HomeMy WebLinkAbout992439.tiff ACORD CERTIFICATE OF LIABILITY INSURANCE,SR CA
A- DATE(MWDD/YY)
ARRA4 09/24/99
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
I _ 1 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
The Linden Company ; - HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
4100 E. Mississippi Ave, #900 ).H-.-ALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW.
Denver CO 80246
Phone: 303-756-6700 Fax:303-756-77c �_'; � INSURERS AFFORDING COVERAGE
INSURED INSURER A: St. Paul Fire & Marine
INSURER B: Pinnacol Assurance
Varra Companies, Inc. INSURER C:
2130 S 96th Street INSURER D:
Broomfield CO 80020
INSURER E:
COVERAGES
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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR TYPE OF INSURANCE POLICY NUMBER POLICY
ATE(M / /YY))EFFECTIVE POLICY
(M / /Y ))EXPIRATION LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $ 1000000
A X COMMERCIAL GENERAL LIABILITY $1(08301008 10/01/99 10/01/00 FIRE DAMAGE(Any one fire) $ 50000
CLAIMS MADE X OCCUR MED EXP(Any one person) $ 50 00
PERSONAL BADV INJURY $ 1000000
GENERAL AGGREGATE $2000000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2000000
POLICY JECT
JECT LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMB
A X ANY AUTO 1( 8301008 10/01/99 10/01/00 (Ea accident) $ 1000000
1(0
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS $
(Per person)
X HIRED AUTOS
X NON-OWNED AUTOS BODILY(Peraccident)
$
accident)
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO EA ACC $
OTHER THAN
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $ 1000000
A X OCCUR CLAIMS MADE 1(1(08301008 10/01/99 10/01/00 AGGREGATE $ 1000000
DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND WCSIAIU- OIH.
B EMPLOYERS'LIABILITY 3248544TORY LIMITS ER
10/01/99 10/01/00 E.L.EACH ACCIDENT $ 100000
E.L.DISEASE-EA EMPLOYEE S 100000
E.L.DISEASE-POLICY LIMIT $ 500000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED By ENDORSEMENT/SPECIAL PROVISIONS
ALL OPERATIONS - DAXOLIOS PIT, ROAD #13, LONGMONT, COLORADO
CERTIFICATE HOLDER I I ADDITIONAL INSURED',INSURER LETTER: _ CANCELLATION
WELDC-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
WELD COUNTY IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
915 10TH STREET REPRESENTATIVES.
GREELEY CO 80631 AUTHORIZED REPRESENTATIVE
Frank F. Crowe
ACORD 25-S(7/97)
C'OIULIk-n,I Q 09 -a9'. 99 992439
PRACORD CERTIFICATE OF LIABILITY INSURANCPCSR 4 DATE
09/24%9
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
( j r;(:. 'IONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
The Linden Company „.�. --,;HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
4100 E. Mississippi Ave, #900 I% ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Denver CO 80246
Phone: 303-756-6700 Fax:303-756-770 ? '17 1.: j j INSURERS AFFORDING COVERAGE
INSURED
INSURER A: St. Paul Fire & Marine
i7 r• INSURER B: Pinnacol Assurance
Varra Companies, Inc. ._ - INSURER C:
2130 S 96th Street INSURER D:
Broomfield CO 80020
INSURER E:
COVERAGES
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 CONTRACTOR 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR TYPE OF INSURANCE POLICY NUMBER DAATE(MM/DD nVE POLICY EXPIRATION
GENERAL LIABILITY /VYI DATE(MM/DD/YV) LIMITS
EACH OCCURRENCE $ 1000000
A X COMMERCIAL GENERAL LIABILITY $1(08301008 10/01/99 10/01/00 FIREDAMAGE(Anyonefire) $ 50000
CLAIMS MADE X OCCUR MED EXP(Any one person) $ 5000
PERSONAL&ADV INJURY $ 1000000
GENERAL AGGREGATE $ 2000000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2000000
POLICY PRO-
JECT LOC
AUTOMOBILE LIABILITY
A X ANY AUTO COMBINED SINGLE LIMIT
ICK08301008 10/01/99 10/01/00 (Ea accident) $ 1000000
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS
(Per person)
X HIRED AUTOS
X NON-OWNED AUTOS BODILY accident)
$
(Per accident)
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY
AUTO ONLY-EA ACCIDENT $
ANY AUTO
OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $ 1000000
A X I OCCUR CLAIMS MADE KK08301008 10/01/99 10/01/00 AGGREGATE $ 1000000
DEDUCTIBLE
RETENTION $
8
WORKERS COMPENSATION AND WC SIAI U- OIH-
B EMPLOYERS LIABILITY (TORY LCCIDE I ER
3248544 10/01/99 10/01/00 E.L.EACH ACCIDENT $ 100000
E.L.DISEASE-EA EMPLOYEE $ 100000
E.L.DISEASE-POLICY LIMIT $ 500000
OTHER
DESCRIPTION OF OPERATIONS/LOCAT1ONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
ALL OPERATIONS - NELSON ROAD, PIT #13, LONGMONT, COLORAD
CERTIFICATE HOLDER I ADDITIONAL INSURED;INSURER LETTER: CANCELLATION
WELDC-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
WELD COUNTY IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
915 10TH STREET REPRESENTATIVES.
GREELEY CO 80631 AUTHORIZED REPRESENTATIVE
Frank F. Crowe //- t-�°'w"^•� .
ACORD 25-S(7/97) .. XCORD CORPORATION 1991
Con ent & ,cnc&t
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