HomeMy WebLinkAbout992177.tiff TE ACORD CERTIFICATE OF LIABILITY INSURANCEBER R DA )
08/19/99
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
INSURERS AFFORDING COVERAGE
Phone: 970-229-9304 Fax:970-229-1398
INSURED INSURER A Employers Mutual
INSURER B: C.C.I.A.
Town Of Berthoud 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.
INSR TYPE OF INSURANCE POLICY NUMBER POLICY
ATE(MDEFFECTIVE) PATE(MM//DDm)N LIMITS
GENERAL LIABILITY EACH OCCURRENCE - $ 1,000,000
A X COMMERCIAL GENERAL LIABILITY 0D9947900 09/01/99 09/01/00 FIRE DAMAGE(Any one Orel $ 100,000
CLAIMS MADE X OCCUR MED EXP(Any one person) $ 5,000
PERSONAL&ADV INJURY $ 1,000,000
GENERAL AGGREGATE $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000
POLICY n PRO- LOC
JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 600,000
A X ANY AUTO 0E9947900 09/01/99 09/01/00 (Ea accident)
ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
X HIRED AUTOS BODILY INJURY Sts
X NON-OWNED AUTOS (Per accident)
PROPERTY DAMACF $'
(Per accident)
GARAGELIABILITY AUTO ONLY-EAAGGIDENT
ANY AUTO OTHER THAN . EA ACC -$ �I
AUTO ONLY: AGG $]
EXCESS LIABILITY EACH OCCURRENCE. t
OCCUR CLAIMS MADE AGGREGATE
DEDUCTIBLE $
RETENTION $ $
WUSIAIU- UIH-
WORKERS COMPENSATION AND X TORY LIMITS ER
B EMPLOYERS LIABILITY 0016385 01/01/99 01/01/00 E.L.EACH ACCIDENT $ 100,000
E.L.DISEASE-EA EMPLOYEE $ 100,000
E.L.DISEASE-POLICY LIMIT $ 500,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
All Operations - All Locations. CERTIFICATE HOLDER IS NAMED AS ADDITIONAL
INSURED.
CERTIFICATE HOLDER 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
ACORD 25-S(7/ 7)
U IN _9( L � g _991 992177
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