HomeMy WebLinkAbout991984.tiff Ac 11r.n). CERTIFICATE OF INSURANCE 0≥E309°°""
PRODUCER ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
J&H MARSH &McLENNAN � ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
1225 17TH STREET SUITE 2100 -- HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
DENVER CO 80202 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
n.
COMPANIES AFFORDING COVERAGE
ATTN HELEN HAGEN COMPANY
174XX-WELD 01235 A_ COLORADO COUNTIES CASUALTY&PROPERTY POOL
INSURED -I' COMPANY
WELD COUNTY i B ST. PAUL FIRE&MARINE INSURANCE COMPANY
c/o COLORADO COUNTIES CASUALTY& __- _--__- --- -
PROPERTY POOL COMPANY
1700 BROADWAY SUITE 1512 C
DENVER CO 80290 COMPANY
D
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/DO/YY)
GENERAL LIABILITY GENERAL AGGREGATE $
A X COMMERCIAL GENERAL LIABILITY PER PARTICIPATION 07/01/99 01/01/00 PRODUCTS-COMP/OP AGG $ 250,000
X CLAIMS MADE OCCUR CERTIFICATE PERSONAL&ADV INJURY $ 250,000
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 250,000
FIRE DAMAGE(Any one fire) $
MED EXP(Any one person) $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO
I ALL OWNED AUTOS BODILY INJURY
1P $
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY $
(Per accident)
NON-OWNED AUTOS
PROPERTY DAMAGE S
i
GARAGE LIABILITY
AUTO ONLY-EA ACCIDENT I $
ANY AUTO i OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE 1$ 1,750,000
B UMBRELLA FORM GP09100366 07/01/99 01/01/00 AGGREGATE $ 1,750,000
X OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND I STATUTORY L MI TS
EMPLOYERS'LIABILITY
EACH ACCIDENT __ $
THE PROPRIETOR/ INCL I DISEASE.POLICY LIMIT $
PARTNERS/EXECUTIVE --
OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE $
OTHER PER PARTICIPATION 07/01/99 01/01/00 $150,000-DEO. $500 ALL
A PROP,MOB EQU,AUTO P0 CERTIFICATE REAL&PERSONAL PROPERTY
B PROP,MOB EQU,AUTO PD GP09100365 07/01/99 01/01/00 $50,000,000 XS OF$150,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS (LIMITS MAY BE SUBJECT TO RETENTIONS)
RE: LEASED EQUIPMENT (MOTOR GRADERS) S/N 2ZK04076, 2ZK04089, 2ZK04356, 2ZK04120, 2ZK04295, 2ZK04296
CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED AND LOSS PAYEE
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
CATERPILLAR FINANCIAL SERVICES CORP EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
4965 PRESTON PARK BLVD. SUITE 400
TX 75093 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
PLANO
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY. ITS AGENTS t OR REPRESENTATIVES.
AUTHORIZED REPQNTATIVE P
ACgRD 25'8(3/93) o+- n,C 4 991984
LAn St-4=99
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