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� � ��: DATE (
: :• •::: :. •: 7/21/)97
PRODUCER
MACHANN INSURANCE AGENCY
11160 No. Huron, Suite
Northglenn, CO 80234
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 POLICIES BELOW.
_ COMPANIES AFFORDING COVERAGE
COMPANY CRUM & FORSTER
INSURED
RICHARDSON CONTRACTING, INC.
P. O. Box 866
Greeley, CO 80631
COMPANY
B
COMPANY
COMPANY .......' •..;-
D
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE
BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TD:ALL THE TERMS,
BEEN REDUCED BY PAID CLAIMS. . —.
CO TYPE OF INSURANCE
LTR
POLICY EFFECTIVE
POLICY NUMBER
DATE (MWDDNY)
POLICY EXPIRATION
DATE (MWDDNY)
LIMITS '
A
GENERAL
LIABILITY
COMMERCIAL GENERAL LIABILITY
503194380 7/15/97
7/15/98
GENERAL AGGREGATE
$ 2,000,000.
X
PRODUCTS - COMP/OP AGG
$ 2,000,000.
CLAIMS MADE X OCCUR
PERSONAL & ADV INJURY
$ 1,000,000.
OWNER 'S&CONTRACTOR 'SPROT
EACH OCCURRENCE
$ 1,000,000•
FIRE DAMAGE (Any one fire)
$ 300, 000
MED EXP (Any one person)
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
133640088
7/15/97
7/15/98
COMBINED SINGLE LIMIT
$ 11000,000.
__X
BODILY INJURY
(Per person)
■
■
BODILY INJURY
(Per accident)
■
PROPERTY DAMAGE
$
1
GARAGE
LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
■
OTHER THAN AUTO ONLY
■
EACH ACCIDENT
■
EXCESS
AGGREGATE $
LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
EACH OCCURRENCE $
AGGREGATE $
WORKERS
EMPLOYERS
THE
PARTNERS/EXECUTIVE
OFFICERS
COMPENSATION AND
LIABILITY
I WC STATU OTH
TORY LIMIT
LIMITS ER
EL EACH ACCIDENT $
PROPRIETOR/ INCL
EL DISEASE POLICY LIMIT $
ARE: i EXCL
EL DISEASE EA EMPLOYEE $
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
OW •.•.• d*tE ,° a 8 R Q 2. 38 R 8
R d R•. 8 8 8'Wd��YR�J��
Weld County
P. 0. Box 758
Greeley, CO 80632
dd r ...::r en ...,S & R .;;x Su sg 5.',t Rg
:
SHOULD ANY
EXPIRATION
D
'� x £
OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
5 WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
—T0 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
ON THE COMPANY ITS AGENTS OR REPRESENTATIVES.
BUT FAIL .=
KIND
r ESENT
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