HomeMy WebLinkAbout961881.tiff AI:III:D. CERTIFICATE OF INSURANCE RAE 01302 ISSUE DATE (MM/DD/1'Y)
n 09/23/96
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE
HE LINDEN CO OF NO COLO DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
900 S COLLEGE, STE 3B POLICIES BELOW.
ORT COLLINS CO 80525 COMPANIES AFFORDING COVERAGE
COMPANY A EMPLOYERS MUTUAL
LETTER
INSURED COMPANY B COLO COMP INS AUTHORITY
LETTER
ROWLING BEAR CO. , INC. COMPANY C
330 4TH AVE. LETTER
REELEY, CO 80631 COMPANY D
LETTER
COMPANY E
LETTER -
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICYPERIOD
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.
0
TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION
TR POLICY NUMBER LIMITS
FATE (MM/DEVYT DATE (MM/00/YY)
GENERALUABIUTY 0D9652297 07/31/96 07/31/97 GENERAL AGGREGATE $
)C kOMMERCIAL� GENERAL LIABILITY 2, 000, 000
PRODUCTS—COMP/OP AGG. $ 2 000 000
LAIMS MADE X OCCUR. PERSONAL BAOV.INJURY $
OWNER'S&CONTRACTOR'S PROT. 1,000, 000
EACH OCCURRENCE $ 1, 000,000
FIRE DAMAGE{Any one fire) $ 50, 000
PER PROJECT AGG MED.EXP.(Any one person) $
AUTOMOBILE LIABILITY 0E9652297 07/31/96 07/31/97 COMBINED SINGLE5, 000
X ANY AUTO
ALL OWNED AUTOS LIMB $ 1, 000, 000
BODILY INJURY
SCHEDULED AUTOS
(Per person) $
X HIRED AUTOS
BODILY INJURY
X NON—OWNED AUTOS
(Per accident) $
GARAGE LIABILITY
PROPERTY DAMAGE
$
EXCESSUABIUTY 0J9652297 07/31/96 07/31/97 EACH OCCURRENCE $
X UMBRELLA FORM 1,000 ,000
AGGREGATE $ 1, 000 000
OTHER THAN UMBRELLA FORM
WORKER COMPENSATION 1436910 10/01/95 10/01/96 I STATUTORY LIMITS
AND 1436910 10/01/96 10/01/97 EACH ACCIDENT $ 100, 000
EMPLOYERS LIABILITY DISEASE-POLICY LIMIT $ 500,000
DISEASE-EACH EMPLOYEE $ 100, 00 0
OTHER
DESCRIPTION OF OPERATORS/LOCATIONS/VEHICLES/SPECIAL ITEMS
E: HAZARDOUS WASTE BLDG. SOUTHWEST WELD COUNTY, COLORADO
WEST OF DACONO, COLORADO
CERTIFICATE HOLDER ;CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO
WELD COUNTY, COLORADO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
P.O. BOX 758 LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
GREELEY CO 80632 LIABILITY OF ANY KIND UPON THE COMPA , q[tEPRESENTATIVES.
AUTHORIZED REPRESENTATIVE \\
ACORD 2&8(7/90) 961881
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