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Home My WebLink About960692.tiff ACOIci Issue Date: Certificate of Insurance March 29, 1996 Producer: THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS W Wills Corroon Corporation of Minnesota NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT 200 South Sixth Street, Suite 1600 AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Minneapolis, MN 55402-1436 Contact: Corry Orvis 612-333-3182 Insured: COMPANIES AFFORDING COVERAGE Park Construction Company Company Letter A Reliance Insurance Company Attn: Marie McLaughlin Company Letter B Westchester Fire Ins. Co./Tri_9ity Brakeraga,.lwtlicago 5802 Franklin, Suite 107 Company Letter C Continental Insurance Company (MOAO) : Denver, CO 80216 Company Letter D -1 rn Company Letter E T 7 7 Coverages THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD l'INDICATEECATWITI4SANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY P€RTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE- REDUCED BY PAID CLAIMS. CO Policy Policy LTR Type of Insurance Policy Number Effective Expiration Limits Date Date General Liability General Aggregate $ 2,000,000 Products-Comp Ops Agg. $ 1,000,000 A ©Commercial General Liability VQ855533401 4-1-96 4-1-97 Personal&Adv. Injury $ 1,000,000 0 Claims Made El Occur. Each Occurrence $ 1,000,000 ❑ Owner's&Contractor's Prot Fire Damage(any One Fire) $ 50,000 ❑ Med. Expense(Any one Person) $ 5,000 Automobile Liability Combined Single Limit $ 1,000,000 El Any Auto 0 All Owned Autos Bodily Injury(Per Person) $ 0 Scheduled Autos VQ855533501 4-1-96 4-1-97 A ❑x Hired Autos Bodily Injury(Per Accident) $ © Non-Owned Autos ❑ Garage Liability Property Damage $ Excess Liability Each Occurrence $ 20,000,000 B ® Umbrella Form CUA102815-0 4-1-96 4-1-97 Aggregate $ 20,000,000 ❑ Other than Umbrella Form �.' .. CO Statutory Limits Worker's Compensation WD855533301 4-1-96 4-1-97 Each Accident $ 500,000 A and Disease-Policy Limit $ 500,000 Employers' Liability Disease-Each Employee $ 500,000 Other "All-Risk" Coverage including Flood &Quake C Builders' Risk Policy to be assigned 1-8-96 1-8-97 Limit $6,170,000 Deductible: $5,000 Lon: Fort Lupton/Hudson Water Treatment Plant DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Project:Fort Lupton/Hudson Water Treatment Plant(Black&Veatch#27324.421) It is hereby agreed that the Town of Hudson,Owner,Contractor,and Engineer are included as Additional Insureds under the General Liability,Automobile Liability,Builders Risk and Excess Liability policies as respects their interest may apply. Insurance Provided the Additional insured under the above policies shall be primary and not excess over other valid,applicable and collectible insurance in force for the Owner. Waiver of subrogation applies to the above General Liability,Automobile Liability, Excess Liability and Builders'Risk policies against Owner, Engineer,the Town of Hudson,and their respective officers,directors,partners,employees and agents. Policies contain Cross Liability or severability of interest clause. CERTIFICATE HOLDER CANCELLATION Weld County, Colorado, do The Board of County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Commissioners of the County of Weld EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT 915 Tenth St. FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF Greeley, CO 80631 ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRFESENTATIVES. AUTHORIZED REPRESENTATIVE EA m40 t4-/o8/q /r f ' 1 960692 ACORD 25-S(7/90) parkdvbr.dot Hello