HomeMy WebLinkAbout981926.tiff CERTIFICATE OF INSURANCE
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS ON THE CERTIFICATE HOLDER. COUNTY THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. I^ f
NAME AND ADDRESS OF INSURED Aon Risk Services,Inc.of Oklahoma CO'ivt r lrr' �N1�'*i.C
Flint Engineering & Construction Company Am Two Warren Place ritrcR
6120 South Yale,Suite 500,P.O.B•- tp.�t ' M4 ir1. 00
2440 S. Yukon Ave. Tulsa,Oklahoma 74101-3406 fit( L RLl IiJ
Tulsa, OK 74107-2729 Telephone 918/496-3900 Telefax 918/496-0460
Date Tuesday, September 29, 1998RK
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOIWITHSTANDINGMCRE URII EWIQ RIP
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.
POLICY EFFECTIVE POLICY EXPIRATON
TYPE OF INSURANCE COMPANY 8 POLICY NUMBER DATE(MM/DD DATE(MM/DD/YY) ALL LIMITS IN THOUSANDS
GENERAL LIABILITY GENERAL AGGREGATE $ 2,000
X COMMERCIAL GENERAL LIABILITY St. Paul Mercury Ins. Co. PRODUCTS-COMP/OPSAGGREGATE $ 2,000
CLAIMS MADE KK09100695 9/29/98 9/29/99 PERSONAL S ADVERTISING INDUSTRY $ 1,000
X OCCURENCE EACH OCCURENCE $ 1,000
X XCU FIRE DAMAGE(ANY ONE FIRE) $ 500
MEDICAL EXPENSE(ANY ONE PERSON) $ 10
AUTOMOBILE LIABILITY ca q i!f��lnlli ll
St. Paul Guardian Ins. Co. $ 1 000 r (iI {
ANY AUTO i 11. ..1 r:
! X KK09100695-1 Texas 9/29/98 9/29/99 BODILY Ji i {I:I't BIa;I:i
l
ALL OWNED AUTOS INJURY $ JI II !ii! i
(PE0.PERSON
SCHEDULED AUTOS St. Paul Mercury Insurance BODILY - ----- --- I, MII!;,;I� I{Il
HIRED AUTOS KK09100695 Other States 9/29/98 9/29/99 INJURY $ � �?h'I3Il s!
X TERAccuNrtn I )Ill { I I ''
X NON OWNED AUTOS (1{T�' ll 1 i .1
PROPERTY ONMGE $ ill III(III{ I hi
Ell TJ,EXCESS LIABILITY II(1Vl I II, EACH
OCCURENCE AGGREGATE
UMBRELLA FORM II II III
OTHER THAN UMBRELLA FORM 1 1 C $
CLAIMS MADE J OCCURENCE
I.III
t,SLIIIII II
WORKERS
ERS'L NSILAITYR _-� Marine Paul Fire
Co. l -- $ STATUTORY I�IIi�4ll��l'III�I IHIII1III
AND (EACH ACCIDENT)
WVK9100681 9/29/98 9/29/99
THE PROPRIETOR( x9/29/98 9/29/99 I INCL $ 1,000 (DISEASE-POLICY LIMIT)
OFFICERS PARTNERS/EXECUTIVE
ARE l EXCL $ 1,000 (DISEASE EACH EMPLOYEE)
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/DPECIAUITEMS
If required by written contract, the certificate holder is an "additional insured" as respect to the insureds operation
and on their behalf, except the "additional insured" does not apply to Workers Compensation policies. A Waiver of
Subrogation also applies in favor of the certificate holder where required by written contract.
J
CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE
CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY
WILL ENDEVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE
NAME AND ADDRESS OF CERTIFICATE HOLDER HOLDER NAMED TO THE LEFT.BUT FAILURE TO MAIL SUCH NOTICE SHALL
IMPOSE IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
COMPANY,ITS AGENTS OR REPRESENTATIVES
Weld County
Attn: Miller
PO Box Box 758
Greeley, COI 80632
BY:
A M.Stevens 981926
0Tht1X1 /%/// (2776 _.� /NSBowK
/6/7/98
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