HomeMy WebLinkAbout962008.tiff Aflhli F CERTIFICATE OF INSURANCE MAS 02502 ISSUE (MM DDYY
no
10/16/96
PRODUCER 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
rHE LINDEN COMPANY POLICIES BELOW.
2000 5O. COLORADO BLVD COMPANIES AFFORDING COVERAGE
DENVER CO 80222-7911
COMPANY A U. S . F. & G. INSURANCE
LETTER . I
COMPANY B CC IA --
INSURED LETTER ' s '
VARRA COMPANIES COMPANY C
2130 S . 96TH STREET LETTER . ,7
BROOMFIELD, CO 80020 COMPANY D i
LETTER 1 .. ...
_i
COMPANY
E ...?
LETTER
COVERAGES : : L,.V
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
CERTIFICAI E 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.
;O POLICY EFFECTIVE POLICY EXPIRATION LIMITS
TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YYI DATE (MM/DD/YY)
TR
1: GENERAL LIABILITY 1MP30091843103 09/01/96 09/01/97 GENERAL AGGREGATE $ 2 , 000,000
X kOMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ 2,000 ,000
I3LAIMS MADE [X OCCUR. PERSONAL 8AOV.INJURY $ 1 , 000, 000
IOWNER'SB CONTRACTOR'S PROT. EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE(Any one fire) $ 550, 000
MED.EXP.(Any one person) $ 5 , 000
A AUTOMOBILE LIABILITY 1MP30091843103 09/01/96 09/01/97 COMBINEDSINGLE
K ANY AUTO
LIMIT $ 1,000, 000
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person) $
X HIRED AUTOS BODILY INJURY
X NON—OWNED AUTOS (Per accident) $
GARAGE LIABILITY PROPERTY DAMAGE
$
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM
3 3248544 10/01/96 10/01/97 lsuruTG rufaR$
WORKER'S COMPENSATION EACH ACCIDENT $ 100,000
AND DISEASE-POLICY LIMIT $ 500, 000
EMPLOYERS'LIABILITY DISEASE-EACH EMPLOYEE $ 100 ,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
ALL OPERATIONS-DAKOLIOS PIT RD. #13, LONGMONT, CO.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO
WELD COUNTY MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
915 10TH ST. LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
GREELEY CO 80631 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES.
1 :. AUTHORIZED REPRESENTATIVE
A isa/ / //�; .
ACQgp z5-S al ) 7 962008
AC;O;i;i;® CERTIFICATE OF INSURANCE MAS 02502 n$B10/16/96
PRODUCER 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
THE LINDEN COMPANY POLICIES BELOW.
2000 SO. COLORADO BLVD COMPANIES AFFORDING COVERAGE
DENVER CO 80222-7911
COMPANY A U. S . F. & G. INSURANCE
LETTER
COMPANY B CCIA
INSURED LETTER
VARRA COMPANIES COMPANY C I
-�
2130 S . 96TH STREET LETTER
BROOMFIELD, CO 80020 COMPANY D
LETTER
COMPANY E ..:.')
LETTER
COVERAGES -
THIS IS lO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATEDL 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.
:O POLICY EFFECTIVE POLICY EXPIRATION
TYPE OF INSURANCE POLICY NUMBER LIMITS
TR DATE (MM/DO/'/Y) DATE (MM/DO/YY)
A GENERAL LIABILITY 1MP30091843103 09/01/96 09/01/97 GENERAL AGGREGATE $ 2 , 000,000
K kOMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPAGG. $ 2 ,000, 000
IJ(AIMS MADE X OCCUR. PERSONAL&ADV.INJURY $ 1, 000,000
OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE(Any one fire) $ 50, 009
MED.EXP,(Any one person) $ 5 ,000
A AUTOMOBILELIABILITY 1MP30091843103 09/01/96 09/01/97 COMBINED SINGLE
X ANY AUTO LIMIT $ 1, 000,000
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS per person) $
X HIRED AUTOS BODILY INJURY
X NON—OWNED AUTOS (Per accident) $
GARAGE LIABILITY
PROPERTY DAMAGE
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM
3 3248544 10/01/96 10/01/97 IsTATUTORV OMrs
WORKER'S COMPENSATION EACH ACCIDENT $ 100, 000
AND 500 ,000
DISEASE-POLICY LIMIT $
EMPLOYERS LIABILITY 100, 000
DISEASE-EACH EMPLOYEE $
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
ALL OPERATIONS-NELSON RD. PIT #13, LONGMONT, CO.
CERTIFICATE HOLDER .CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO
WELD COUNTY MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
915 10TH ST. LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
GREELEY CO 80631 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD 25.5(7/90) " OACORD CORPORATION 1990
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