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Home My WebLink About961461.tiff ACORD,P CERTIFICATE OF LIAElt-. W `�$LJRANGE DAYS(MMIDDIVV) Paa6ucER ` -. +[ I 4r pJfG- i ( ` 1 26-JUL-1996 Willis Corroon Corporation of Maryland 37355 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 10 North Park Drive ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Hunt Valley MD 21030t IOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR (410) 527-1200 i_ ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE frifANY Indemnity Insurance Company of North America _Kimberly S._ Suarez-Murias INSURED ------ - --- - -_. --a'WF'ANY 9acif is Employers Insurance Company Western Mobile Inc. and its subsidiaries -II�PnvY 1400 W. 64th Avenue Denver CO 80221 -:�'alanNY COVENAGE9 THISISTOCERTIFY THAT THEPOLICIESOFINSURANCELISTEDBELOW 9EE',I ISSUED TO THEINSUREDNAMED ABOVEFOR THEPOLICY PERIOD INDICATED NOTWITHSTANDINGANYREQUIREMENT,TERMORCONDI IF n N YCONTRACTOROTHERDOCUMENTWITHRESPECTTOWHICHTHIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE A .?r HE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS O F SUCH POLICIES.LIMITS SHO ^I 't` BEEN REDUCED BY PAID CLAIMSco . t �,. E TYPE OF INSURANCEtivc - -— —_--'- - LTR POLICY NUMBER POLICY EXPIRATION DATE(MMIDDIYY) LIMITS A GENERALLIABILITY HD0G18969051 _"JL-1996 l 15-JUL-1997 GENERAL AGGREGATE I$ 2,000,000 X COMMERCIAL GENERAL LIABILITY ----- --- -- - PRGDUCTS coMP/oP AGO $ 2,000,000 " CLAIMS MADE X J OCCUR - - PERSONAL & ADV INJURY $ 1,000,000 -X OWNERS &CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 -- --- - FIRE DAMAGE (Any one fire) $ 1,000,000 MED EXP (Any one person) $ 5,000_ - A AUTOMOBILE LIABILITY 1SAH07133364 995 15-JUL-1997 - X ANY AUTO 1996 SINGLE LIMIT $ 1,000,000 ALL OWNED AUTOS - -- - - -- -. _.-__ BODILY INJURY SCHEDULED AUTOS (PSI person) $ X HIRED AUTOS BO - --- ----- -- ----. X NON-OWNED AUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE _ $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT !$ ANY AUTO _.._ ___ _.. . .............. ...... —'- OTHER THAN AUTO ONLY' EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE UMBRELLA FORM -- -- -- AGGREGATE $ - OTHER THAN UMBRELLA FORM -_-- --- ) B WORKERS COMPENCAllo,Ar:o CC5C42095230 p', i?,z,'5 15-JUL X IRO sTIV FR f "-' , EMPLOYERS'LIABILITY 1TACH ACCIDENT F.R THE PROPRIETOR/ EL EACH $ 1,000,000 PARTNERS/EXECUTIVE INCL '.. EL DISEASE-POLICY LIMIT I 11100 000 OFFICERS ARE: EXCL ---- - - EL DISEASE-EA EMPLOYEE { 1,000,000 OTHER DESCRIPTION OF OPERATION8A-OCATION8IVEHICLE9/SPECIAL ITEMS - -"-"- CERTIFICATE HOLDER '".r_,,T1ON: - Foul..D 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, Weld County Commissioners 8J-FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 915 10th Street OF A' Y KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Greeley CO 80631 'U IJnPISED nEPREBENTAT E / ACMO1251S(1195) 1MESST0 /`� or C3H0CQRPORATION198$ 2 ( " 03/05// 961461 ACORD„ CERTIFICATE OF UAr --v- ';ISURANCE DATE MMIDDIYY) PRoouGER _..... PAGE 1 pF 1 26-JUL-1996 373'c -HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Willis Corroon Corporation of Maryland 10 North Park Drive ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Hunt Val ley MD 21030 POLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR (410) 527-1200 -'-'=R THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE Indemnity Insurance Company of North America