HomeMy WebLinkAbout951737.tiffACI)IUP® CERTIFICATE
PRODUCER
HE LINDEN CO OF NO COLO
900 S COLLEGE, STE 3B
ORT COLLINS CO 80525
OF INSURANCE
BN QQ&42 ISSUE DATE (MM,DD/YY)
07/26/95
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.
COMPANIES AFFORDING COVERAGE
COMPANY A EMPLOYERS MUTUAL
LETTER
COMPANY B COLO COMP INS AUTHORITY
LETTER
INSURED
ROWLING BEAR CO., INC.
330 4TH AVE.
REELEY, CO 80631
COMPANY C
LETTER
COMPANY D
LETTER ,-1 -.-
COMPANY E
LETTER in
COVERAGES i.,.5.
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
EXCLUSIONS MAY CONDITIONS OF SUCH POLICIES. LIMITS SHOWNFMAY HAVE BEEN POLICIES EEBY PAID CLAIMSEIN IS SUBJECT TO ALL THBIFERMS,
0
TR
TYPE OF INSURANCE
POLICY NUMBER DATE
POLICY EFFECTIVE
(MM/DO/YY)
POLICY EXPIRATION
DATE (MM/DDNY)
LIMITS
GENERAL
LIABILITY
GENERAL LIABILITY
OD9652296
07/31/95
07/31/96
GENERAL AGGREGATE
$ 1,500,000
$ 1,500,000
$ 600,000
PRODUCTS-COMP/OP AGG.
K COMMERCIAL
PERSONAL B ADV. INJURY
kLAIMS MADE X OCCUR.
EACH OCCURRENCE
$ 600,000
OWNER' S8 CONTRACTOR'S PROT.
FIRE DAMAGE (Any one li re)
$ 50,000
MED.EXP.(Any one person)
$ 5,000
PER PROJECT AGG
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON —OWNED AUTOS
GARAGE LIABILITY
0E9652296
07/31/95
07/31/96
COMBINED SINGLE
LIMIT
$ 500,000
X
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
X
X
PROPERTY DAMAGE
EXCESS
LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
EACH OCCURRENCE
$
AGGREGATE
$
WORKER'S COMPENSATION
AND
EMPLOYERSLIABILITY
1436910
10/01/94
10/01/95
I STATUTORY LIMITS
$ 100,000
EACH ACCIDENT
DISEASE -POLICY LIMIT
$ 500,000
DISEASE -EACH EMPLOYEE
$ 100,000
OTHER
DESCRIPTION
E:
OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
HAZARDOUS WASTE BLDG. SOUTHWEST WELD COUNTY, COLORADO
WEST OF DACONO, COLORADO
CERTIFICATE HOLDER
WELD COUNTY, COLORADO
P.O. BOX 758
GREELEY CO 80632
ACORD 2
CANCELLATION
SHOULD ANY OF
EXPIRATION DATE
MAIL 10 DAYS
THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
LEFT, BUT FAILURE
LIABILITY OF ANY/I$I[JD
r1 IZE R RE NTA\1]IVE
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