HomeMy WebLinkAbout990862 ACORD CERTIFICATE OF LIABILITY INSURANCE0PID RS DATE(MM/DD/YY)
STARC-2 02/02/99
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
The Linden Co. of Northern Co. HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2900 South College Avenue-#3B ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80525 COMPANIES AFFORDING COVERAGE
Michael D. Pierce COMPANY
Phone No. 970-229-9304 Fax No. 970-229-1398 A Employers Mutual
INSURED
COMPANY
B C.C.I.A.
COMPANY
Starck Brothers Construction C
932 N. Meadowlark Dr. COMPANY
Berthoud CO 80513 Q
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.
TR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE(MM/DD/YY) DATE(MWDD/YY)
GENERAL LIABILITY GENERAL AGGREGATE $2000000
A X COMMERCIAL GENERAL LIABILITY 0X8233299 05/27/98 05/27/99 PRODUCTS-COMP/OPAGG $2000000
CLAIMS MADE [2(j OCCUR PERSONAL&ADV INJURY $ 1000000
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1000000
A X $250 PD Deductihl FIRE DAMAGE(Any one fire) $ 100000
_ MED EXP(Any one pin) $ 5000 _
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000
A X ANY AUTO 0X8233299 05/27/98 05/27/99
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person)
HIRED AUTOS
BODILY INJURY $
NON-OWNED AUTOS ( accident)
--- PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY EAACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY.
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $ J
OTHER THAN UMBRELLA FORM $
WC STATU- OTH-
WORKERS COMPENSATION AND
TORY LIMITS ER
EMPLOYERS LIABILITY EL EACH ACCIDENT $ 1000000
THE PROPRIETOR/
B INCL 3420780 03/01/99 03/01/00 EL DISEASE-POLICY LIMB I $ 1000000
OFF OFFICERS
PARTNERS/EXECUTIVE SE E-
OFFICERS ARE: EXCL EL DISEASE-FA EMPLOYEE $ 1000000
OTHER
DESCRIPTION OF OPERATIONS&.00ATIONSNEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER CANCELLATION
WELD-02 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BF 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,
WELD COUNTY - DEPARTMENT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSEN GIESJGATION OR LIABILITY
OF PUBLIC WORKS
P.O. BOX 758 OF ANY KIND UPON THE COMPANY,ITS OR REPRESENTATIVES
GREELEY CO 80632 AUTHORIZED REPRESENTATIVE ;
Michael D. Pierce
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