HomeMy WebLinkAbout972223.tiffACORD CERTIFICATE
OF LIABILITY
INSURANC ro CS DATE(MM/DDNY)
OWL -3 09/26/97
PRODUCER
The Linden Co. of Northern Co.
2900 South College Avenue -#3B
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.
Fort Collins CO 80525
COMPANIES AFFORDING COVERAGE
Phone No. 970-229-9304 Fax No. 970-229-1398
COMPANY
A Employers Mutual
INSURED
COMPANY
B C.C.I.A.
Growling Bear Co., Inc.
COMPANY -'
C
2330 4th Ave.
Greeley CO 80631
COMPANY
D
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 TIC TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN-REDLSFD BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MWDEMYY)
POLICY EXPIRATION
DATE (MMIDDNY)
LIMITS
A
GENERAL
X
LIABILITY
COMMERCIAL GENERAL LIABILITY
009652298
GENERAL AGGREGATE
$ 2,000,000
07/31/97
07/31/98
PRODUCTS -COMP/OP AGG
$2,000,000
PERSONAL & ADV INJURY
$ 1 , 000,000
CLAIMS MADE rt` II OCCUR
EACH (CPURRENCE
$ 1,000,000
OWNER'S & CONTRACTOR'S PROT
FIRE DAMAGE (Any one e)
$100,000
MED EXP (Any one person)
$ 5,000
A
AUTOMOBILE
X
X
X
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
0E9652298
07/31/97
07/31/98
COMBINED SINGLE LIMIT
$ 1,000 , 000
BODILY INJURY
(Per Person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
$
GARAGE
LIABILITY
ANY AUTO
AUTO ONLY EA ACCIDENT
$
OTHER THAN AUTO ONLY
EACH ACCIDENT
$
AGGREGATE
$
A
EXCESS
X
LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
039652298
EACH OCCURRENCE
$3,000,000
07/31/97
07/31/98
AGGREGATE
$ 3,000,000
$
B
WORKERS COMPENSATION AND
WC STATU- %RI
X TORY LIMITS i � ER
EMPLOYERS' LIABILITY
EL EACH ACCIDENT
S 100000
THE PROPRIETOR/ I
INCL
1436910
10/01/97
10/01/98
EL DISEASE -POLICY LIMB
$ 500000
PARTNERS/EXECUTIVE
OFFICERS ARE
EXCL
EL DISEASE EA EMPLOYEE
$ 100000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPECIAL ITEMS
RE: HAZARDOUS WASTER BLDG. SOUTHWEST WELD COUNTY, COLORADO WEST OF DACONO,
COLORADO
CERTIFICATE:HOLDER
WELDCOU
CANCELLATION
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, COLORADO
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPO
OF ANY KIND UPON THE COMPANY, ITS AGENTS
LIABILITY
ESENTA ES.
P.O. BOX 758
GREELEY CO 80632
AUTHORIZED REPRESENTATIVE
ACnRn 2R-R-/1IR5%.
1&" \CI Y)l.w!tr '
lo/b/97
972223
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