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A/ 1/ltll CERTIFICATE OF INSURANCE 09i01 a
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4821 Wheaton Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P O Box 270370 COMPANIES AFFORDING COVERAGE
Fort Collins, CO 80527 COMPANY
ACNA Insurance Company
INSURED COMPANY
Fisher Mechanical Contractors, BCIGNA
Inc .
COMPANY
2305 W. 9th Street c
Greeley, CO 80631 COMPANY
D
I -.'
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 AE, THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMBS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1',:J
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE OLICY EXPIRATION LIMITS
LTR DATE(MM(MM/DATE(MM/DD/YY)II
A GENERAL LIABILITY B1015682964 08/25/98 08/25/99 GENERAL AGGREGATE $1, 000, 000
X OM CLAIMS L GENERAL LIABILITY
J CLAIMS MADEPRODUCTS-COMP/OPAGG $1, 000, 000 X1 OCCUR PERSONAL$ADV INJURY 600, 000
WNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $500, 000
1-1 FIRE DAMAGE(Any one f Ire)60, 000
MED ESP(Any one person) 6, 000
A AUT
OMOBILE LIABILITY B1015682950 08/25/98 08/25/99 COMBINED SINGLE LIMIT $500, 000
X ANY AUTO
ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY $
NON-OWNED AUTOS (Per accident)
— ---- --- PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
- - - AGGREGATE I$
A EXCESS LIABILITY B1015682978 08/25/98 08/25/99 EACH OCCURRENCE $1, 000, 000
X_ UMBRELLA FORM AGGREGATE $1, 000 , 000
OTHER THAN UMBRELLA FORM ___ $
B WORKERS COMPENSATION AND C42594143 08/25/98 08/25/99 X I STATUTORY LIMITS
EMPLOYERS'LIABILITY I EACH ACCIDENT $100, 000
THE PROPRIETOR/ INCL DISEASE-POLICY LIMIT $500 , 000._
PARTNERS/EXECUTIVE -
OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE $100, 000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Weld County, Colorado EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
1 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
C/O Board of County BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
A
,,, Commissioners P.O. Box 758 OF ANY KIND UPON THE COMPANY, ITS AGEN OR REPRESENTATIVES.
Ix, Greeley, CO 80632 AUTHORIZED REPRESENTATIVE J/
ACUOORD2$.S(3t93)1 oil #M113953 SECT Qrl OCORPORA ON199a'
981701
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