The URL can be used to link to this page

Browse Search

Home My WebLink About990045.tiff S DATE(MM/DD/VV) ACORD CERTIFICATE OF LIABILITY 1NSURANCEI De�`1 01/ • 07/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Benner Smith Ins Agency Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 4812 South College Ave ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins CO 80525 COMPANIES AFFORDING COVERAGE Jeryl L. Benner, President COMPANY PnoneNo. 970-223-4744 FaxNo. 970-223-0891 A Valley Forge INSURED _ COMPANY ... . . .... .... B Federal Insurance Company Ward Construction COMPANY - -. Franklin Ward C Continental Casualty P.01:2 8'ox 265 I COMPANY ... - Loveland CO 80539 D National Fire Ins. Co. 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DDNY) DATE(MM/DONY) GENERAL LIABILITY GENERAL AGGREGATE I $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY Cl 23424677 01/01/99 01/01/00 PRODUCTS-COMP/OPAGG $ 1,000,000 CLAIMS MADE X OCCUR PERSONAL BADV INJURY $ 1,000,000 OWNER'S B CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000',000 I FIRE DAMAGE(Any one fire) $ 50,000 MED EXP(Any one person) $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 C X ANY AUTO Cl 23424680 01/01/99 01/01/00 ALL OWNED AUTOS . - - BODILY INJURY SCHEDULED AUTOS I (Per Person) X j HIRED AUTOS . BODILY INJURY X NON-OWNED AUTOS -' (Per aecitlent) $ I PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT I $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $2,000,000 B X UMBRELLA FORM 79428343 01/01/99 01/01/00 AGGREGATE $2,000,000 OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND I TORT LIMIT$ I OER EMPLOYERS'LIABILITY EL.EACFLACCIDENT $ 50-0,000. D j THE PROPRIETOR/ 1 INCL WCC 1 23424694 01/01/99 01/01/00 EL DISEASE-POLICY LIMIT $ 500,000 OAFTNERS/EXECUTIVE OFFICERSARE: EXCL EL DISEASE-EA EMPLOYEE I $ 500,000 PART OTHER it DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS FAX: 970-352-2868 CER`rIrlCATE HOLDER CANCELLATION WELDCOU SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL MR. DON SOMMER 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, WELD COUNTY ENGINEERING DEPT BUT FAILURE NOTICES L IMPOSE NO OB ION OR LIABILITY 933 N 11TH AVE ��777777 GREELEY CO 80631 OF ANY KIND THE CO ANY,IT ENTS OR REPR TIVES. AUTHORIZED REPRESENup Aid Jeryl L. Benner e - ACORD 25-5(1i95) • 990045 6//025/99 ,/630_0K AcORb iF.,y r ✓I yq i E Y p ® >l.3 s �t aY✓'rL+'iP� Ltd'"ra �' L i h,, DATE(MMIDONY) PRODUCER (303)939-9921 FAX (303)939-9926 • ICATE 1 • • R INFORMATION Moody-Herbert Insurance Agency, Inc. NLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 9 y r . HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 275 South Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 208 COMPANIES AFFORDING COVERAGE Longmont, CO 80501 COMPANY Colorado Comp Ins Authority Attn: Ext: A INSURED COMPANY Nixcavating, Inc. Scott Nix g P 0 Box 2232 Longmont, CO 80501 CO MANY COMPANY D 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DDNY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ CLAIMS MADE OCCUR PERSONAL&ADV INJURY j $ OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE ` $ FIRE DAMAGE(Any one five) $ MED EXP(Any one person) I$ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ` $ --I, ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ .._.. _.. ._...._. PROPERTY DAMAGE $ GARAGE LIABILITY AUTOONLY-EA ACCIDENT . $ OTHER THAN AUTO ONLY: f� ,ax�r+ t+�% '', EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY ,. EACH OCCURRENCE I $ �', UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM I $ wile UM IT WORKERS COMPENSATION AND '. ',TORY LIMITS EMPLOYERS'-LIABILITYs EL EACH ACCIDENT $ A 2113100 01/01/1999 01/01/2000 G THE PROPRIETOR/ INCL EL DISEASE 500 POLICY LIMIT $ 500,00 000 OFFICERS ERS/EXECUTIVE -- —'-- I OFFIC ARE: EXCL, EL DISEASE-EA EMPLOYEE $ IA.) OOO OTHER ',. DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS 411 Operations/All Locations SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION OATS THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Weld County Office of Public Works BUT FAILURE TO MAIL SUCH NOT CE SHALL IMPOSE NO OBLIGATION OR LIABILITY P. 0. Box 758 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. Greeley, CO 80632 AUTHD NTATIVE / k e •+� ^=A^ -oa4/ (Lin,/ Qa2 dd d/15/99 Hello