HomeMy WebLinkAbout981911.tiff ACORQ CERTIFICATE O LIABILITY'' INSURANCE DATE(MW)DM!)
9/23/1998 :
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
RledIIlan Corporation ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
PO Box 987 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Wheat Ridge, CO 80034-0987 COMPANIES AFFORDING COVERAGE
(303) 423-3922 FAX (303) 423-3925 COMPANY
A CONTINENTAL DIVIDE
INSURED COMPANY
INTERVENTION B GULF UNDERWRITERS (ADCO)
COMPANY
P 0 BOX 330040 C COLORADO COMPENSATION INS AUTH
DENVER CO 80233 COMPANY
D
COYERAGLS
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.
TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION
CO TYPE POLICY NUMBER UMITS
DATE(M$VDD/YY) DATE(M$$VD/r0
B _GENERAL LIABILm GU596O94 09/17/98 09/17/99 GENERAL AGGREGATE $1.00p.O0O
XCOMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $
CLAIMS MADE OCCUR PERSONAL 8 ADV INJURY $
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $1.000.000
FIRE DAMAGE(My one fire) $ 100,000 -MED EA'(My one person) $ 1.000
A AUTOMOBILE UABILTY CDP4842 09/12/98 09/12/99
COMBINED SINGLE LIMB $1,099,999
ANY AUTO
ALL OWNED AUTOS BODILY INJURY � - -
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY 1$
NON-OWNED AUTOS (Per eccitlenp
i - - PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $ _
UMBRELLA FORM AGGREGATE S_
OTHER THAN UMBRELLA FORM $
C WORKERSCOMPF]ISATION AND 2019722 02/01/98 02/01/99 XiTORYLIMIS 1 IEH
EMPLOYERS LIABILITY EL EACH ACCIDENT $100,000
THE PROPRIETOR/ X INCL EL DISEASE-POLICY LIMIT $500.000
PARTNERS,EXECUTNE ----
OFFICERS ARE EXCL EL DISEASE-EA EMPLOYEE $100.000
OTHER
B I PROFESSIONAL GU596O94 09/17/98 09/17/99 EA INCIDENT $1,000,000
LIABILITY AGGREGATE $1,990,099
DESCRIPTION Of OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED.
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
COUNTY OF WELD EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
C/O DONALD D WORDEN, DIR OF FINANC 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
P O BOX 758 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
GREELEY CO 80632 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHOR ESENTATIVE
GPI �_. 981911
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