HomeMy WebLinkAbout980253.tiff ACORD,.. CERTIFICATE OF LIABILITY' INSURANCE DATE(MLVDDIVIT
1/26/1998 '
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Riedman Corporation ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 1439 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Longmont, CO 80502-1439 COMPANIES AFFORDING COVERAGE
(303) 776-3421 Fax(303) 776-3219 COMPANY
A UNION INSURANCE
INSURED COMPANY ,:JS _.1
JOE & KELLY CLARK B OHIO CASUALTY r
'i I
DBA JOE CLARK EXCAVATING COMPANY _ I]
2202 VIVIAN C
n r C.J -D
LONGMONT CO 80501 COMPANYD .I
GOVERAG85 i a
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY'
OLICY PERIOOI -e.
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 THL'TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO POLICY EFFECTIVE POLICY EXPIRATKON UMITS
LTFI TYPE OF INSURANCE POLICY NUMBER DATE IMINDDIYY) DATE(MIA/OD/Yr
GENERAL LIABILITY UPK5021581 01/26/98 01/26/99 GENERAL AGGREGATE $2000.000
A X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGO f2.000,000
CLAIMS MADE OCCUR PERSONAL&ADV INJURY $1,000,000
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $1.000,000
FIRE DAMAGE(My one fire) S 50,000
MED EXP(My one person) $ 5.000
AUTOMOBILE LIABILITY 5043w? 01/26/98 01/26/99 COMBINED SINGLE LIMIT f $00,000
B I ANY AUTO
ALL OWNED AUTOS BODILY INJURY S
(Per person)
SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY S
(Per eccbent)
NON-OWNED AUTOS
PROPERTY DAMAGE S
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT S
AGGREGATE S
EXCESS UABILITY EACH OCCURRENCE S
UMBRELLA FORM AGGREGATE S
OTHER THAN UMBRELLA FORM S
WC STATU- 0TH-
WORKERS COMPENSATION AND I I TORY LIMITS J.ER
EMPLOYERS' LABIUM' EL EACH ACCIDENT S
THE PROPRIETOR/
I
INCL EL DISEASE-POLICY LIMIT $
PARTNERS/EXECUTIVE EL DISEASE-EA EMPLOYEE $
OFFICERS ARE. EXCL
OTHER
DESCRIPTION OF OPERATION&LOCATIONS/VOIICLES/SPECIAL RIMS
......... ........
CERi1FiCAT HOLDER CANCELLAi1ON :!
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Weld County Government EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
915 10th Sv t. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATKONN OR LIABILITY
Greeley CO 80632 OF AN KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES
AUTHOR EPIHESENTATVE J/y ,-�, 1
ACONO 25'S M5} s" °'"' 11� A tit 980253
at 01, 2/`2/9
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