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Home My WebLink About991617.tiff 1 i r ", First Financial Insurance Company CERTIFICATE OF INSURANCE r e I -1 THIS CERTIFICATE OF INSURANCE IS ISSUED ONLY FOR INFORMATIONAL PURPOSES. IT DOES NOT CONFER ON THE CERTIFICATE HOLDER ANY RIGHTS OR COVERAGES OR REQUIRE OF THE CERTIFICATE HOLDER ANY DUTIES OUTSIDE OF THE POLICY. THE ENTIRE POLICY MUST BE REAIDTyk EULLY TO DETERMINE RIGHTS, DUTIES, AND WHAT IS AND WHAT IS NOT COVERED. INSURED: AUTHORIZED REPRESENTATIVE: HIGHLAND DAY CARE CENTER HERITAGE GENERAL AGENCY, INC. P. 0. BOX 327 3989 E. ARAPAHOE RD., SUITE 200 AULT, CO 80610 LITTLETON, COLORADO 80121 POLICY NUMBER: POLICY EFFECTIVE DATE: POLICY EXPIRATION DATE: F 0251G410640 08/14/99 08/15/99 COVERAGES: THIS IS TO CERTIFY THAT THE POLICY OF INSURANCE LISTED BELOW HAS 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 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICY DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICY. TYPE OF INSURANCE (INDICATED BY X) LIMITS OF INSURANCE GENERAL LIABILITY GENERAL AGGREGATE 8 2,000,000.00 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPS AGGREGATE S EXCLUDED PERSONAL & ADVERTISING INJURY 8 1,000,000.00 *Included in Each Occurrence Limit EACH OCCURRENCE $ 1,000,000.00 FIRE DAMAGE (Any one fire) S 100,000.00 MEDICAL EXPENSE (Any one person) $ 1,000.00 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/SPECIAL ITEMS: RUNATHAN/WALKATHON - FUND RAISER IN AULT, COLORADO, AND ENVIRONS CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED. CERTIFICATE HOLDER: CANCELLATION: WELD COUNTY BY AND THROUGH THE BOARD OF COUNTY SHOULD THE ABOVE DESCRIBED POLICY BE CANCELLED BEFORE THE COMMISSIONERS OF WELD COUNTY, THE WELD COUNTY EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR SHERIFF AND THEIR EMPLOYEES TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER 915 10TH AVENUE NAMED ABOVE, BUT FAILURE TO MAIL SUCH NCRICE SHALL IMPOSE GREELEY, CO 80631 NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. DATE CERTIFICATE ISSUED: 06/29/99 AUTHORIZED REPRESENTATIVE SIGNED Z111-1— BG-C-09 993 ( [1,0i 991617 �,i 7- ACORD IICERTIFICATE OF LIABILITY INSURANCE oei2sii999 PRODUCER (303)824-6600 FAX (303)370-0118 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Moody Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 9 - HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 3773 Cherry Creek North Drive -_ ,-:- _ - - ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 800 {- , - COMPANIES AFFORDING COVERAGE Denver, CO 80209-3804 _ r COMPANY Travelers Indem Co of America Attn: Tammy Engler ' ' 'Ezt: 6635 A INSURED COMPANY Travelers Indem Co of Ill Quality Resurfacing Company _ B 5231 E 78th Avenue R - - COMPANY Colo Comp Ins Authority Commerce City, CO 80022 D COMPANY D 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 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. CO POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR TYPE OF INSURANCE POLICY NUMBER DATE(MMIDD/YY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 2,000,000 CLAIMS MADE X OCCUR DTC0754G6115TIA98 12/01/1998 12/01/1999 PERSONALBADV INJURY I$ 1,000,000 A OWNER'S B CONTRACTOR'S PROT EACH OCCURRENCE. $ 1,000,000 X Per Proj Aggregate : FIRE DAMAGE(Any one fire) $ 100,000 X Blnkt Addl Insrd MED EXP(Any one person) $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ X ANY AUTO 1,000,000 ALL OWNED AUTOS : BODILY INJURY $ (Per person) B SCHEDULED AUTOS OT-810754G6115TIL98 