HomeMy WebLinkAbout962242.tiff AcipitiP CERTIFICATE OF INSURANCE EN 00259 ISSUE DATE (MM/ D
PRODUCER 11 11/18/9 6
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE
THE LINDEN CO OF NO COLD DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
2900 S COLLEGE, STE 3B COMPANIES AFFORDING COVERAGE
FORT COLLINS CO 80525
COMPANY A EMPLOYERS MUTUAL
LETTER
COMPANY B COLORADO COMPENSATION INS AUTHORITY
INSURED LETTER
KINCAID TREE SURGERY CO. COMPANY C
& GREELEY SPRAY LETTER P. 0. BOX 757 COMPANY D
FT. COLLINS, CO 80522 LETTER
COMPANY
LETTER
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.
POLICY EFFECTIVE POLICY EXPIRATION
TYPE OF INSURANCE POLICY NUMBER LIMITS
_TR RATE (MM/DDM') DATE (MM/DDNY)
2t GENERAL LIABILITY 0X8652097 12/01/96 12/01/97 GENERAL AGGREGATE $ 2 , 000, 000
X COMMERCIAL GENERAL LIABILITY PRODUCTS—COMP/OP AGG, $ 2, 000, 000
kLAIMS MADE X OCCUR. PERSONAL&ADV.INJURY $ 1 0 0 0 0 0 0
`OWNER'SB CONTRACTOR'S PROT. EACH OCCURRENCE $ 1, 000,O 00
FIRE DAMAGE(Any one fire) $ 100, 000
MED.EXP.(Any one person) $ 5 , 000
IA AUTOMOBILELIABILIT' 0X8652097 12/01/96 12/01/97 COMBINED SINGLE
K ANY AUTO LIMIT $ 1, 000, 00d
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS
(Per person) $
HIRED AUTOS BODILY INJURY
NON—OWNED AUTOS
(Per aocltlent) $
GARAGE LIABILITY
PROPERTY DAMAGE
EXCESS LIABILITY
EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM
B WORKER'S COMPENSATION 0343512 10/O 1/9 6 10/01/9 7 I STATUTORY LIMITS
AND EACH ACCIDENT $ 100,000
EMPLOYERS LIABILITY DISEASE—POLICY LIMIT $ 500, 000
OTHER DISFASE—EACH EMPLOYEE $ 100 , 000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO
WELD COUNTY MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
RISK MANAGEMENT LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHA ASENO OBLIGATION OR
P 0 BOX 758 LIABILITY OF ANY KIND UPON THE COMPAN -s• REPRESENTATIVES.
GREELEY CO 80634
' ' AUTHORIZED REPRESENTATIVE ,o.
ACORD;254(7100) 6t,11
962242
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