HomeMy WebLinkAbout971797.tiff ACORP. 'CERTIFICATEMl / R + DAJ(
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PRODUCER 44752 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Willis Cor roon Corporation of Maryl and ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
10 North Park Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Hunt Valley MD 21030 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
(410) 527-1200 COMPANIES AFFORDING COVERAGE
COMPANY Indemnity Insurance Company of Nor th Fyne r Lc+
Janene R. SheckeIls A ---- '"
INSURED COMPANY Pacific Employers Insurance Company
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COMPANY In )
Western Mobile Denver, Inc. C
1400 W. 64th Avenue I "
Denver CO 80221-2425 COMPANY
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COVER AGE9 ": " is REPORTED A5 ( 15 4VL 1997
T
THISISTOCERTIFYTHAT THEPOLICIESOFINSURANCELISTEDBELOWHAVEBEENISSUED TO THEINSUREDNAMED ABOVEFOR THEPOLICYPERIOD
INDICATED,NOTWITHSTANDINGANYREOUIREMENT,TERMORCONDITIONOFANYCONTRACTOROTHERDOCUMENT WITHRESPECTTOWHICHTHIs
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 rPOLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDIVY) DATE(MMIDDNY)
A GENERAL LIABILITY HD0G18969051 15-JUL-1997 15-.1UL-1998 'GENERAL AGGREGATE I$ 2,000,3001
X 1 COMMERCIAL GENERAL LIABILITY : PRODUCTS•COMP/OP AGG $ 2,000,0001
CLAIMS MADE X OCCUR
- [-PERSONAL a ADV INJURY$ 1,000,000
X OWNERS &CONTRACTORS PROT EACH OCCURRENCE I$ 1,000,000'
-- FIRE DAMAGE (Any one fire) $ 1,000,000i
— MED EXP (Any one person) 5,0001
A AUTOMOBILE LIABILITY ISAH07133364 15-JUL-1997 15-JUL-1998 ('COMBINED SINGLE LIMIT $ 1,000,Oon'•
X ANY AUTO ! � - --
ALL OWNED AUTOS H BODILY INJURY I$
(Per person)
SCHEDULED AUTOS ---- -
X HIRED AUTOS BODILY INJURY I$
I(Per accident)
_..X I I _..- —_
NON-OWNED AUTOS
II
1 PROPERTY DAMAGE $
GARAGE LIABILITY 1 AUTO ONLY • EA ACCIDENT I$
ANY AUTO OTHER THAN AUTO ONLY
EACH ACCIDENT $
Ir
AGGREGAA TE IS
EXCESS LIABILITY I EACH OCCURRENCE $
UMBRELLA FORM ,AGGREGATE $
OTHER THAN UMBRELLA FORM 1$ I
WC STATU IOTH:
B WORKERS COMPENSATION NAND WLRC42386078 15-JUL-1997 15-JUL-1998 LX TORY__LIMHS . _€a _I
EMPLOYERS'LIABILITY EL EACH ALCIDENI $ 1,000,000I
THE
ETOR/ INCL EL
OFFSR RE ECUTIVE EXCL EL DISEASE-EA L EC1
EMPLOYEE $ 1,000 000.
ICER
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESISPECIAL ITEMS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOG -
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO M,+:_
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
Board of Weld County Commissioners BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
915 10th Street OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
Greeley CO 80632 AUTHORIZED REPRESENTAr%
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ACORD 25.5(1/95) WESATOE ® AC
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kit a /77 971797
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