HomeMy WebLinkAbout970712.tiffCERTIFICATEOF INSURANCE
02802
ISSUE DATE (MM/DD/YY)
03/21/97
PRODUCER
HE LINDEN COMPANY
000 SO. COLORADO BLVD
ENVER CO 80222-7911
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. INSURANCE
LETTER
INSURED
OULSON EXCAVATING CO.
3609 N. COUNTY ROAD #13
�OVELAND, CO 80537
COMPANY B THE MARYLAND INSURANCE GROUP
LETTER
COMPANY C
LETTER
COMPANY D
LEI IER
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
INEEDDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
EEXCLUSIONS MAY CONDITIONS OF SUCH PERTAIN,
LIMITSRSHOWN AFFORDED
HAVE BEEN POLICIES DESCRIBED
Y PAID CLAIMSEIN IS SUBJECT TO ALL THE TERMS,
O
,TR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MWDDNY)
03/31/97
POLICY EXPIRATION
DATE (MM/DDNY)
03/31/98
LIMITS
GENERAL LIABILITY
X [OMMERCIAL GENERAL LIABILITY
I;LAMS MADE nOCCUR.
OWNER'S & CONTRACTOR'S PROT.
X AGGREGATE LIMIT
PER PROJ END'T
AUTOMOBILE LIABILITY
XIANY AUTO
LL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
GARAGE LABILITY
X
X
1MP30135357000
1MP30135357000
03/31/97
03/31/98
GENERAL AGGREGATE
PRODUCTS—COMP/OP AGG.
PERSONAL & ADV. INJURY
EACH OCCURRENCE
FIRE DAMAGE (Any one tire)
MED.EXP. (Any one person)
COMBINED SINGLE
LIMIT
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
$ 2,000,000
$ 2,000,000
$ 1,000,000
$ 1,000,000
$ 100,000
S
5.000
$ 1,000,000
$
PROPERTY DAMAGE
EXCESS LIABILITY
UMBRELLA FORM
(OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
OTHER
1MP30135357000
TC791960915
03/31/97
07/01/96
03/31/98
07/01/97
EACH OCCURRENCE
AGGREGATE
ISTATUTORY LIMITS
EACH ACCIDENT
DISEASE -POLICY OMIT
DISEASE -EACH EMPLOYEE
$
$ 4,000,000
$ 4,000800
$ 500,000
500,000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
LL 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
MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
WELD COUNTY
915 10TH STREET
P. 0. BOX 758
GREELEY CO 80632
( A' R 2$' 17/9A
03/0161(17
AUTHORIZED FEPflSENTATIVE
970712
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