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Home My WebLink About990419.tiff RLHENG ACORD,, CERTIFICATE OF INSURANCE DATE IMM/DD/TY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Van Gilder Insurance Corp . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 700 Broadway, Suite 1000 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Yr ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80203 COMPANIES AFFORDING COVERAGE COMPANY AHartford Fire Insurance Co. INSURED COMPANY RLH Engineering, Inc . BHartford Underwriters Ins . Co . 1200 Carousel Drive, #202 COMPANY Windsor, CO 80550 c Security Insurance Company of Hartfo COMPANY D COVERAGES THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE IMM/OD/YY) DATE(MM/DD/YY) A GENERAL LIABILITY 34SBAEM5064 05/06/98 05/06/99 GENERAL AGGREGATE $2, 000, 000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $2 , 000, 000 CLAIMS MADE X OCCUR PERSONAL 8 ADV INJURY Si , 000 , 000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $1 , 000 , 000 FIRE DAMAGE(Any one fire) s3 00 , 000 MED EXP(Any one person) $10 , 000 A AUTOMOBILE LIABILITY 34UECEU7931 05/06/98 05/06/99 COMBINED SINGLE LIMIT $1, 000 , 000 _X ANY AUTO _.. ALL OWNED AUTOS I BODILY INJURY S SCHEDULED AUTOS - I(Per person) X HIRED AUTOS ' BODILY INJURY $ X - NON-OWNED AUTOS (Per acc dent) ---- -----. ----- PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT s ANY AUTO OTHER THAN AUTO ONLY'. EACH ACCIDENT $ AGGREGATE $ A EXCESS LIABILITY 34SBAEM5064 05/06/9805/06/99 EACH OCCURRE NCE s1, 000 , 000 X UMBRELLA FORM AGGREGATE $1 , 000 / 000 OTHER THAN U BRELLA FORM Retention $10 , 000 X sTATUTORY LIMITS EMPLOYERS'LIABILITY 1 B WORKERS COMPENSATION AND 34WECAW 1355 05/06/98 1 05/06/99 ,I EACH ACCIDENT $100 , 000 INCL DISEASE-POLICY OFFICERS EXCL. (DISEAO LIMIT _ $500 , 000_. _ THE PROPRIETOR/ PARTNERS/EXECUTIVE '- I I~ ' DISEASE-EACH EMPLOYEE S1OO , QQQ C OTHER Architect/ PL50804701 05/06/98 05/06/00 ' $1 , 000 , 000 Ea Claim Engineer $3 , 000 , 000 Aggregate Professional Liab1' I $5, 000 Ded Ea Claim DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Re : 924 19th Avenue Parole Office Asbestos Survey, R1H #9912 Certificate Holder is listed as an Additional Insurd in respect to General and Automobile Liability. - I CERTIFICATE HOLDER CANCELLATION +! - (9} SHOULD ANY OF THE ABOVE DESCRIBED POLICIES v�LLLL""""C''''ANCELLED BEFORE THE Weld County Buildings & Grounds EXPIRATION DATE THEREOF,THE ISSUING COMPAN IVT14L ENDEFEBT?HL Inc') Mr. Steve Boeck 0 .DAYS WRITTEN NOTICE TO THE CERTIFICATE' ER NAMED TO THE JLEFT, tilltIp Building Maintenance Coordinator BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE GATION OR LIABILITY _ q Gree 2nd Street • Gree OF ANY KIND UPON THE ITS AGEVTS OR REP TATIVES. V� ley, CO 80631 AUTHORREDREPRESENTAT E U,ACORD 25-S(3/93)1 of 1 #537459/M2972 990419 ORD CORPORATION 1993 /AAA GI Ilea" CMP WELCOU 4CQRD CERTIFICATE OF INSU_RANCEoAz%io%99 PRODUCER �� ELDT8NL4 91(FICATE IS ISSUED AS A MATTER OF INFORMATION All American Agency Facilities ONLY •AND-CONFERS NO RIGHTS UPON THE CERTIFICATE O Van Gilder Insurance Corp. OLDER.-'THIS CERTIFICATE DOES NOT AMEND, EXTEND OR c/o p• ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 700 Broadway, Suite 1000 rrn 3 Yt C ) ? 9: r¢OMPANIES AFFORDING COVERAGE Denver, CO 80203 COMPANY CL[a( rolina Casualty INSURED "(l T�"{,MPANy Weld County Youth Alternatives I � B Inc . Dba Weld County Partners COMPANY 1212 8th Street C Greeley, CO 80631 COMPANY D COVERAGES THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION'' LIMITS LTRDATE IMM/DDIYY) DATE(MM/DD/YY) A GENERALUABILITY NP0761393 ' 01/26/99 01/26/00 GENERAL AGGREGATE 'Sly 000y000 X JCOMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $1 i_000 000 OCCUR PERSONAL 8 ADV INJURY $1J 0 0 0, 0 0 0 CLAIMS MADE X OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $1 , 000 000 FIRE DAMAGE(Any one fire) $ 50, 000 - - 1 MEDEXP(Any one person) $ 5, 000 A AUTOMOBILE UABIUTY NP0761393 01/26/99 01/26/00 COMBINED