HomeMy WebLinkAbout992790.tiff ACORD,. CERTIFICATE OF LIABILITY INSURANC R DW °P'E'NN'°°"°
TOM-1 11/11/99
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Omnivest Insurance Group ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
3515 S Tamarac Dr #210 - HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
P 0 Box 370110 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Denver CO 80237-0110
Phone: 303-771-3131 Fax:]303-290-0884 . • - INSURERS AFFORDING COVERAGE
INSURED INCUR"RA *American States
. INSURER B,
Automated Gate Systems, LLC - ---- - -- -
Clint Nelson ' - INSURE RC
9985B East 104th .Avenue INSURERD
Henderson CO 80640 - - - - - -
INSURER G.
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.
X
I A_ _ _ - POLICY( EFFECTIVE POLICY EXPIRATION
INSR L TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDIYY) DATE(MM/DDIYY) LIMITS
I GENERAL LIABILITY EACH C:.CURREr.CE 51 ,000,000
A X COMMERCIAL CENERALLIAewTY O10E040055-4 06/01/99 06/01/00 EIRE DA;TAGS IAn_ae Me, 200,000
°LAIMSMALL X i OCCUR MEDEXPI Ary one pea,nl $ 10,000
PERSONAL n AD. I,.LRY $ 1 , 000 ,000
GENERA L ACGRE;A $ 2,000 ,000
GEML AGGREGATE LIMIT APP LIES PER. , RO)x TS-:O /I ACHE 32 ,000,000
POLICY I
TA-PRO- LOC
AUTOMOBILE LIABILITY ' -OMB N. SING__L`.'T
AIX ANYAUTD 010E040055-4 06/01/99 06/01/00 I (Eaa°D'°entI = 1,000,000
ALL OWNED AUTOS BODILY ^,JURY
(Pei pers
SCHEDULED AUTOS ip
HIRED AUTOS ' BODILY NJU"tY
NON OWNEDAUTOS IPer ac ci.lene S
PROPEE tY LAMA,E
/Per ace lent
GARAGE LIABILITY AUTO ONLY EA ENT $
ANY AUTO OTHER THAI, EA AC:: $
' AUTO OIILVI AGG $
EXCESS LIABILITY EACH O':EURREP.TA $
OCCUR CLAIMS MADE AGGREr:ATE S
DEDUCTIBLE
RETENTION S ' $
N/C JIPIU- — 0TH-
WORKERS COMPENSATION AND I ONv LIMITS ER
EMPLOYERS'LIABILITY F I FACw Cr:FIEF NT
EL DISEASE EA EN FLOYEE. $
E.L.EIS CAS'S 'PC ICY UMI" $
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: #P9901692
CERTIFICATE HOLDER N ADDITIONAL INSURED;INSURER LETTER: CANCELLATION
WELDCNT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRP-HON
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEF"',BUT FAILURE TO DO SO SHALL
Weld County IMPOSE NO OBLIGATION OR LIABILITY.Of ANY KIND UPON"HE INSURER,,IT$AGENTS OR
915 Tenth Street
REPRESENTATIVES_
Greeley CO 80631 /� ,
6
Chad Nelson //(t (./
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ACORD 25-S(7/97) (� 0. --
OgSc. l f/i 7,l /9 992790
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