HomeMy WebLinkAbout952207.tiffAINII:D, CERTIFICATE OF
PRODUCER
THE LINDEN COMPANY
2000 S COLORADO BLVD
DENVER CO 80222-7911
INSURANCE SD 01767
1331E DATE (MM/DD(YY)
P 10/06/95
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 U. S.
F.& G.
Lb II ER
COMPANY B COLORADO COMPENSATION INS. AUTHORITY
LtIIER
INSURED
VARRA COMPANIES
2130 S. 96TH STREET
BROOMFIELD, CO 80020
COMPANY C
LETTER
COMPANY D to
LETTER '
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I_��
COMPANY E
`,
L61IER I . T- - "0
COVERAGES '" ;k3
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THIS A E CERTIFY THAT I POLICIES RE U REMEN INSURANCE LISTED BELOW HAVE BEENON ISSUED T THE INSURED NAMED WIABOVE FORTHEPOLL IC ERI IS
INDICATED NOTWITHSTANDING BE ISSUE OR ANYREQUIREMENTTERM N ORD OF AOLRAES OR BEDOCUMENT UBJ RESPECTTOT E.T, R THIS
DESCRIBED HEREIN IS SUBJECT TO;ALL THERMS I --{
E CLU OANS MAY BE DITO S MAY PERTAIN, THEINSURANCEAFFORDED BY THE EN POLICIES PAID
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAICLAIMS
'O
.TR
TYPE OF INSURANCE
POUCY NUMBER
POLICY EFFECTIVE
DATE (MM/00/YY)
POLICY EXPIRATION
DATE (MM/DD/W)
V
LIMITS
A
GENERAL
LIABILITY
kOMMERCIALGENERAL LIABILITY
1MP30091843102
09/01/95
09/01/96
GENERAL AGGREGATE
$ 2,000,000
K
PRODUCTS—COMP/OPAGG.
$ 2,000,000
kLAIMS MADE X OCCUR.
PERSONAL 8 ADV. INJURY
$ 1,000,000
OWNER'S 8 CONTRACTOR'S PROT.
EACH OCCURRENCE
$ 1,000,000
FIRE DAMAGE (Any one fire)
$ 50,000
MED.EXP. (Any one person)
$ 5,000
k
AUTOMOBILE
UABIUTY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON —OWNED AUTOS
GARAGE UABILFTY
1MP30091843102
09/01/95
09/01/96
COMBINED SINGLE
LIMIT
$ 1,000,000
X
BODILY INJURY
(Per person)
$
X
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
EXCESS
LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
EACH OCCURRENCE
$
AGGREGATE
LIMITS
$
$ 100,000
B
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
3248544
10/01/95
I STATUTORY
CH ACCIDENT
DISEASE -POLICY LIMIT
$ 500,000
DISEASE -EACH EMPLOYEE
$ 100,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHIC4r/SPECIAL ITEMS
ALL OPERATIONS D. PIT #13, LONGMONT, CO.
CERTIFICATE HOLDER
WELD COUNTY
915 10TH ST.
GREELEY CO 80631
P 1
p 1 Y= `r
A R 25,9 71
CANCELLATION
SHOULD ANY OF THE
EXPIRATION DATE THEREOF,
MAIL 3 D DAYS
ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
THE ISSUING COMPANY WILL ENDEAVOR TO
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
LEFT, BUT FAILURE
LIABILITY OF ANY KIND
AUTHORIZED RESENTATIVE
;1ei,iii ✓C C ac 952207
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AC,OOIt11 CERTIFICATE
PRODUCER
PHE LINDEN COMPANY
2000 S COLORADO BLVD
DENVER CO 80222-7911
OF INSURANCE
' SD 01767ISSUE DATE (MM/DD YY
n 10/06/95
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 AU.S.F.& G.
LETTER
COMPANY B COLORADO COMPENSATION INS ._AUTHORITY
LETTER 0
INSURED
VARRA COMPANIES
2130 S. 96TH STREET
.ROOMFIELD, CO 80020
J
COMPANY c 1'"
LETTER O (') 11
COMPANY -1 c-) - - c
D r
LETTER Iit tTl - :I n
IA) .vJ
COMPANY E ,,-) )[;,
LETTER - --'
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW
INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION
EXCLUSIONS AND CONDITIONS OF SUCH POLIICIESELIMITS INSURANCE AFFORDED
HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLIC
OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WH
Y PAID CLAIMSEIN IS SUBJECT TO ALL THE
HAVE BEEN POLICIES DESCRIBED
9 ;^i -
RIOD
THIS
S,
.O
TR
TYPE OF INSURANCE
POLICY
POUCY NUMBER DATE
EFFECTIVE
(MM/DD/YY)
POUCY EXPIRATION
DATE (MM/DDM')
LIMITS
A
GENERAL
LIABILITY
GENERAL LIABILITY
OCCUR.
PROT.
1MP30091843102
09/01/95
09/01/96
GENERAL AGGREGATE
5 2,000,000
$ 2,000,00g
$ 1,000,000
$ 1,000,000
$ 50,000
PRODUCTS-COMP/OP AGG.
X COMMERCIAL
PERSONAL &ADV. INJURY
kLAIMS MADE X
EACH OCCURRENCE
OWNER'S & CONTRACTOR'S
FIRE DAMAGE (Any one fire)
MED.EXP. (Any one person)
$ 5,000
X
AUTO
MOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON —OWNED AUTOS
GARAGE LIABILITY
1MP30091843102
09/01/95
09/01/96
COMBINED SINGLE
LIMIT
$ 1,000,000
$
}[
BODILY INJURY
(Per person)
BODILYINJURY
(Per accident)
$
X
X
PROPERTY DAMAGE
$
EXCESS
LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
EACH OCCURRENCE
$
AGGREGATE
$
3
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
3248544
10/01/95
STATUTORYUMITS
$ 100,000
' -
EACH ACCIDENT
DISEASE-POUCY LIMIT
$ 500,000
DISEASE -EACH EMPLOYEE
$ 100,000
OTHER
DESCRIPTION
ALL
OF OPERATIONS
OPERATION
ECIAL ITEMS
a3• ',>r
IT RD. #13, LONGMONT, CO.
CERTIFICATE HOLDER
WELD COUNTY
915 10TH ST.
GREELEY CO 80631
ACORD 25,9 (7190
CANCELLATION
SHOULD
EXPIRATION
MAIL
LEFT.
LIABILITY
ANY OF
DATE
3 (1 DAYS
THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
BUT FAILURE
OF ANY
AUTHORIZED RESENTATIVE /
1 OACORD CORPORATION 1940
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