HomeMy WebLinkAbout961466.tiff DATE(MM/DD/YY)
AI/CII® CERTIFICATE OF INSURANCE 08/ 1/9
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Ins . Inc . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P. O. BOX 578 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
4687 W. 18th Street COMPANIES AFFORDING COVERAGE_
Greeley, CO 80632 COMPANY
AAetna Casualty & Surety CgBpanY
INSURED COMPANY
Hall Irwin Construction BCIGNA
P.O. Box 659 ,
COMPANY
Greeley, CO 80632 C
COMPANY - -
I D
COVERAGESTHIS IS TO CERTIFY THAT THE POLICIES _ LINSUREDISTED yySS, PE
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUM NT WITH WRE PECTFt0 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 POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR TYPE OF INSURANCE DATE(MM/DD/YY) I DATE(MM/DD/YY)
A GENERAL LIABILITY 19CO25623566FHM 08/01/96 08/01/97 GENERAL AGGREGATE $2 , 000, 000
PRODUCTS-COMP/OPAGG s2, 000 , 000
X COMMERCIAL GENERAL
_LIABILITV
JCLAIMS MADE LX OCCUR PERSONAL&ADV INJURY $1, 000, 000
OWNER'S$CONTRACTOR'S PROT ACH OCCURRENCE $1, 000, 000
X PD Ded: 5, 000 FIRE DAMAGE(Any one/we)$ 100 , 000
MEDEXP(Any one person) IS 5, 000
A AUTOMOBILE LIABILITY 19FJ25623566CCM 08/01/96 08/01/97 COMBINED SINGLE LIMIT $1, 000 , 000
X ANY AUTO
ALL OWNED AUTOS BODILY INJURY $
(Per person)
SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY $
_._ (Per accident)
NON-OWNED AUTOS
PROPERTY DAMAGE $
AUTO ONLY-EA ACCIDENT $
GARAGE LIABILITY
OTHER THAN AUTO ONLY
ANY AUTO
— EACH ACCIDENT $
- — - AGGREGATE $
EACH OCCURRENCE $
EXCESS LIABILITY
AGGREGATE $
UMBRELLA FORM
--
OTHERTHANUMBRELLAFORM
B WORKERS COMPENSATION AND NWCC42153540 07/01/96 07/01/97 XJ STATUTORY LIMITS
EMPLOYERS'LIABILITY _ EACH ACCIDENT $100, 000
THE PROPRIETOR/ XL INCL DISEASE POLICY LIMIT $500, 000
PARTNERS/EXECUTIVE -- DISEASE-EACH EMPLOYEE 1$100 , 000
000
OFFICERS ARE: I EXCL
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS
PROJECT: WELD COUNTY NORTH JAIL COMPLEX-SITE IMPROVEMENTS
ADDITIONAL INSUREDS (AS RESPECTS THIS PROJECT UNDER THE GENERAL LIABILITY)
(See Attached Schedule . )
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
BOARD OF WELD COUNTY EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
COMMISSIONERS 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
915 10TH STREET BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
GREELEY, CO 80631 OF ANY KIND UPON TH ITS AGENTS REPRESENTATIVES.
AUTHORIZED
I
ACORoas•S(G[93)1 of 2 #S6899O/M68979 P 961466 1993
Al n- (71D?f l/C,
DESCRIPTIONS (Continued from page 1.)
WELD COUNTY, THE ENGINEER AND HISD CONSULTANTS, AND EACH OF THEIR
OFFICERS, AGENTS, AND EMPLOYEES.
CISGEM2 .z(3s3►2 oft . #S689.90/M68979
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