HomeMy WebLinkAbout982425.tiff ACORD CERTIFICATE OF LIABILITY INSURANCE iiazii998
PRODUCER (303)824-6600 FAX (303)370-n0118T THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Moody Insurance Agency, Inc. ".',-f-I: ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
LD CDC(- Tl HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
3773 Cherry Creek North Drive CO' '' 'I^,":'-Csr- ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Suite 800 COMPANIES AFFORDING COVERAGE
Denver, CO 80209-3804 ^ 9 F(' -7 P1 9: 0,OMPANY Travelers Indem Co of America
Attn: Tammy Engler Ext: 6635 A
INSURED CLERK" COMPANY Travelers Indem Co of Ill
Quality Paving Company B
5231 E 78th Avenue TO THE E;C F+r Cc G „m In,. IA-�fiori t
OW'AN p y
Commerce City, CO 80022
C
COM'ANY
r
'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 01 HER 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(M'.A/DDIYY) I,A E:r.IMADDIVY)
GENERAL LIABILITY 3 N E'`,.-AGGREGATE $ 2,000,000
X COMMERCIAL GENERAL LIABILITY RC GI GIG-COMP/OP AGG $ 2,000,000
CLAIMS MADE X OCCUR ER" -NAL&ADV INJURY $ 1,000,000
DTC0754G6115TIA98 12/01/1998 12/0."./1999 ` ,�,,,,,RRENCE $ 1,000,000
OWNER'S 8 CONTRACTOR'S PROT
X per project agg. 1'DAAIGE(Ary one fire) $ 100,000
X blanket add'1 i nsd rnED EX''Any one,erson) $ 5,000
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
X ANY AUTO 1,000,000
ALL OWNED AUTOS BODILY NJURY $
Per pe-on)
B SCHEDULED AUTOS DT-810754G6115T1L98 12/01/1998 12 'J..;'1939
X HIRED AUTOS BODE` 'L'JURY $
Per n�.
X NON OWNED AUTOS , .iLer!)
"nO-FP-i"DAMAGE $
:FIOCMJ'-EAACCIIDENT $
GARAGE LIABILITY - -ANY AUTO OTHER TFIAN A'JTO ONLY.
EACH ACCIDENT$
AGGREGATE $.. _.... _...
EXCESS LIABILITY EACH OCCURRENCE $ 3,000,000
A X UMBRELLA FORM DTC0754G6115TIA98 12/01/1393 .._<. `_,'1P:'9 ;GCR-:;ATE $ 3,000,000
OTHER THAN UMBRELLA FORM SIR $ 0
X. V C S ATU- : OTH-
WORKERS COMPENSATION AND TO•.V LIMITS' ER
EMPLOYERS'LIABILITY E E< H ACCIDENT $ 100,000
C 2288480 07/01/1998 07/01/1999 -
- --
THEPROPRIETOR/ INCL El C EASE-POLICY LIMIT $ 500,000
PARTNERS/EXECUTIVE OFFICERS ARE EXCL EL DISEASE-EA EMPLOYEE $ 100,000
'. ,
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESISPECIAL ITEMS
RE: Weld County 1998 Slurry Seal Project
cER'I'IFiCATE HOLDER CANCELLATION
SHOULD ANY OF THE AB^VE DESCP EED P^L'C!ES 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,
Weld County Colorado
Di rector of General Svcs BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
PO Box 758 Or ANY KIND UP" "', OMPMIY,ITS AGE`:TS OR REPRESENTATIVES.
Greeley, CO 80632
AUTHORIZED REPRESENTATIVE
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982425
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