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Home My WebLink About961254.tiff ACOItIL CERTIFICATE OF INSURANCE MAS 02320 ISSUE DATE ...pry, n 07/01/96 RODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE I DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 'HE LINDEN COMPANY POLICIES BELOW. 000 SO. COLORADO BLVD COMPANIES AFFORDING COVERAGE IENVER CO 80222-7911 COMPANY A MARYLAND INS GRP LETTER COMPANY B INSURED LETTER '4----- - IOULSON EXCAVATING CO. COMPANY C 3609 N. COUNTY ROAD #13 LETTER - • JOVELAND, CO 80537 COMPANY D LETTER COMPANY E LETTER U COVERAGES . . INDI IS TOCATED,NOTWITHSTANDING NG ANY REQUIINSURANCE EMEN N TERM OR OTED ENDIWION OF ANY CONTRACT OR OT HAVE BEEN ISSUED TO THE HERRDODCUMENT WITH RESPECT TO WAMED ABOVE FOR THE HICH CH THIS EXCLUSIONS AND BE OFISUCH POLICIES.LIMITS SHOWNFMAY HAVEDE BEY EN RE EDUCED BY PAID CLAIMS DESCRIBED S IS SUBJECT TO ALL THE TERMS , POLICY EFFECTIVE POLICY EXPIRATION LIMITS 'O POLICY NUMBER TYPE OF INSURANCE DATE (MM/DD/VV) DATE (MM/DD/YY) _TR GENERAL AGGREGATE $ 2 , 000 , 00 X COMMERCIALERCIAL A GENERAL Y EPA21798187 03/31/96 03/31/97 PRODUCTS-COMP/OPAGG. $ 2 ,000, 00 GENERAL LIABILI 1,0 0 0, 0 0 PERSONAL&AOV.INJURY $ kLAIMS MADE X PRCTR. EACH OCCURRENCE $ 1 , 000, 00 OWNERS S CONTRACTOR'S PROL FIRE DAMAGE(Any one fire) $ 300 00 X AGGREGATE LIMIT MED.EXP.(Anyoneperson) $ 10 , 00 ECA21798195 03/31/96 03/31/97 COMBINED SINGLE A AUTOMOBILE LIABILITY LIMIT $ 1 000 00 X ALL AUTO BODILY INJURY ALL OWNED AUTOS (Per person) S SCHEDULED AUTOS BODILY INJURY X HIRED AUTOS (Per INJURY X NON—OWNED AUTOS GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY UB86732600 03/31/96 03/31/97 EACH OCCURRENCE $ 4 00 00 A AGGREGATE $ 4 , 000 ,00 X UMBRELLA FORM OTHER THAN UMBRELLA FORM NSATION STATUTORY LIMITS A TC791960915 07/01/96 07/01/97 F� r1FCCIDENT $ 500 00 WORKER'S COMPENSATION AND DISEASE-POLICY LIMIT $ 500 00 EMPLOYERS LIABILITY DISEASE-EACH EMPLOYEE $ 500, 00 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS RE : ROTH SUBDIVISION LOCAL IMPROVEMENT DISTRICT 10 DAY NOTICE WILL BE GIVEN FOR NON-PAYMENT OF PREMIUM 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 MAIL 30 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 GREELEY CO 80632 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTH REPRESENTATIVE jg 961254 ACORD25S� 190) Ac11iaL® CERTIFICATE OF INSURANCE MAS 02320 ISSUE DATE (MM/DD/YY) n 07/01/96 PRODUCER 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 THE LINDEN COMPANY POLICIES BELOW 2000 50. COLORADO BLVD COMPANIES AFFORDING COVERAGE DENVER CO 80222-7911 COMPANY A MARYLAND INS GRP LETTER COMPANY B INSURED LETTER :OULSON EXCAVATING CO. COMPANY C 7 3609 N. COUNTY ROAD #13 LETTER LOVELAND, CO 80537 COMPANY D LETTER 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 HA'JE BEEN REDUCED BY PAID CLAIMS. JO POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER LIMITS TR DATE (MM/00/YY) DATE (MM/00/YY) A GENERALLIABILITY ` EPA21798187 03/31/96 03/31/97 GENERAL AGGREGATE $ 2 000 00 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ 2 000 00 IDLAIMS MADE X OCCUR. PERSONAL&ADV.INJURY $ 1 000 00 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1 000 00 X AGGREGATE LIMIT RE DAMAGE(Any one fire) $ 300 00 MEDEXP.(Any one person) $ 10 , 00 A AUTOMOBILE LIABILITY ECA21798195 03/31/96 03/31/97 COMBINED SINGLE X ANY AUTO LIMIT $ 1 000 00 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY X NON—OWNED AUTOS (Per accident) $ GARAGE LIABILITY PROPERTY DAMAGE A EXCESSLIABILITY UB86732600 03/31/96 03/31/97 EACH OCCURRENCE $ 4 000 00 x UMBRELLA FORM AGGREGATE $ 4 , 000 , 00 OTHER THAN UMBRELLA FORM _ A TC791960915 07/01/96 07/01/97 I STATUTORY LIMITS WORKER'S COMPENSATION EACH ACCIDENT $ 500 00 AND 500 00 DISEASE—POLICY LIMIT $ EMPLOYERS LIABILITY 500 , 00 DISEASE-EACH EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS ALL OPERATIONS - ALL LOCATIONS . WELD COUNTY IS AN ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY FOR ANY PROJECT COULSON EXCAVATING CO. , INC . MIGHT PERFORM FOR THEM. *10 DAY NOTICE WILL BE GIVEN FOR NON-PAYMENT OF PREMIUM. * 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 MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 915 10TH STREET LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR P . 0. BOX 758 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. GREELEY CO 80632 AUTHO DREPRESENTATIVE Lc tit R- k c (l ACORD 25-S(7/90) r7 O ©ACORD CORPORATION 1990 Hello