HomeMy WebLinkAbout961237.tiff is CERTIFICATE NUMBER
MARSH&MCLENNAN, INC. CERTIFICATE OF INSURANCE LX? _. # 14402
PRODUCER '• c- -"`
` i { THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Marsh & McLennan, Incorporated NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN
Suite 4000 THE POLICY. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE
1000 Louisiana _ COVERAGE AFFORDED BY THE POLICIES LISTED HEREIN.
Houston, TX 77001' COMPANIES AFFORDING COVERAGE
COMPANY A HARTFORD CASUALTY INS CO
INSURED
COMPANY B HARTFORD ACCIDENT & INDEM. CO.
PanEnergy Corp. NER
Post Office Box 1642
Houston, TX 77251-1642 PETTEFNY C HARTFORD INSURANCE CO OF MW
COMPANY D
LETTER
COVERAGES ! ( I!
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY
BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES LISTED HEREIN IS SUBJECT TO ALL THE TERMS,CONDITIONS AND EXCLUSIONS
OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO POLICY EFFECTIVE POLICY EXPIRATION OMITS
LTR TYPE OF NSURANCE POLICY NUMBER
DATE(MM/DD/1'Y) DATE(MM/DD/YY)
GENERAL LIABILITY GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $
CLAIMS MADE OCCUR. PERSONAL&ADV INJURY $
OWNER'S CONTRACTOR'S PROT. EACH OCCURRENCE $
FIRE DAMAGE(Any one fire) $
MED.EXPENSE(Any one person) $
A AUTOMOBLELIABILTY 37CSED52070E (TX) 7/01/96 7/01/97
COMBINED SINGLE LIMIT $ 2000000
B ANY AUTO 37CSED52068E (A/O) 7/01/96 7/01/97
B x ALL OWNED AUTOS 37MCPD52071E (MA) 7/01/96 7/01/97 BODILY INJURY(Perperson) $
SCHEDULED AUTOS BODILY INJURY(Per eceldenl) $
X HIRED AUTOS
X NON-OWNED AUTOS PROPERTY DAMAGE $
GARAGE UABIUTY $
AUTO ONLY-EA ACCIDENT
ANY AUTO
OTHER THAN AUTO ONLY
EACH ACCIDENT $
AGGREGATE $
EXCESS UABIUTY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM
C WORKERS'COMPEISATIONAND 37 WND52066E 7/01/96 7/01/97 STATUTORYUMITS X kluNmgggRam
EMPLOYERS LIABILITY EACH ACCIDENT $ 2000000
DISEASE-POLICY UMIT $ 2000000
DISEASE-EACH EMPLOYEE $ 2000000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
(SEE REVERSE AND/OR ATTACHED)
CERTIFICATE HOLDER CANCELLATION
Weld County, Colorado C/O the SHOULD ANY OFI THE POLICIES LISTED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE
Board of County Commissioners THEREOF,THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 3D DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLD NAMED HEREIN,BUT F RE TO MAIL SUCH NOTICE
of the County of Weld SHALL IMPOSE NO OBLIGATION OFL BILITY OF ANY U THE INSURE FFORDING
915 Tenth Street COVERAGE, ITS AGENTS OR REP S IVES,O R OHI C IFICATE.
Greely, CO 80631 MARSH
��B MCLENNAN,INCORPOR �da�
MNI (2/95) VAUD OF: 6/19/"t.
(6t11 x-)17' PAGE: 1 OF 2 961237 71
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DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
CERTIFICATE #14402 (CONTINUED) LKF
INSURED : PanEnergy Corp.
HOLDER : Weld County, Colorado c/o the
Board of County Commissioners
of the County of Weld
915 Tenth Street
Greely, CO 80631
NAMED INSURED: PANENERGY CORP INCLUDING PANENERGY PIPELINE COMPANY.
Certificate Holder is included as additional insured(except as respects all
coverage afforded by the WC policy) as required by written contract, but
only for liability arising out of the operations of the Named Insured.
PAGE: 2 OF 2
i CERTIFICATE NUMBER
MARSH &MCLENNAN, INC. CERTIFICATE OF INSURANCE LYS # 14412
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Marsh & McLennan, Incorporated NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN
Suite 4000 THE POLICY. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE
1000 Louisiana COVERAGE AFFORDED BY THE POLICIES LISTED HEREIN.
Houston, TX 77002 .- _ ^.-"'
COMPANIES AFFORDING COVERAGE
COMPANY A HARTFORD CASUALTY INS CO
LETTER
INSURED
COMPANY B HARTFORD ACCIDENT & INDEX. CO.
PanEnergy Field Services, Inc. LETTER
a subsidiary of PanEnergy Corp
370 17th Street, Suite 900 COMPANY C HARTFORD INSURANCE CO OF MW
Denver, CO 80202 LtIILR
COMPANY D
LETTER
COVERAGES
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY
BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES LISTED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS
OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMSCO .
LTR TYPE OF INSURANCE POLICY NUMBER POUCY EFFECTIVE POLICY EXPIRATON UMITS
DATE(MM/DD/YY) DATE(MM/DD/YY)
GENERAL LIABILITY GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $
CLAIMS MADE OCCUR. PERSONAL&ADV INJURY $
OWNER'S CONTRACTORS PROT. EACH OCCURRENCE $
FIRE DAMAGE(Any one lire) $
MED.EXPENSE(Any one person) $
A AUTOMOBILEUABILTY 37CSED52070E (TX) 7/01/96 7/01/97
COMBINED SINGLE LIMIT $ 2000000
B ANY AUTO 37MCPD52071E (MA) 7/01/96 7/01/97
B x ALL OWNED AUTOS 37CSED52068E (A/O) 7/01/96 7/01/97 BODILY INJURY(Per person) $
SCHEDULED AUTOS
BODILY INJURY(Per accident, $
]{ HIRED AUTOS
X NON-OWNED AUTOS PROPERTY DAMAGE $
GARAGE LIABILITY
AUTO ONLY.EA ACCIDENT $
ANY AUTO
OTHER THAN AUTO ONLY
EACH ACCIDENT $
AGGREGATE $
EXCESS UABIUTY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM
C WORKERS'COMPENSATION AND 37 WND52066E 7/01/96 7/01/97 STATUTORY LIMITS X I
EMPLOYERS UABIUTY
EACH ACCIDENT $ 2000000
DISEASE-POUCY LIMIT $ 2000000
DISEASE-EACH EMPLOYEE $ 2000000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
Certificate Holder is included as additional ed Insured(except as respects all
coverage afforded by the WC policy) as requir by written contract, but
only for liability arising out of the operations of the Named Insured.
CERTIFICATE HOLDER CANCELLATION
Weld County, Colorado Cio the SHOULD ANY OF THE POLICIES LISTED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE
Board of County Commissioners THEREOF,THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE
of the County of Weld SHALL IMPOSE NO OBLIGATION O ILITY OF ANY KIND U THE INSURER AFFORDING
915 Tenth Street COVERAGE, ITS AGENTS OR RE NTATIVES,OR OF THIS CERTIFICATEice\k"
Greely, CO 80631 MARSH&MCLENNAN,INCORPOR D
BY
MMI 1 (8/95) VALID Of
PAGE: 1 OF 1
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