HomeMy WebLinkAbout990860 CERTIFICATE �v p N C DATE(MM/DD/YY)
ACORD„ OF LIABILITY �#7 INSURANCE PAGE 1 aF 1 2&MAR 1999
PRODUCER 9532O THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Willis Corroon Corporation of Los Angeles ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
8O1 N.Brand Blvd. #4OO HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Ca.Dept.of Ins. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
License #O5O7516 COMPANIES AFFORDING COVERAGE
Glendale CA 912O3
(818) 548-75OO COMPANY Zurich Insurance Company, U.S. Branch
Kristine H.Miller A
INSURED COMPANY American Guarantee&Liability Insurance Company
B
SCS Engineers —
COMPANY AIU Insurance Company
3711 Long Beach Blvd.
9th Fl. C --
Long Beach CA 90807 COMPANY
D
CgV�pGEg REPfIRTED AS,OF 41-APR-1889
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.
CO POLICY EFFECTIVE POLICY EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/TY)
LIMITS
A GENERAL LIABILITY GLO8O444O4O5 O1-APR-1999 O1-APR-2OOO GENERAL AGGREGATE $ 1.000.000
x � COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGO $ 1 ,000.000
J CLAIMS MADE xl OCCUR PERSONAL&ADV INJURY $ 1,000.000
OWNER'S&CONTRACTORS PROT EACH OCCURRENCE $- ._.1.000,000
_ FIRE DAMAGE(Apyone fire) $ 1.000,000
MED EXP(Any one person) $
10.000
B AUTOMOBILE LIABILITY BAP8O444O5O5 O�PR-1999 O1-APR-2OOO 1,000.000
COMBINED SINGLE LIMIT $
X ANY AUTO
ALL OWNED AUTOS (BODILY INJURY
(Per person) $
SCHEDULED AUTOS
X HIRED AUTOS BODILY INJURY $
X NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE
I
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
�- - EACH ACCIDENT$
AGGREGATE 'I$
EXCESS LIABILITY EACH OCCURRENCE I$
UMBRELLA FORM AGGREGATE
OTHER THAN UMBRELLA FORM _II $
C WORKERS COMPENSATION AND WC571O978RA O1-OCT-1998 O1-OCT-1999 Wpgy LAIMI-S ---H
EMPLOYERS'LIABILITY
EL EACH ACCIDENT $ 1 ,000,000
THE PROPRIETOR/ 1,080,888
PARTNERS/EXECUTIVE INCL' EL DISEASE-POLICY LIMIT $
OFFICERS ARE: EXCLI EL DISEASE-EA EMPLOYEE I$ 1 .000.000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
10 Days Notice of Cancellation for Non- Payment of Premium
Project: Denver Regional Landfill , Erie , Colorado
CER1JFICATE HOLDER CANCELLA11ON RehepeICsii 4mat,
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Weld County EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
e/o Office of Public Work 3D DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Attn:Dir.of Public Work B 1'FAILU T MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
P.O.Box 758 F ANY K UPON THE MPANY, ITS AGENTS OR REPRESENTATIVES.
Greeley CO 80632 AUT EP RESENTATIVE
mom 254019,51
0oyw1.til- C ,i6G_ x'1//9/99 990860
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