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CERTFICATE NUMBER:
MARSH &MCLENNAN, INC. CERTIFICATE OF INSURANCE I+KL # 19414
PRODUCER (- I I Pr,' ' ' 14 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Marsh & McLennan, Yncot¢ora ted NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN
Suite 4000 THE POLICY. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE
1000 Louisiana COVERAGE AFFORDED BY THE POLICIES LISTED HEREIN.
Houston, TX !7.11)021 .. 1!: 4? COMPANIES AFFORDING COVERAGE
CLEF-..a
(-L,_, COMPANY
LETTER A HARTFORD CASUALTY INS CO
'I )
INSURED COMPANY B HARTFORD ACCIDENT & INDEM. CO.
PanEnergy Field Services, Inc. LETTER
a subsidiary of PanEnergy Corp COMPANY C HARTFORD INSURANCE CO OF MW
370 17th Street, Suite 900 LETTER
Denver, CO 80202
COMPANY D
LETTER
CQYERA&ES
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY
BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES LISTED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS
OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE(MM/DD/YY) DATE(MM/DD/YY)
GENERAL IIABMITY GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABIUTY PRODUCTS-COMP/OP AGG $
0 CLAIMS MADEnOCCUR. PERSONAL&ADV INJURY $
OWNER'S CONTRACTOR'S PROT. EACH OCCURRENCE $
FIRE DAMAGE(Any one fire) $
MED.EXPENSE(Any one person) $
A AUTOMOBILEUIBETY 37CSED52070E (TX) 7/01/97 7/01/98 COMBINED SINE UMIT $ 1000000
B ANY AUTO 37MCPD52071E (MA) 7/01/97 7/01/98
B x ALL OWNED AUTOS 37CSED52068E (A/O) 7/01/97 7/01/98 BODILY INJURY(Per person) $
SCHEDULED AUTOS BODILY INJURY(Per accident) $
x HIRED AUTOS
x NON-OWNED AUTOS PROPERTY DAMAGE $
GARAGE LIABUTY $
AUTO ONLY-EA ACCIDENT
.................................
ANY AUTO
OTHER THAN AUTO ONLY ......i._._.
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM
C WORKERS'COMPENSATION AND 37 WND52066E 7/01/97 7/01/98 STATUTORYUMTS X 1......_........;_.__. ".
EMPLOYERS LIABILITY EACH ACCIDENT $ 2000000
DISEASE-POLICY UMR $ 2000000
DISEASE-EACH EMPLOYEE $ 2000000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
Certificate Holder is included as additional Insured(except as respects all
coverage afforded by the WC policy) as required by written contract, but
only for liability arising out of the operations of the Named Insured.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE POLICIES LISTED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE
Weld County, Colorado c/o the THEREOF,THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
Board of County Commissioners NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE
of the Count of Weld SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER AFFORDING
YCOVERAGE, ITS AGENTS OR REPRESENTATIV SU HIS CFflTIFICATE.
� I9 Tenth Street
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i )./144
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