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HomeMy WebLinkAbout962291.tiff A C'1111/e CERTIFICATE OF INSURANCE DAS 02596 ISSUE DATE (MM/DDNY) n 12/02/96 PRODUCER 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 THE LINDEN COMPANY POLICIES BELOW. 2000 SO. COLORADO BLVD COMPANIES AFFORDING COVERAGE DENVER CO 80222-7911 COMPANY AST. PAUL INSURANCE LETTER COMPANY B CIGNA INSURANCE COMPANY INSURED LETTER ROCHE CONSTRUCTORS, INC COMPANY C P.O. BOX 1727 LETTER GREELEY, CO 80632 COMPANY D LETTER COMPANY -E LtlitR 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 EXCLUSIONS MAY CONDITIONS OF SUCH PERTAIN THE' LIMITS SHOWNFMAY HAVE BEEN POLICIES DESCRIBED Y PAID CL.AIMSEIN IS SUBJECT TO ALL THE TERMS. POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER LIMITS _TR DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY KK08300368 12/01/96 12/01/97 GENERAL AGGREGATE $ 2, 000,000 kOMMERCIAL GENERAL LIABIUTY PRODUCTS—COMP/OPAGG. $ 2 ,000 ,000 �LAIMS MADE X OCCUR. PERSONAL&ADV.INJURY $ 1, 0 0 0, 0 0 0 OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ 1, 000,000 X PER PROJECT FIRE DAMAGE(Any one fire) $ 100,000 AGGREGATE MED.EXP.(Any one person) $ 5 , 000 ri AUTOMOBILE LIABILITY KK08300368 12/01/96 12/01/97 COMBINED SINGLE X ANY AUTO LIMIT $ 1, 000,000 X ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY X NON—OWNED AUTOS Par accidenq $ GARAGE LIABILITY PROPERTY DAMAGE $ 7j EXCESSUABILITY KK08300368 12/01/96 12/01/97 EACHOCCURRENCE $ 5 , 000/ 000 UMBRELLA FORM AGGREGATE $ 5, 000,000 K. OTHER THAN UMBRELLA FORM B C42251161 12/01/96 12/01/97 STATUTORYUMRS WORKER'S COMPENSATION EACH ACCIDENT $ 500, 000 AND DISEASE—POUCY LIMIT $ 500,000 EMPLOYERS'LIABILITY S00 000 DISEASE—EACH EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS BOARD OF WELD COUNTY COMMISSIONERS (OWNER) , THE ENGINEER AND HIS CONSULTANTS; AND EACH OF THEIR OFFICERS, AGENTS AND EMPLOYEES ARE HEREBY NAMED AS ADDITIONAL INSURED AS RESPECTS TO WLED COUNTY NORTH JAIL COMPLEX CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO BOARD OF WELD COUNTY MAIL_30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE COMM I S S I ONE RS LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 915 10TH STREET LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. GREELEY CO 80631 AUTHORIZED RE ESE VE ACORD,2$S t7190) QI 962291 /09A/6' CERTIFICATE OF INSURANCE 'DAs 02596 ISSUE DATE (MM,.D/YY, ac��ru® n 12/02/96 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE HOLDER.THIS DOES NOT AMEND,EXTEND OR ALTERIFICATE THE COVERAGE AFFORDEDIFICATE BY THE THE LINDEN COMPANY POLICIES BELOW. 2000 SO. COLORADO BLVD COMPANIES AFFORDING COVERAGE DENVER CO 80222-7911 COMPANY A ST. PAUL INSURANCE LETTER COMPANY B COM PR COM CIGNA INSURANCE COMPANY INSURED LETT '-' ROCHE CONSTRUCTORS, INC COMPANY C P.O. BOX 1727 GI mR SREELEY, CO 80632 COMPANY D LETTER COMPANY E LEII'LR COVERAGES INDICATEDCNOTWITHSTANDING ANY REQUIR INSURANCE TERM LISTED OF ANY CONTRACTOOR OTHER DOCUMENT WITH RESPECT POLICY O WH CPERIOD THIS EXCLUSIONS MAY CONDITIONS OF SUCH PERTAIN,THE INSURANCEIII N MAY HAVE BEEN POLICIES DESCRIBED P L.AIMSEIN IS SUBJECT TO ALL THE TERMS, POLICY EFFECTIVE POLICY EXPIRATION UNITS ''O POLICY NUMBER TYPE OF INSURANCE DATE (MM/OD/YY) DATE (MM/DDNY) .TR A GENERAL LIABILITY KK08300368 12/01/96 12/01/97 GENERAL AGGREGATE $ 2 ,000,000 X kOMMERCIAL GENERAL LIABILITY PRODUCTS—COMP/OP AGG. $ 2 , 000,000 �LAIMS MADE X OCCUR. PERSONAL&AOV.INJURY $ 1,0001000 OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ 1,000 ,000 X IPER PROJECT FIRE DAMAGE(Any one ere) $ 100,000 MEO.EXP.(Any one person) $ 5 ,000 AGGREGATE COMBINED SINGLE A AUTOMOBILE LIABILITY KK08300368 12/01/96 12/01/97 $ 1,000, 000 UMIT X ALYAMO BODILY INJURY X ALL OWNED AUTOS (Per person) $ SCHEDULED AUTOS BODILY INJURY X HIRED AUTOS $ (Per eccideM X NON—OWNED AUTOS GARAGE UABIUTY PROPERTY DAMAGE $ EXCESS LIABILITY KK08300368 12/01/96 12/01/97 EACHOCCURRENCE $ 5,000 ,000 AGGREGATE $ 5/000,000 'd UMBRELLA FORM OTHER THAN UMBRELLA FORM C42251161 12/01/96 12/01/97 I sTATUTORYUMIrs g WORKER'S COMPENSATION EACH ACCIDENT $ 500, 000 AND DISEASE—POLICY UMIT $ 500, 000 EMPLOYERS'LIABILITY DISEASE—EACH EMPLOYEE IS 500 ,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS PROJECT: WELD COUNTY NORTH JAIL COMPLEX. IT IS AGREED THAT THE CERT. HOLDER kS OWNERS ARE NAMED AS AN ADDITIONAL INSURED ALONG WITH SUBCONTRACTORS, AS THEIR INTERESTS MAY APPEAR. ADDED TO BLANKET POLICY EFF. 5/7/96 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO BOARD OF WELD COUNTY MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE COMMI S S I ONE RS LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 915 10TH STREET LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHOR! .ENTATIVE GREELEY CO 80631 ION 1990 ACORD 254 t7/00) Hello