HomeMy WebLinkAbout960870 ACDI/IIII CERTIFICATE OF INSURANCE os/06/96
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Ins . Inc . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P. O. BOX 578 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
4687 W. 18th Street COMPANIES AFFORDING COVERAGE
Greeley, CO 80632
COMPANY
AAetna Casualty & Surety Company
INSURED
COMPANY
Hall Irwin Construction
BCIGNA
P.O. Box 659 •
Greeley, CO 80632 CO CANY
-
COMPANY • 'if 1 ,)
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR POUCY-PERIOD
INDICATED, NOTWDHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W11A RESPECT TO WI-IGR THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOE ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 7V
COI TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR' DATE(MM/DD/YY) DATE(MM/DD/YY)
A GENERAL LIABILITY CO25026303CCM 08/01/95 '. 08/01/96 GENERAL AGGREGATE $2, 000, 000
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPAGG $2 , 000, 000
CLAIMS MADE X', OCCUR PERSONAL&ADV INJURY $1, 000, 000
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $1, 000, 000
X PD_ Ded: 5, 000 FIRE DAMAGE(Any one fore)$ 100, 000
MED EXP(Any one person) $ 5, 000
A AUTOMOBILE LIABILITY FJ25026303CCM 08/01/95 08/01/96 COMBINED SINGLE LIMIT $1, 000, 000
X ANY AUTO
ALL OWNED AUTOS
BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS
BODILYINJURY $
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 $
UMBRELLA FORM AGGREGATE
OTHER THAN UMBRELLA FORM $
B WORKERS COMPENSATION AND NWCC41609746 07/01/95 07/01/96 XLSTATUTORY LIMITS_
EMPLOYERS'LIABILITY EACH ACCIDENT $100 , 000
THE PROPRIETOR/ I X INCL DISEASE-POLICY LIMIT $500, 000
PARTNERS/EXECUTIVE
OFFICERS ARE. EXCL DISEASE-EACH EMPLOYEE $100, 000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
PROJECT: WELD COUNTY NORTH JAIL COMPLEX-SITE IMPROVEMENTS
ADDITIONAL INSUREDS (AS RESPECTS THIS PROJECT UNDER THE GENERAL LIABILITY)
(See Attached Schedule . )
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
BOARD OF WELD COUNTY EXPIRATION DATE THEREOF,THE ISSUING COM"rauv wn i cu nraunc rn a,an
COMMISSIONERS 10 DAYS WRITTEN NOTICE TO THE CERTII
915 10TH STREET BUT FAILURE TO MAIL SUCH NOTICE SHALL I& 960870
GREELEY, CO 80631 of A UPON THE COMPANY, ITS "., ,,. a
AUT ORIZE JPRESENTATIVE
rN-!'Ert
ACORD26-$(3193)1 02 ? #364092/M48503 Cti�P o A V D WRP°RATiliPil1993
DESCRIPTIONS (Continued from page 1.)
WELD COUNTY, THE ENGINEER AND HI SD CONSULTANTS, AND EACH OF THEIR
OFFICERS, AGENTS, AND EMPLOYEES.
CISGEM 26.2 13193)2 012 #S 64092/M485:03
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