HomeMy WebLinkAbout970701.tiffS
FRANC
E
ISSUE DATE (MM/DD/YY)
03/25/97
PRODUCER
MMORD. CE
INSURED
RTIFICATE OF'IN
Bartels & Noe / Crossroads
Greeley - Windsor - Ault
P. 0. Box B
Greeley, CO
80632-0137
Les Matson
Construction, Inc.
P. O. Box 1830
Greeley, CO 80632
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 11NLYAND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY A
LETTER in
Bituminous Insurance Co.
COMPANY B
LETTER
COMPANY C
LETTER
COMPANY D
LETTER
COMPANY E
LETTER
COVERAGE&
CO
LTR
A
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
HICH THIS
CERTIFICATE MAY BE ISSUED ORANY MAYRPERTAN, TNT, TERM OR HE INSURANCE AFFOITION OF RDED RDED BY ANY
HE POLICIES DESCRIBED EDER HERE HEREIN SUBJECT TOWITH ECT ALLTTOHEITERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE
GENERAL LIABILITY
X
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X OCCUR.
OWNER'S & CONTRACTOR'S PROT,
POLICY NUMBER
CLP2292123
POLICY EFFECTIVE '.POLICY EXPIRATION
DATE (MM/DD/YY) DATE (MM/DDNY)
04/01/97 04/01/98
LIMITS
GENERAL AGGREGATE
PRODUCTS-COMP/OP AGGR.
PERSONAL & ADV. INJURY
EACH OCCURRENCE
FIRE DAMAGE (Any one tire) $ 50,000
5,000
$
2,000,000
2,000,000
1,000,000
1,000,000
MED. EXPENSE (Any one person) $
AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
A HIRED AUTOS
NON -OWNED AUTOS
GARAGE LIABILITY
CAP1878615
04/01/97 04/01/98
COMBINED SINGLE
LIMIT
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
1,000,000
EXCESS LIABILITY
A X UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
CUP1857378
N/A
04/01/97 04/01/98
EACH OCCURENCE
AGGREGATE
STATUTORY LIMITS
EACH ACCIDENT
DISEASE -POLICY LIMIT
DISEASE -EACH EMPLOYEE
1,000,000
OTHER
DESCRIPTION OF OPERATIDNS/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 IN CONNEC-
TION WITH THE FOLLOWING PROJECT: WELD COUNTY BRIDGE WEL 061.0-054.0A
CERTIFICATE HOLDER
WELD COUNTY BOARD OF
COUNTY COMMISSIONERS
P 0 BOX 758
GREELEY CO 80632
ACORD 25-S 47/9O}
&a '7'7(77& (3/37/77
CANCEI4 AflON
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 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
970701
Hello