HomeMy WebLinkAbout970404.tiffCERTIF
ISSUE DATE (MM/DONY)
Achii:ue
PRODUCER
CATE OF I
THE LINDEN CO OF NO COLO
2900 S COLLEGE, STE 3B
FORT COLLINS CO 80525
NS.0
R
ANC
n 01/21/97
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY A UNITED FIRE & CASUALTY
m IER
INSURED
ROUSE EXCAVATING
P 0 BOX 182
AULT, CO 80610
COMPANY
LETTER
COMPANY C
LETTER
COMPANY D
LEVER
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 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.
'JO
_TR
A
TYPE OF INSURANCE
GENERAL LIABILITY
X
JOMMERCIAL GENERAL LIABILITY
kLAIMS MADE IX OCCUR.
OWNERS $ CONTRACTOR'S PROT.
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
GARAGE LIABILITY
POLICY NUMBER
60041871
60041871
POLICY EFFECTIVE
DATE (MM/DD/YW
02/09/97
02/09/96
POLICY EXPIRATION
DATE (MM/DD/YY)
02/09/98
02/09/97
LIMITS
GENERAL AGGREGATE
PRODUCTS-COMP/OP AGG.
PERSONAL $ADV. INJURY
EACH OCCURRENCE
FIRE DAMAGE (Any one fire)
MED.EXP. (Any one person)
COMBINED SINGLE
LIMIT
$ 1,000,000
$ 1,000,000
$ 500,000
500,000
$ 50,000
S
5.000
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
EACH OCCURRENCE
$
AGGREGATE
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
STATUTORY LIMITS
EACH ACCIDENT
DISEASE —POLICY LIMIT
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNENICLES/SPECIAL ITEMS
ALL LOCATIONS - ALL OPERATIONS
DISEASE -EACH EMPLOYEE
$
CERTIFICATE HOLDEN •
WELD COUNTY
ATTN: ACCOUNTING
P 0 BOX 758
GREELEY CO 80632
•ACDRP , V7t90)
5k P1 %r //7/q fi
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUT{I0
0 REPRESENTATIV
\,..i2LA
E MY ,,.
970404
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