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ACORD,M CERTIFICATE OF LIABILITY INSURANCE p5�(2gD9g
PRODUCER _ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Ins . Inc . . `'!.'� . 'i 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
Greeley, CO 80632 - "' '�' � INSURERS AFFORDING COVERAGE
INSURED INSURER A:Continental Western
Landmark Builders of Greeley, '.;I,te NSURER B:Reliance National Insurance
3812 Carson Street —INSURER C:
-
Evans, CO 80620
INSURER D:
INSURER E:
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.
LTPOLICY EFFECTIVE POLICY EXPIRATION
TYPE OF INSURANCE POLICY NUMBER DATE IMM/DD/YYI GATE(MM/DD/YYI LIMITS
A I GENERAL LIABILITY BINDER151550 06/01/99 06/01/00 EACH OCCURRENCE $1, 000, 000
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $50, 00.0 _
CLAIMS MADE Xl OCCUR MED EXP(Any one person) $5, 000
_ I_ I PERSONALBADV INJURY $1, 000, 000
_ GENERAL AGGREGATE $2, 000, 000
GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS-COMP/OPAGG $2 , 000, 000
PRO-
POLICY LOC -.
JFCT
A AUTOMOBILE LIABILITY BINDER151558 06/01/99 j 06/01/00 COMBINED SINGLE LIMIT $1000000 000
X ANY AUTO (Ea accident) , ,
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS (Per person) $
X HIRED AUTOS ' BODILY INJURY
X 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
OCCUR L_ )CLAIMS MADE AGGREGATE $
DEDUCTIBLE $
RETENTION $
B WORKERS COMPENSATION AND NWX6005596 06/01/99 06/01/00 roRvun% DERH
EMPLDYERB'LIABILITY E.L.EACH ACCIDENT $500, 000
E.L.DISEEAGE-EA EMPLOYEE $500, 000
E.L.DISEASE-POLICY LIMIT$500, 000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS AD DED BY ENDORSEMENT/SPECIAL PROVISIONS
Re : Weld County Public Works Service Center, Weld County Business Park,
Greeley, Colorado
CERTIFICATE HOLDER ADDmoNALINSUIED;INSURER LETTER: CANCELLATION
SHOULD ANY OFTHE ABOVE DESCRIBEDPOUCESBE CANCELLED BEFORE THE SPIRATON
County of Weld, Colorado DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAILl 0 DAYSWRRTEN
915 10th Street NOTICETOTHE CERDFICATE HOLDERNAMED TO THE LEFT,BUT FAILURE TO DO SOSHALL
Greeley, CO 80631 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND THE INSURER,ITS AGENTS OR
REPR SEN TIVES.
AUT D REP SENTAT�E
�° CD
ACORD25-S(7/B7)1 of 2 #S130177/M130170 KFP
ULQy �� 7_ 9f l 991468
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