HomeMy WebLinkAbout970807.tiffACOItII® CERTIFICATE
OF
INSURANCE
04/11/97'
PRODUCER
Flood & Peterson Ins. Inc.
P. O. BOX 578
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.
4687 W. 18th Street
COMPANIES AFFORDING COVERAGE
Greeley, CO 80632
COMPANY
AThe Travelers Indemnity/Aetna Casual
INSURED
Rinehart Construction Company,
COMPANY
B
Inc.
Chase Rinehart dba
COMPANY
C
14742 WCR #64
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 THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MM/DD/YY)
OLICY EXPIRATION
DATE(MM/DD/YY)
LIMITS
A
GENERAL
X
LIABILITY
COMMERCIAL GENERAL LIABILITY
025973903
04/12/97104/12/98
GENERAL AGGREGATE x1000 000
PRODUCTS-COMP/OPAGG
$1, 000,000
PERSONAL BADV INJURY
$ 500 D00
X
WNER'S
PD
CLAIMS MADE
& CONTRACTOR'S
Ded:250
XJ OCCUR
PRO T
EACH OCCURRENCE
$ 500, 000
FIRE DAMAGE (Any one fire)
$ 100,000
MED EXP (Any one person)
$ 5, 000
A
AUTOMOBILE
X
_
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
025973903
04/12/97
04/12/98
COMBINED SINGLE LIMIT
$ 500, 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
$
EXCESS
LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
$
WORKERS COMPENSATION
EMPLOYERS' LIABILITY
THE PROPRIETOR/
PARTNERS/EXECUTIVE
OFFICERS ARE:
AND
INCL
EXCL
STATUTORY LIMITS
EACH ACCIDENT
$
DISEASE -POLICY LIMIT $
DISEASE -EACH EMPLOYEE $
OTHER
DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER
Weld County
915 10th Street
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
TO DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Greeley, CO 80631
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
-nthAUTHORIZED
A ;RD 25-S (319 of 1 #M832.49
REPRESENTATIVE 5
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,. 970807
04/ igo/97
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