HomeMy WebLinkAbout961460.tiff AIDIII:Ua CERTIFICATE OF INSURANCE RAE 01302 ISSUE DATE (MM/DD/YY)
n 07/30/96
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE
THE LINDEN CO OF NO COLO DOES NOO BELOW.AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
2900 S COLLEGE, STE 3B COMPANIES AFFORDING COVERAGE
FORT COLLINS CO 80525
COMPANY A EMPLOYERS MUTUAL
LETTER
COMPANY B COLO COMP INS AUTHORITY
INSURED LEI ILA -'
GROWLING BEAR CO. , INC. COMPANY C cip
2330 4TH AVE. (Ent('
GREELEY, CO 80631 COMPANY D
LEIIER -
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
CEXCLUSIONS AND MAY CONDITIONS OFISUCH POALIdIES. INSURANCE
MAY HAVE BEEN POLICIES DESCRIBED
Y PAID CLLAIMSEIN IS SUBJECT TO ALL THE TERMS,
POLICY EFFECTIVE POLICY EXPIRATION
TYPE OF INSURANCE POLICY NUMBER
LIMITS
.TR DATE (MM/DDM') DATE (MM/DDA'1')
A GENERALUABIUTY 0D9652297 07/31/96 07/31/97 GENERAL AGGREGATE $ 2 ,000,009
K kOMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ 2, 000,000
kLAIMS MADE X OCCUR. PERSONAL&ADV.INJURY $ 1,0 0 0,0 0 0
OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ 1, 000,000
FIRE DAMAGE(Any one fire) $ 50,000
PER PROJECT AGCY MED.EXP.(Any one person) $ 5 ,000
A AUTOI'MOBILEUABIUTY 0E9652297 07/31/96 07/31/97 COMBINEDSINGLE
X IANYAUTO LIMIT $ 500,000
II LL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS
(Par parson) $
X HIRED AUTOS BODILY INJURY
X NON—OWNED AUTOS (Par accitlenq $
GARAGE LABILITY
PROPERTY DAMAGE
$
7� EXCESS LIABILITY 0J9652297 07/31/96 07/31/97 EACH OCCURRENCE $ 1. 000,000
X (UMBRELLA FORM AGGREGATE $
110001000
(OTHER THAN UMBRELLA FORM
3 1436910 10/01/95 10/01/96 IBTAnJTDRYUMIrs
WORKER'S COMPENSATION
AND EACH ACCIDENT $ 100,000
EMPLOYERS'LIABILITY DISEASE-POLICY LIMIT $ 500,000
DISEASE-EACH EMPLOYEE $ 100. 000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEIIICLES/SPECIAL ITEMS
RE: 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 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,IT S OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ORD 254(7/96)
1 RATION 1990
961460 .. .
53/6-5/ �.'
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