HomeMy WebLinkAbout980103.tiff Aitimip® CERTIFICATE OF INSURANCE' o�i`osi98
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4821 Wheaton Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P O Box 270370 COMPANIES AFFORDING COVERAGE
Fort Collins, CO 80527 COMPANY
ACNA Insurance Company
INSURED COMPANY
General Heating & Air BCIGNA
Conditioning - —
3808 Carson Street COMPANY
P .O. Box 250 C C
COMPANY
Evans, CO 80620 D = c� /
COV) RAGES ` � „Q
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVGFORTHoPOLIOY RIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WRH;RESPEC 1'0 WitTHIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SVB1IECT TOTALL THE 3TWWS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. •I`-�;
CO TYPE OF INSURANCE : POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIM
LTR DATE(MM/DD/YY) DATE(MM/DD/YY)
A I GENERAL LIABILITY I'I C10170797 12/31/97 12/31/98 GENERAL AGGREGATE $1, 000, 000
X COMMERCIAL GENERAL LIABILITY [PRODUCTS-COMP/OP AGG$1, 000 , 000
III CLAIMS MADE X OCCUR. PERSONAL$ADVINJURY $500, 000
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $500 , 000
X PD Ded:250 [FIRE DAMAGE(Any one nre)$50, 000
I MED EXP(Any one person) $5, 000
A I AUTOMOBILE LIABILITY C101707098 12/31/97 12/31/98 COMBINED SINGLE LIMIT $500 , 000
X ANY AUTO
ALL OWNED AUTOS 'I
BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS (Par accident)
PROPERTY DAMAGE $
I GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO 'OTHER THAN AUTO ONLY
EACH ACCIDENT $
AGGREGATE $
A EXCESS LIABILITY C1017071006 12/31/97 12/31/98 EACH OCCURRENCE $1, 0001_000
X UMBRELLA FORM AGGREGATE $1, 000, 000
OTHER THAN UMBRELLA FORM'I $
B WORKERS COMPENSATION AND C42293891 01/01/98 '', 01/01/99 I STATUTORYLIMITS
EMPLOYERS'LIABILITY
EACH ACCIDENT $100, 000
THE PROPRIETOR/ INCL DISEASE-POLICY LIMIT $500_000
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE,$100, 000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Weld County B & G EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
1500 2nd Street "i0 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 IND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHO DR PRESENTATIVE ,ati fin
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