HomeMy WebLinkAbout972328.tiffACORD CERTIFICATE
OF
LIABILITY
INSURANCkID
CS DATE (MM/DONV)
INCA -1 10/13/97
PRODUCER
The Linden Co. o£ Northern Co.
2900 South College Avenue -#3B
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.
Fort Collins CO 80525
COMPANIES AFFORDING COVERAGE
Phone No. 970-229-9304 Fax No. 970-229-1398
_
COMPANY
A Employers Mutual
INSURED
COMPANY
B C.C.I.A.
Kincaid Tree Surgery Co.
& Greeley Spray
COMPANY
C
P. O. Box 757
Ft. Collins CO 80522
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. --..
a'
CO TYPE OF INSURANCE
LTR
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMIDD/YY)
POLICY EXPIRATION
DATE (MODIFY)
LIMIT;g
__J
GENERAL
A X
LIABILITY
COMMERCIAL GENERAL LIABILITY
0X8652097
12/01/96
12/01/97
GENERAL AGGREGATE
$2000000
PRODUCTS - COMP/OP AGG
$ 2000000
$ 1000000
PERSONAL & ADV INJURY
CLAIMS MADE
X O['CUR
EACH OCCURRENCE
$ 1000000
OWNER'S & CONTRACTOR'S PROT
FIRE DAMAGE (Any one fire)
$ 50000
MED EXP (Any one person)
$ 5000
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
0X8652097
12/01/96
12/01/97
COMBINED SINGLE LIMIT
81,DDD,DOD
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
$
GARAGE
LIABILITY
ANY AUTO
AUTO ONLY EA ACCIDENT
$
OTHER THAN AUTO ONLY
EACH ACCIDENT
$
AGGREGATE
$
EXCESS
`_
LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
EACH OCCURRENCE
$
AGGREGATE
$
$
WORKERS COMPENSATION
EMPLOYERS' LIABILITY
THE PROPRIETOR/
PARTNERSIEXECUTIVE
OFFICERS ARE'.
AND
----
INCL
EXCL
343512
10/01/97
10/01/98
WC STATU-
TORY LIMITS
OTH
ER
EL EACH ACCIDENT
EL DISEASE -POLICY LIMIT
$ 100,000
$500,000
EL DISEASE -EA EMPLOYEE
$ 100,000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLESISPECIAL ITEMS
ALL OPERATIONS -ALL LOCATIONS
CERTIFICATE HOLDER
WELDCOU
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
WELD COUNTY RISK MANAGEMENT
-
r `'
P.O. BOX 758
OF ANY KIND UPON THE COMPANY, ITS AGENTS O R
GREELEY CO 80634
AUTHORIZED REPRESENTATIVE
0@C1RI) 2E -S it AE4
972328
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