HomeMy WebLinkAbout993062.tiff ACORD_ CERTIFICATE OF LIABILITY INSURANCEBSR RC DATE(MM/DD V)
ERTH-5 12/23/99
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
The Linden Co. of Northern Co. -- .. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
2900 South College Avenue-#2A ' ' ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80525
Phone: 970-229-9304 Fax:970-224-^1398 27 F ' '2' 1 INSURERS AFFORDING COVERAGE
1 :: n
INSURED INSURER A: Employers Mutual
INSURER B: Pinnacol Assurance
Town Of Berthoud ��.I - . INSURER C:
P.O. Box 1229 INSURER D:
Berthoud CO 80513
INSURER E:
COVERAGES
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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
NTRR TYPE OF INSURANCE POLICY NUMBER DAT(MM/DD/YY)CI EFFE POLICY
(MMDD/YY)PIPAT N LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
A X COMMERCIAL GENERALUABILITY 0D9947900 09/01/99 09/01/00 FIREDAMAGE(Anyonefire) $ 100,000
CLAIMS MADE X OCCUR MED EXP(Any one person) $ 5,000
PERSONAL BADV INJURY $ 1,000,000
GENERAL AGGREGATE $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000
POLICY PRO- n LOO
JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
A X ANY AUTO 0E9947900 09/01/99 09/01/00 (Ea accident) $ 600,000
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person)
X HIRED AUTOS BODILY INJURY
X NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
OCCUR CLAIMS MADE AGGREGATE $
DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND a I TYORYI AI U-
LIMITS IDER
B EMPLOYERS LIABILITY 0016385 01/01/00 01/01/01 E.L.EACH ACCIDENT $ 100,000
E.L.DISEASE-EA EMPLOYEE $ 100,000
E.L.DISEASE-POLICY LIMIT $ 500,000
OTHER
DESCRIPTION OF OPERATION34OCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
All Operations - All Locations. CERTIFICATE HOLDER IS NAMED AS ADDITIONAL
INSURED.
CERTIFICATE HOLDER N I ADDITIONAL INSURED;INSURER LETTER: _ CANCELLATION
WELD-09 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF.THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
WELD COUNTY
915 10TH ST. REPRESENTATIVES.
GREELEY CO 80631 AUTHORIZED REPRESENTATIVE
Michael D. Pierce e
ACORD 257$(7/97) RD CORPORATION 1991
C�. ' 'Q 993062
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