HomeMy WebLinkAbout970471.tiffCERTIFICATE OF INS 25-S
1/31/1997
PRODUCER
Riedman Corporation
THIS CERTIFICATE IS ISSUED AS A MATTER OF
INFORMATION ONLY AND CONFERS NO RIGHTS UPON
THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES BELOW.
P.O. Box 1439
Longmont, CO 80502-1439
(303)776-3421 Fax(303)776-3219
INSURED
JOE & KELLY CLARK
DBA JOE CLARK EXCAVATING
2202 VIVIAN
LONGMONT CO 80501
I COMPANIES AFFORDING COVERAGE
COMPANY A: UNION INSURANCE
COMPANY B: OHIO CASUALTY
COMPANY C:
COMPANY D:
V COVERAGES This is to certify that policies of insurance listed below have been issued to the 'insured nand above for the policy period
indicated, notwithstanding any requirement, term or condition of any contract or other document with respect to which this
certificate nay be issued or nay pertain, the insurance afforded by the policies described herein is subject to all the terns,
exclusions and conditions of such. policies. Limits shown may have been reduced by :paid claims.
CO I INSURANCE •-
?: POLICY NUMBER & DATES :: I LIMITS
GENERAL LIABILITY
UPK5021581
$2,000,000 General Agg
[X] Comm Gen Liab
Eff 01/26/97 Exp 01/26/98
$2,000,000 Pro/Co Ops Agg
A
[ ] CM [X] Occur
$1,000,000 Pers/Adv Inj
[ ] OCP
Eff / / Exp / /
$1,000,000 Ea Occurrence
[ ]
$ 50,000 Fire Damage
[ ]
Eff / / Exp / /
$ 5,000 Medical Exp
AUTO LIABILITY
50432777
[ ]Any [ ]All Own
Eff 01/26/97 Exp 01/26/98
$ 500,000 CSL
B
[X]Schd [ ]Hired
$ BI (person)
[ ]Non -Owned
Eff / / Exp / /
$ BI (accident)
[ ] [ ]
$ Property Darn
GARAGE LIABILITY
$ Auto -Each Acc
[ ]Any Auto
Eff / / Exp / /
$ Other -Ea Acc
[ I [ ]
$ -Aggregate
EXCESS LIABILITY
$ Occurrence
[ ]Umbrella Form
Eff / / Exp / /
$ Aggregate
[ ]Other Than Umb
$
[ ]WC Stat Lmts [ ]Other
WC/EMP LIABILITY
$ EL Each Acc
[ ]Incl [ ]Excl
Eff / / Exp / /
$ EL Dis-Pol Lmt
Prop/Part/Execs
$ EL Dis-Ea Emp
Eff / / Exp / /
Description of operations/locations/vehicles/special items
CANCELLATION
CERTIFICATE HOLDER `~
I I
Should any of the above described policies
be cancelled before the expiration date
thereof, the issuing company will endeavor
Weld County Government
to mail 10 days written notice to the
certificate holder named to the left, but
915 10th St.
failure to mail such notice shall pose no
Greeley CO 80632
obligation liability of any kind upon
the compan its age or
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_ea NI/
970471
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