12/01/1998 12/01/1999 X HIRED AUTOS BODILY INJURY $ (Per accident) X NON-OWNED AUTOS PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY EA ACCIDENT :$ _.. .. __.. ANY AUTO OTHER THAN AUTO ONLY'. EACH ACCIDENF $ AGGREGATE $ _... EXCESS LIABILITY EACH OCCURRENCE $ 3,000,000 A X UMBRELLA FORM 0TC0754G6115TIA98 12/01/1998 12/01/1999 AGGREGATE :$ 3,000,000 OTHER THAN UMBRELLA FORM SIR $ 0 WC STATU OTH WORKERS COMPENSATION AND X ARV LIM TS ER EMPLOYERS'LIABILITY EL EACH ACCIDENT $ 100,000 C : 2288480 07/01/1999 07/01/2000 THE PROPRIETOR/ INCL EL DISEASE POI ICY uMIT $ 500,000 PARTNERS/EXECUTIVE OFFICERS ARE EXCL EL DISEASE-EA EMPLOYEE S 100,000 . OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS 411 Operations with respect to work performed by Insured on behalf of Certificate Holder Project: 1999 Rubberized Crack Filling Project Weld County is named as an Additional Insured Nith regard to work performed under the General Liability coverage. t:ERTiFICAtE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Weld County Colorado 915 10th St. OF ANY KIND UPON THE COMPANY.ITS AGENTS OR REPRESENTATIVES. Greeley, CO 80632 AUTHORIZED REPRESENTATIVE S,xy ,V7A'e OnC� Tammy Engler/TLE �J',�a/,('> AC0110264CAI"t . iACORDCORPORATIONINS ) Client# : 35626 MAXIN1 ACORM CERTIFICATE OF LIABILITY INSURANCE 06%29/99 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 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 4687 W. 18th Street Greeley, CO 80632 INSURERS AFFORDING COVERAGE INSURED INSURER A:CNA Insurance Company Hoff Resources, Inc . , DBA: Maxanns - INSURER B: 506 0 Street INSURER C: Greeley, CO 80631 INSURER D: INSURER E: COVERAGES 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 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. AGGREGATE LIMITS SHOWN NAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I POLICY EFFECTIVE POLICY EXPIRATION - LTR TYPE OF INSURANCE POLICY NUMBER I DATE(MM/DD/YY) DATE MAW DD/YY)• LIMITS A GENERAL LIABILITY B181557025 06/09/99 06/09/00 EACH OCCURRENCE $500, 000 X COMMERCIAL GENERAL LIABILITY ARE DAMAGE(Any one the $100 000 I I CLAIMS MADE, Xi OCCUR I MED EXP(Any one person) $5,_000 PERSONAL$ADV INJURY $500, 000 GENERALAGGR!EGATE $1,_000, 000 GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS CONIP/OPAOG $1, 000, 000 POLICY PERO- CT LOG - -- A I AUTOMOBILE LIABILITY B1081557039 06/09/99 06/09/00 COMBINED SINGLE LIMIT I$1 , OOO, O00 X ANY AUTO (Ea accident) 1i 1 , ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ XHIRED AUTOS I BODILY INJURY NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AOG $ EXCESS LIABILITY ]3181557042 06/09/99 06/09/00 EACH OCCURRENCE $1, 000, 0.00 A OCCUR CLAIMS MADE AGGREGATE _--. ..$1, 000, 000_ 1 DEDUCTIBLE +$ XI RETENTION $10000 I $ WCSTATU-I IOTH- WORKERS COMPENSATION AND TORY LIMITS I_EELr EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ E.L.DISEASE-EAEMPLOYE $ E.L.DISEASE-POLICYLIMI $ OTHER DESCRIPTION OF OPERATIONS/LOCATION /VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ADDmoNALINSURED;INSURER LETTER CANCELLATION SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE ETOWATION Weld County DATETHEREOF,THE ISSUING INSURER WILL ENDEAVOR TOMAIL3 O _DAYS WRITTEN P.O. Box 758 NORCETOTHE CERRFICATE HOLDERNAMEDTOTHE LEFT,BUT FAILURE TO DO SO SHALL Greeley, CO 80632 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Rood*- f7etiser" Instaanc.e , -Lnc- ACORD2S-S(7197)1 of 2 #S1 2 07/M132393 CCN O ACORD CORPORATION 1988 C,e7t.6 fix- �/4�99 Hello