HomeMy WebLinkAbout981918.tiff ACORD CERTIFICATE OF LIABILITY INSURANCEPIs M3 DATE(M&NDDMQ
KEHND-2 09/25/98
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
The Linden Company
WELD COUNT"' HOLDER.TH S CERTIFICATE DOES NOT AMEND,EXTEND OR
4100 E. Mississippi Ave, #900 CO "- mlrg ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Denver CO 80246 COMPANIES AFFORDING COVERAGE
Craig A. Merten, CPCU ARM 1999 SEP 30 All 9: (95"A Maryland Insurance Company
A�
PhoneNo. 303-756-6700 FaxNo. 303-756-7700
INSURED CLERK COMPANY
TO THE BOARD B C.C.I.A.
COMPANY
Don Kehn Construction, Inc. C
6322 South College Ave. COMPANY
Fort Collins CO 80525 D
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
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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE(MM/DONY) DATE(MM/DD/YY)
GENERAL LIABILITY GENERAL AGGREGATE $ 2000000
A X COMMERCIAL GENERAL LIABILITY EPA27088989 11/01/97 11/01/98 PRODUCTS-COMP/OP AGG $2000000
CLAIMS MADE X OCCUR PERSONAL&ADV INJURY $ 1000000
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1000000
FIRE DAMAGE(Any one fire) $ 300000
MEDEXP(Any one person) $ 5000
AUTOMOBILE LIABILITY COMBINED SINGLE LIMB s 1000000
A X ANY AUTO ECA27088989 11/01/97 11/01/98
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person)
X HIRED AUTOS BODILY INJURY
X NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY•EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $ 2000000
A X UMBRELLA FORM CON86718781 11/01/97 11/01/98 AGGREGATE $ 2000000
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND XITORVIIMTS I It
EMPLOYERS'LIABILITY EL EACH ACCIDENT $ 100000
B THE PROPRIETOR/ INCL K209395 10/01/98 10/01/99 ELDISEASE'POLICYUMIT $ 500000
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 100000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
RE: 1998 ASPHALT MILLING CONTRACT. BID # 9800088. ADDITIONAL INSURED AS
RESPECTS GENERAL LIABILITY FOR NOTED PROJECT IS WELD COUNTY COLORADO BY
AND THROUGH THE BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, ITS EMPLOYEES
AND AGENTS.
CERTIFICATE HOLDER CANCELLATION
WELDC-0 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
WELD COUNTY COMMISSIONERS
P. O. BOX 758 OF ANY KIND UPON THE COMPANY ITSa pGENTS OR REPRESENTATIVES
GREELEY CO 80632 AUTHORIZED REPRESENTATIVE /} 7
Craig A. Merten, CPCU ARMU a
AC (1/95 nrnanrnoonan ine.r+eoe
981918
V U \C\� /iv-5600K
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