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ACOItII® CERTI ICA�"E ISSUE DATE (MIA 9D
10/ 5/1995 I
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
Ins . Management Assoc . , Inc. DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
999 18th St. , Suite 2800 POLICIES BELOW.
Denver, CO 80202-2432 COMPANIES AFFORDING COVERAGE
(303) 293-8888 FAX 293-8618
COMPANY A U.S. FIRE INSURANCE COMPANY
LETTER
COMPANY rro
B COLORADO COMPENSATION INS
INSURED LETTER A.-1 )
VESSELS OIL & GAS COMPANY ��
COMPANY Y C FIREMANS FUND INSURANCE
1050 17TH ST. , SUITE 2000 1 :0
DENVER, CO 80202 DO Y D TT m or-
LETTER O
773C
LETTTOER Y E ' ...1--i
COVERAGES '1 .n
iniS IS TO CERTIFY Id AT THE PCLCIES OF INSJRANCE LISTED BELOW HAVE BEEN ISSUED TO THE INS JRLD NAMED ABOVE FOR THE POLICY PciitD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERRFICATE 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 POUCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POIIOY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MWDOM) DATE(MMAJDNY)
A GENERAL LIASBITY GENERAL AGGREGATE $ 2, 000, 000
X COMMERCIAL GENERAL LIABILITY 5430691026 PRODUCTS-COMP/OP AGG. $ 2, 000, 000
CLAIMS MADE X OCCUR. 10/01/95 10/01/9 6 PERSONALa ADV.IN.VRY $ 1, 000, 000
OWNERS&CONTRACTORS PROT. EACH OCCURRENCE $ 1, 000, 000
X FIRE DAMAGE(My one fire) $ 1, 000, 000
MED.EXPENSE(My one person):$ 5, 000
AUTOMOBILE LIABILITY COMBINED SINGLE
IS 1, 000, 000
C X ANY AUTO MXG80629768
ALL OWNED AUTOS 10/01/95 10/01/96 BODILY INJURY
SCHEDULED AUTOS (Per person)
X HIRED AUTOS BODILY INJURY
X NON-OWNED AUTOS (Per acc enI)
GARAGE LIABILITY
PROPERTY DAMAGE S
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION X STATUTORY LIMITS
B AND 05800/2 01/01/95 01/01/ 96 EACH ACCCJT S 500, 000
DISEASE-POLICY LIMIT $ 500, 000
EMPLOYERS' LIABILITY DISFAAN-EACH EMPLOYEE $ 500, 000
OTHER
DESCRIPTION OF OPEAATIDNSILOCATIONSNEHKAFS/SPECIAL ITEMS
CERTIFICATE HOLDER .. CINCEuaT'[ON ..,
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE
I' EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
WELD COUNTY DEPT. OF ENGINEERING LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
ATTN: ALAN MILLER LIABILITY OF KIND UPON THE COM , ITS AGE TS OR REPRESENTATIVES.
P.O. BOX 758 AUTHORIZED R AWE ///► ,-• '
GREELEY CO 80632 seediest,
ACORo 25 S (TJ9D)': 0 ONC Gb222U
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