K imber ly_S._Suarez Murias q INSURED_ _. ccMPANY Pacific Employers Insurance Company Western Mobile Inc. and its subsidiaries COMP ANY 1400 W. 64th Avenue C - Denver CO 80221 coMPANY COVERAGES THISISTOCERTIFY THAT THE POLICIESOFINSURANCE LISTED BELOW AVEBEENISSUEDTOTHEINSURED NAMED ABOVEFORTHE POLICYPERIOD INDICATED,NOTWITHSTANDINGANYREOUIREMENT TERMORCONDI •+NOFANYCONTRACTOROTHERDOCUMENTWITHRESPECTTOWHICHTHIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE PPE': ^ED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHO`A ' I-!AVE BEEN REDUCED BY PAID CLAIMS. cor TYPE OF INSURANCE "LP v"' - ,,;_ ^DAT LTR POLICY NUMBER -%:..... ....: - PATE(MMIODIYY) DATE(MM/DO/TY) LIMITS A GENERAL LIABILITY --- HD0G1B969057 'S-JUL-1996 15-JUL-1997 GENERAL AGGREGATE $ 2,000,000 X I COMMERCIAL GENERAL LIABILITY , -- ---- _-._ --- -- PRODUCTS-COMP/0P AGG $ 2,000,000 CLAIMS MADE I X I OCCURL --- -- PERSONAL a ADV INJURY $ 1,000,000 X OWNERS &CONTRACTORS PROT EACH OCCURRENCE $ 1,000,000 —_- - --- - -- -- FIRE DAMAGE (Any one fire) $ 1,000,000 MED EXP (Any one person) $ 5,000 A AUTOMOBILE LIABILITY 1SAH07133364 '5-JUL-1996 15-JUL-1997 X ANY AUTO COMBINED SINGLE LIMIT $ 1,000,000 ALL OWNED AUTOS --- BODILY INJURY SCHEDULED AUTOS (Per person) X HIRED AUTOS X � NON OWNED AUTOS BODILY INJURY $ --- -- (Per accident) - _ --- PROPERTY DAMAGE GARAGE LIABILITY -- - -- AUTO ONLY • EA ACCIDENT $ ANY AUTO - - OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATEEXCESS LIABILITY - _"-- --� EACH OCCURRENCE 6 UMBRELLA FORM -- -- -- - __ _.— AGGREGATE OTHER THAN UMBRELLA FORM -- -- -, i B Wvarkaa$GOMPENbaaOtt..a 0 CCSC.2 f 2 ._.. I 1:-JUL-` 1$DG a .:vL 'MB; IWC $TATD OTH EMPLOYERS'LIABILITY LIOfjY-.ACCIDEi iI-R_ ___ EL EACH ACCIDENT t THE PROPRIETOR/ INCL - 7,000,000 PARTNERS/EXECUTIVE EL DISEASE POLICY LIMIT 1,000,000 OFFICERS ARE: EXCL - - _-- _.EL DISEASE-EA EMPLOYEE 1,000,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLESISPECIAL ITEMS _. Project : Weld County Road 8 Weld County , Colorado is hereby ne.-'- an Additional Insured CERTIFICATE HOkWER ..' VJCELLATH)N I 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, Weld County Commissioners I BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 915 10th Street OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Greeley CO 80632 AUTHORIZED REPRESENTA E Aconct:25•S(1195)₹ WE$5T,0Z GC �Z +C' �G ._. _ ACG#?RP�'1R11r(tfN 1988 ,2' - U' /U /(;) /. y h JRc.r DATE(MMibbnY) ACORP. CERT CA !uA .I 4 ,fr PAGE!1 OF" 2 26-JUL-1996 I$ ODuCER 37355 T'-''" CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Willis Corroon Corporation of Maryland "*'EY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 10 North Park Drive '7"_.7-Y Et. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Hunt Valley MD 21030 ^' -E5 THE COVERAGE AFFORDED BY THE POLICIES BELOW. (410) 527-1200 COMPANIES AFFORDING COVERAGE ^A:Ir 'ndemnity Insurance Company of North America Kimberly S. Suarez-Murias -.. -INSURED =�;iY Pacific Employers Insuranoe Company. _- -. . .J Western Mobile Inc. and its subsidiaries "'1 1400 W. 64th Avenue Denver CO 80221 _�nNr COVERAGES THIS ISTO CERTIFY THAT THE POLICIES OFlNSURANCELISTED BELOV SEE tiISSUED TO THE INSURED NAMED ABOVEFORTH POLICY PERIOD INDICATED,NOTWITHSTANDINGUE ING ANYRE ENT,TERM ORCOND .F ANY THE OLCES DESCRIBED ACT OR O HEREIN IS SUBJECT TO TOWHICH THIS THE I TERMS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFF r EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOW . .‘/E BEEN REDUCED BY PAID CLAIMS. CO POLICY NUMBER TIVE POLICY EXPIRATION LIMITS TYPE OF INSURANCE V•c I '}ro") DA E( MIDUIYY) LTR I _ A GENERAL LIABILITY HD0G18969051 " "°86 ' 15-JUL-1997 GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OP AGG $ 2,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE f n l OCCUR PERSONAL & ADV INJURY $ 1,000,000 EACH OCCURRENCE $ 1,000,000 X OWNER'S&CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ 1,000,000 MED EXP (Any one person) $ 5,000 A AUTOMOBILE LIABILITY 1SAH07133364 '- 'R^98 15-JUL-1997COMBINED SINGLE LIMIT $ 1,000,000 X I ANY AUTO _ 1 BODILY INJURY $ALL OWNED AUTOS (Per person) SCHEDULED AUTOS -- -_-- --- --- - -- - -- D AUTOS BODILY INJURY $ X HIRE (Per accltlenl] X NON-OWNED AUTOS - -- PROPERTY DAMAGE $ AUTO ONLY - EA ACCIDENT $ GARAGE LIABILITY OTHER THAN AUTO ONLY - u ANY AUTO EACH ACCIDENT $ AGGREGATE $ - - - EACH OCCURRENCE $ EXCESS LIABILITY _---__-- - -- -- -_- --- -- AGGREGATE $ UMBRELLA FORM - -- OTHER THAN UMBRELLA FORM - WC STATU IOTH B WORKERS COMPENSATION AND CCSC42095230 U '9or 15-JUL-1997 X I TORY LIMIT$I. I , - EMPLOYERS'LIABILITY EL EACH ACCIDENT $ 1,000,000 THE PROPRIETOR/ INCL I EL DISEASE-POLICY LIMP $ 1,000,000 PARTNERS/EXECUTIVE EL DISEASE-EA EMPLOYEE $ 1,000,000 OFFICERS ARE: EXCL _. _..._ OTHER I DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESISPECIAL ITEMS SEE ATTACHED C€RTII9CATE HOLDER — - " I .l_ATfQN uotr'T 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, We I d County BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. 915 10th e Street AUTHORIZEDREPRESENTA1111((EE Greeley CO 80632/�`ty MIESSTOZ �I off AO O CORPORATION 1988 ACOAR 25•S(IMO �_ eM•j- - 1/65.1C1i ' �A krI� ,;,- ISSUE DATE(MM/OD/YY) TINCwiLLIS ORROON ! CERTIFICATE OF INSURa k� - PAGE 2 OF' 2 i 26-JUL-1996 THIS CERT'F.-'CATE IS ISSUED AS A MATTER OF INFORMA1704 AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND 07_7 COVERAGE AFFORDED BY THE POLICIES BELOW. INSURED 37356 <.-. :Drroon Corporation of Maryland -�h "ark Drive - !Qy MD 21030 Western Mobile Inc. and its subsidiaries 52T-1200 1400 W. 64th Avenue Denver CO 80221 S. Suarez-Murias COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BEL0V 97.E'' ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITIOI 4N.Y CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORD'-' ➢'Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS MAY HAVE BET FOU..D BY PAID CLAIMS, POLICY NUMBER L C,IYE POLICY EXPIRATION LIMITS TYPE OF INSURANCE iMM 1NYY) DATE(MM/DD/YY) DESCRIPTION OF OPERATIONS/LOCATIONS/W_' ' -'-`=S'SPECIAL ITEMS General Liability - The Certificate I-Ic is an Additional Insured solely as respects work performed by or for the nee, insured in connection with 1992 Chip and Seal Project , provided, howevc Aket a written contract requiring that the Certificate Holder be an Add ; ' - insured exists . CERTIFICATE HOLDER •-.' '_LATION 1.7 J_C ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ^:X?fF ATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ?;? DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Weld County -T cAILURE TO MAIL SUCH NOTICESHALL IMPOSE NO OBLIGATION OR LIABILITY .4NY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. 915 10th Street ^'2ED REPRESENT VE Greeley CO 80632 � WILLIE CORROOt42SWC1(9195).) lA ILL WESSTOZ -_ C` RROON 1895 Hello