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