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Home My WebLink About992518.tiff SF` Ian Siu�F Ai n4WU�.p CirOtos CERTIFICATE OF INSURANCE /06/11E(MMDDVI) PRODUCER VI:ID O.L 4 RTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS�.- TS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, PENCO �ry + .,OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO Box 305107 —_- {999 (? T -8 All 8: 50 COMPANIES AFFORDING COVERAGE Nashville, TN 37230-5107 COMPANY A NORTNF'ELD JNSURANrE COMPANY REDv a COMPANY LETTER a INSURE,lorado Intergovernmental Risk Sharing Agency (C.IRSA) COMPANY MPANY TER a 950 South Cherry Street, #8(0 Denver, CO 80222 COMPANY TEL: 1303' 757-5475 FAX: (303) 757-8950 LETTER TOWN OF RERSEY COMPANY ETTER E COVERAGES THIS IS TO CERTIFY THAT POLICES OF INSURANCE LISTED BELOW HAVE EEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY .NTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TIOACEYTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLI S DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS,AND CONDI- TIONS OF SUCH POLICIES. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIABILITY LIMITS IN THOUSANDS LTR DATE IMMNDIv1'I DATE IMMNIM x ;'' EACH AGGREGATE OCCURRENCE tENERAL LIABILITY AA01135 01/01/1999 01/01/2000 BODILY ICOMPREHENSIVE FORM INJURY $ $ PREMISES/OPERATIONS PROPERTY UNDERGROUND DAMAGE $ $ EXPLOSION&COLLAPSE HAZARD ■ PRODUCTS/COMPLETED OPERATIONS + e BI 8 PD CONTRACTUAL COMBINED $ $ I INDEPENDENT CONTRACTORS BROAD FORM PROPERTY DAMAGE PERSONAL INJURY PERSONAL INJURY $ UT MOBILE LIABILITY BODRY AA01135 0;101'1999 01/01/2000 INJURY ANY AUTO (PER PE�aal $ ■ ALL OWNED AUTOS(PRIV. PASS.) POOL ^*o- `k q " ■ ALL OWNED AUTOS PRHERPTHAN) Y IDEA AMP $ °`='"x.<r " t'`: HIRED AUTOS * " PROPERTYAA NON-OWNED AUTOS DAMAGE $ '''''C':40:41/'',` ■ GARAGE LIABILITY sT,* a RIAPD + 140 t x� m B6 ■ COMBINED $ w 441'.:" IEXCESS LIABILITY UMBRELLA FORM EA AL PD $ $ ■ OTHER THAN UMBRELLA FORM STATUTORY ',I WORKERS'COMPENSATION (EACH ACCIDENT) AND $ (DISEASE-POLICY LIMIT) EMPLOYERS'LIABILITY .X' $ (DISEASE-EACH EMPLOYEE) I OTHER ,-- DESCqIPSTelee Attacnen schOeauie roe x vs/agel al o Larrie 51TEMS As respects law enforcement agreement covering activities of Town's +olice while .erforminl traffic enforcement on Xerse 'ortion, CERTIFICATE HOLDER CI,NCELL.ATION Additonal Insured: Certificate No: 3854 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- WELD COUNTY COMMISSIONERS IIPIRAt bN DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO M P 0 758 - MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY GREELEY, CO 80632 OF ANY KIND U-• THE COMPANY, ITS AGENTS SR REPRESENTATIVES. AUTHORIZED RE-- - NTATI Attn: Dale Hall "� ' i� Ii '. R 992518 1 COLORADO PROPERTY/CASUALTY INTERGOVERNMENTAL RISK SHARING AGENCY DESCRIPTION OF COVERAGE * to $150K per person/$600K per occurrence for liability claims subject to Governmental Immunity Act; $1.5M claim/occurrence other automobile claims; $5M claim/occurrence other liability claims.All coverages subject to aggregate and other limits. SCHEDULE OF EXCESS LIABILITY CARRIERS 1999 $4,000,000 EXCESS OF $1,000,000 NORTHFIELD INSURANCE COMPANY POLICY NUMBER AA01135 98cert hab attach..wpd 1 Client# : 25306 HEACO ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE 10/(04/99 PRODUCER t� THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Insurance IncWELD COU 1t YONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE �}ati%,` ^^II ,.:.„,HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4821 Wheaton Drive Cv, I1'..ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P 0 Box 270370 Fort Collins, CO 80527 1999 OCT -6 AM 8: 32 INSURERS AFFORDING COVERAGE INSURED INSURER A:Travelers Insurance R. C. Heath Construction Co. , Ln.c (` �Jr rvSURERB:CIGNA {P. 0 . Drawer H I kb`✓i—i ' INSURER C: Fort Collins, CO 80522 INSURER D: 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. ILTR TYPE OF INSURANCE POLICY NUMBER POLICY EXPIRATION EFFECTIVE POLICY LIMITS DATE M/DD/YY1 DATE(M Y7 A GENERAL LIABILITY DTCO298N6651TIL99 09/30/99 09/30/00 EACH OCCURRENCE $1, 000, 000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $300 , 000 CLAIMS MADE X OCCUR MED EXP(Any one person) $5, 000 PERSONALBADV INJURY $1, 000, 000 GENERAL AGGREGATE $2 , 000, 000 GEN'L AGGREGATE LIMR APPLIES PER: PRODUCTS-COMP/OP AGO $2 , 000 , 000 POLICY X PRO JECT X LOC A AUTOMOBILE LIABILITY DTJ810298N6651TIL9 09/30/99 09/30/00 COMBINED SINGLELIMIT $1 , 000 , 000 X ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ (Per accident) X NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESS LIABILITY DTSMCUP298N6651TIL9 09/30/99 09/30/00 EACH OCCURRENCE $5, 000 , 000 XI OCCUR CLAIMS MADE AGGREGATE $5, 000, 000 DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION AND 042890662 10/01/99 10/®1/00 x TnRYT1TMLL5_ OER EMPLOYER5'LIABILITY - E.L.EACH ACCIDENT $50-0 , 000 E.L.D ISEASE-EA EMPLOYEE $500 , 000 E.L.DISEASE-POLICY LIMIT $500, 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDE D BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ADOnnoNAL INSURED;INSURER.LEVIER CANCELLATION SHOULD ANYOFTHE ABOVE DESCRIBED POUCESIBE CANCELLED'BEFORETHE E)O'IRAMON Weld County DATETHEREOF,THE ISSUING INSURER WILL ENIDEAVOR TO MAILS O DAYSWRITTEN 915 10th Street NOTICE TO THE CERTIFICATE HOLDERNAMEDTO THE LEFT,BUTFAILURE TO DOSO SHALL Greeley, CO 80631 IMPOSE NO OBLIGATION OR LIABILITY OF ANYKIN!D UPON THE INSURER,ITSAGENTS OR RE PRESEINTATIVES. AUTHORIZED REPRESENTATIVE Rood. Petusan. Inseanned , ACORD25-S(7/97)1 of 2 #M138826 E6- JGH O A'CORD CORPORATION 1988 Hello