HomeMy WebLinkAbout952149.tiff A/D11II11® CERTIFICATE OF INSURANCE ' o9i(Mo�5
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Ins . Inc . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P. O. BOX 578 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
4687 W. 18th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Greeley, CO 80632 COMPANIES AFFORDING COVERAGE
COMPANY
AAetna Casualty & Surety Company
INSURED
Rinehart Construction Company, ICO BANY
Inc .
Chase Rinehart dba COMPANY .1.
14742 WCR #64 �+
Greeley, CO 80631 COMPANY In 7
COVERAGES r�L�xy�_� ly p
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOOB FOI 4E PO�ERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT SPECT TOE THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS CT lA ALL r ERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I:1 I
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ITS
LTR DATE(MM/DD/YY) DATE(MM/DD/YY)
A GENERAL LIABILITY ACM24782978 04/12/95 04/12/96 GENERAL AGGREGATE $1, 000, Q00
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPAGG$1, 000, 000
CLAIMS MADE X OCCUR PERSONAL&ADV INJURY $500, 000
OWNERS&CONTRACTORS PROT EACH OCCURRENCE $500, 000
X PD Ded: 250 FIRE DAMAGE(Any onefire)$lOO, 000
MED EXP(Any one person) $5, 000
A AUTOMOBILE LIABILITY ACM24782978 04/12/95 04/12/96 COMBINED SINGLE LIMIT $500, 000
X ANY AUTO
ALL OWNED AUTOS N,
BODILY INJURY
SCHEDULED AUTOS (Per person)
HIRED AUTOS -
BODILY INJURY $
NON-OWNED AUTOS (Per accident)
[PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ZANY AUTO OTHER THAN AUTO ONLY _
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM L AGGREGATE $
OTHER THAN UMBRELLA FORMI $
WORKERS COMPENSATION AND STATUTORY LIMITS
EMPLOYERS'LIABILITY
EACH ACCIDENT
THE PROPRIETOR/ INCL DISEASE-POLICY LIMIT $
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE $
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Weld County EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
915 10th Street T I) DAYSWRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Greeley, CO 80631 BUT FAILURE TO MAIL SUCH NOTICE LL IMPOSE NO OBLIGATION OR LIABILITY
Attention: Ron Everitt OF ANY 0 WON THE CO ANY, ITS S OR ESENTATIVES.
AUTHORIZED
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