HomeMy WebLinkAbout961695.tiff ACD111t11® CERTIFICATE OF INSURANCE' o%o4/96
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 0 Box 270370 COMPANIES AFFORDING COVERAGE
Fort Collins, CO 80527
COMPANY
ACNA Insurance Company
INSURED
Fisher Mechanical COMPANY
Insurance Comp'any
Contractors, Inc .
COMPANY
2305 W. 9th St . C
Greeley, CO 80631
COMPANY
D
I
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(MM/DD/YY) DATE(MM/DD/YY)
A GENERAL LIABILITY B115682950 08/25/96 08/25/97 GENERAL AGGREGATE $1, 000 , 000
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPAGO $1, 000, 000
CLAIMS MADE XI1 OCCUR PERSONAL&ADV INJURY $500, 000
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $500, 000
__ .
FIRE DAMAGE(Any one We)$50, 000
MED EXP(Any one person) $5, 000
A AUTOMOBILE LIABILITY B115682964 08/25/96 08/25/97 COMBINED SINGLE LIMIT 600 , 000
X ANY AUTO ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person) .
HIRED AUTOS BODILY INJURY $
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY
EACH ACCIDENT $
AGGREGATE $
A EXCESS LIABILITY B115682978 08/25/96 08/25/97 EACH OCCURRENCE $1, 000, 000
X UMBRELLA FORM AGGREGATE _ $1, 000, 000
I OTHER THAN UMBRELLA FORM _. $
B WORKERSCOMPENSATION AND 80199865 08/25/96 08/25/97 I STATUTORYLIMITS
EMPLOYERS'LIABILITY EACH ACCIDENT $100 , 000
THE PROPRIETOR/ I INCL DISEASE-POLICY LIMIT $500, 000
PARTNERS/EXECUTIVE
OFFICERS ARE: I 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, Colorado EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
1n DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
c/o Board of County BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
Commissioners P.O. Box 758 OF ANY KIND UPON THE COMPANY, ITS AGENTS 0 PRESENTATIVES.
Greeley, CO 80632 AUTHORIZED REPRESENTAT11E ^ .ae' i
ACORD25-S(3/93)1 Of 1 '< #M70391 Iy✓ U PKB �eACO 961695
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