SINGLE LIMIT i$1 , QQQ , QQQ X ' ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per person) SCHEDULED AUTOS $ X I HIRED AUTOS BODILY INJURY $ ''. (Per accident)NON-OWNED AUTOS -- --- -- - - PROPERTY DAMAGEGA '$ III RAGE LIABILITY AUTO ONLY-EA ACCIDENT $ I ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT 1$ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE. $ -_ 1' UMBRELLA FORM AGGREGATE. OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND STATUTORY LIMITS EMPLOYERS'LIABILITY EACH ACCIDENT $ THE PROPRIETOR/ _ INCL DISEASE-POLICY LIMIT IS PARTNERS/EXECUTIVE P -- OFFICERSARE: EXCL DISEASE-EACH EMPLOYEE'$ OTHER A PROFESSIONAL LIAB NP0761393 01/26/99 01/26/00 1, 000, 000 EACH CLAIM 1, 000, 000 AGGREGATE DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Weld County, Colorado, by and through the Board of County Commissioners of Weld County, its employees and agents are included as Additional Insureds (See Attached Schedule . ) 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 1C) 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 Cpx� �f OF ANY KIND UPON THE PANY, IT AGENTS OR REPRESENTATIVES. .J' AUTHOR REP E EN Ti E uttu 3-349 AC D254(3/93)1.of 2 #S3630.3/M36291. CD CORPORATION 1993 DESCRIPTIONS (Continued from page 1.) on general liability policy as respects work performed by insured on their behalf CISGEM 25.2(3/93)2 of 2 #S36303/M36291 WELCOU AtORD,M CERTIFICATE OF INSURANCE DATE(MWDDIYY) PRODUCER V .LD CQUN `(THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION All American Agency Facilities. „ 'I-,-- ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE O Van Gilder Insurance Corp. OLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR c/o p. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 700 Broadway, Suite 1000 10^^ rrn o• 29 iti (21: 14 COMPANIES AFFORDING COVERAGE Denver, CO 80203 COMPANY CLERK ACarolina Casualty INSURED C r - / COMPANY at- Weld County Youth AlternITtSs g Inc . Dba Weld County Partners I COMPANY 1212 8th Street C Greeley, CO 80631 — - COMPANY D COVERAGES THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION' LIMITS LTR DATE(MMIDD/YY) DATE(MM/DDNY) A GENERAL LIABILITY NP076139301/26/99 01/26/00 GENERAL AGGREGATE ...'$1_ 000 00U X 'iCOMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $1, 0 0 O 0 0 0. 1 (CLAIMS MADE I X OCCUR PERSONAL BADV INJURY_-_ $1, 000, 000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE 11,1, 000, 000 0 0, 0 0 0 FIRE DAMAGE(Any one fire) $ 50 000 MED EXP(Any one person) AUTOMOBILE ABB. NP0761393 01/26/99 I$ 5, 000 A -. - COMBINED SINGLE LIMIT $1, 000, 000 X ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per person) I SCHEDULED AUTOS $ X , HIRED AUTOS BODILY INJURY X $ (Pereccitlenp X NON OWNEDAUTOS I I - -I ---- - ---- PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: I EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM I AGGREGATE _ _ _. I$ OTHER THAN UMBRELLA FORM .$ WORKERS COMPENSATION AND STATUTORY LIMITS EMPLOYERS'LIABILITY I - - EACH ACCIDENT $ THE PROPRIETOR/ I INCL DISEASE-POLICY LIMIT $ PARTNERS/EXECUTIVE ___--{ - - -- - --- -- OFFICERS ARE I EXCL DISEASE-EACH EMPLOYEE $ OTHER '... A PROFESSIONAL LIAB NP0761393 01/26/99 '', 01/26/00 1 , 000 , 000 EACH CLAIM I 1 , 000, 000 AGGREGATE DESCRIPTION OF OPERATION$/LOCATIONSNEHICLES/SPECIAL ITEMS The County of Weld, Colorado, By & Through the Board of County Commissioners of the County of Weld, including officers & employees, & the (See Attached Schedule . ) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE The County Of Weld Colorado EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 915 - 10th Street 30 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 D UPON THE OM ANY, ITS. AGENTS OR REPRESENTATIVES. AUTHOR( EP ACOWD25-S(3/93)1 of 2 #536299/M36.291. - M CDB CORPORATION 1993. DESCRIPTIONS (Continued from page 1.) D.A. for the 19th Judicial District & his employees are additional insured/lessor of premises . CISGEM25.2(3193)2 of 2.. .#S36299,/M36291 Hello