HomeMy WebLinkAbout952161.tiffACOItIP® CERTIFICATE
OF
INSURANCE
RAE
00842
ISSUE
n
DATE (MM/DD/YY)
09/22/95
PRODUCER
HE LINDEN CO OF NO COLO
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.
900 S COLLEGE, STE 3B
ORT COLLINS CO 80525
COMPANIES AFFORDING COVERAGE
COMPANY A EMPLOYERS MUTUAL
LETTER
COMPANY B COLO COMP INS AUTHORITY
INSURED
LETTER ^e)
ROWLING BEAR CO., INC.
330 4TH AVE.
COMPANY a --1
LETTER 0 rn� "s"ni
REELEY, CO 80631
COMPANY Dr N `~CI
LETTER i1i (Tl t.J1 n
COMPANY -,i O
E 0 ,: Y
LETTER n>
COVERAGES 'i :
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW
INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION
CERTIFICATEMAY AND CONDITIONS OF SUCH POLIJCTHE IES. LIMITS SHOWN
fi +,. ji ""`I
HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PO���I�IY' PER)GDT`
OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO 4YFDCH THIS
HAVBY E BEEN REDUCED BY PAID CLL.AIMSEIN IS SUBJECT TO ALL THEEVVEERMS,
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TR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MWDO/YY)
POLICY EXPIRATION
DATE (MM/DDM')
LIMITS
GENERAL LIABILITY
0D9652296
07/31/95
07/31/96
GENERAL AGGREGATE
$ 1,500,000
PRODUCTS-COMP/OP AGG.
$ 1,500,000
X kOMMERCIAL GENERAL LIABILITY
PERSONAL & ADV, INJURY
$ 600,000
kLAIMS MADE
X
OCCUR.
EACH OCCURRENCE
$ 600,000
OWNER'S & CONTRACTOR'S PROT
FIRE DAMAGE (Any one fire)
$ 50,000
MED.EXP. (Any one person(
$ 5,000
PER PROJECT AGG
AUTOMOBILE
LIABILITY
0E9652296
07/31/95
07/31/96
COMBINED SINGLE
LIMIT
$ 500,000
X
ANY AUTO
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
X
HIRED AUTOS
X
NON —OWNED AUTOS
PROPERTY DAMAGE
$
GARAGE UABILITV
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
1436910
10/01/95
10/01/96
1 STATUTORY LIMITS
$ 100,000
EACH ACCIDENT
DISEASE -POLICY UMIT
$ 500,00Q
$ 100,000
DISEASE -EACH EMPLOYEE
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/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 10 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
REELEY CO 80632 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
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