HomeMy WebLinkAbout960693.tiff ac11inl CERTIFICATE OF INSURANCE 04i`01i96'
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Ins . Inc . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P. O. BOX 578 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 COMPANY
AAetna Casualty & Surety Company
INSURED COMPANY
Rinehart Construction Company, g
--
Inc . COMPANY
Chase Rinehart dba C
14742 WCR #64 — }
COMPANY
Greeley, CO 80631 c,
COVERAGES n t
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABO.6'E R THEPOLICYQEAIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT wrn-PRESPECt4O WHIQ3-THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AL THEk r MS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. . - •
POLICY EFFECTIVE POLICY EXPIRATION l�
CO TYPE OF INSURANCE POLICY NUMBER LIMITI^>!
LTR I DATE(MMIDDITY) DATE(MMIDDIYY)
A GENERAL LIABILITY ACM25424259 04/12/96 04/12/97 GENERAL AGGREGATE $1, 000, 000
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPAGG$1, 000 , 000
CLAIMS MADE X OCCUR PERSONAL&ADV INJURY $ 500, 000
EACH OCCURRENCE $ 500 , 000
WNER'S&CONTRACTOR'S PROT
X ,PD Ded_250 I FIRE DAMAGE(Any one f ire) $ 100, 000
MED EXP(Any one person) i$ 5, 000
A AUTOMOBILE LIABILITY ACM25424259 04/12/96 04/12/97 COMBINED SINGLE LIMIT $ 500 , 000
X ANY AUTO - - -
ALL OWNED AUTOS BODILY INJURY
(Per person)
SCHEDULED AUTOS '$
HIRED AUTOS BODILY INJURY $
(Per accident)
NON-OWNED AUTOS
-- — -_ PROPERTY DAMAGE $
GARAGE LIABILITY i AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY _EACH OCCURRENCE $
AGGREGATE
$
UMBRELLA FORM A - - -
OTHERTHANUMBRELLAFORM I $
WORKERS COMPENSATION AND I STATUTORYLIMITS
EMPLOYERS'LIABILITY EACH ACCIDENT $_ _
THE PROPRIETOR/ ] INCL DISEASE POLICYLIMIT $
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL 'DISEASE-EACH EMPLOYEE $
OTHER
DESCRIPTION OF OPERATIONSILOOATIONS/VEHICLESISPECIAL ITEMS
960693
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 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD 25-S(3/93)7, of 1 #M61982 K o ACORD CORPORATION 1993
Lid h`l-Ir' 04/08/q(O
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