HomeMy WebLinkAbout971793.tiff MARSH A MCLENNAN,INC. CERTIFICATE OF INSURAN g CE CERnFiCallNUMeat
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PRODUCER
THIS CERTIFICATE is ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Marsh & McLennan, Incorporated NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN
Suite 4000 THE POLICY. THIS CERTIFICATE DOES NOT AMEND,errem,OR ALTER THE
1000 Louisiana COVERAGE AFFORDED BY THE POLICIES LISTED HEREIN,
Houston, TX 77002 COMPANIES AFFORDING COVERAGE
mwpr A HARTFORD CASUALTY INS CO
ROWED
COMPANY B HARTFORD ACCIDENT & INDEM. CO.
PanEnergy Field Services, Inc. LET1ER
a subsidiary of PanEnergy Corp
COMP
370 17th Street, Suite 900 LEum ANY
C HARTFORD INSURANCE CO OF MW
Denver, CO 80202
COMPANY rt
LETTER
VflAG
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY
BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES LISTED HEREIN IS SUBJECT TO ALL THE TERMS,CONDITIONS AND EXCLUSIONS
OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
c0 1
LTRI TYPE OF INSURANCE POLICY PlUIABER PCUCY EFFECTIVE PCUCY OPIRATICN
(SITS
DATE PNA/DDPA1 DATE M issmoirn
TIM WARM (XI'ERM.
GENERAL AGGREGATE $
TCOMMERCIAL GENERAL UABLfTY
PR Ool A-TS-COMP/OP AGO $
--
r=
Li CLAIMS MADEEOCCUR
PERSONAL&ADV INJURY $
__.
OWNER S CONTRACTOR'S('ROT.
EACH OCCURRENCE $
FIRE DAMAGE(Any one AnI) $
MED. Any one Person) $
A AUTOMOBLE UABLTY 37CSED52070E (TX) 7/01/97 7/01/98
B ANY AUTO 37MCPD52071E (MA) 7/01/97 7/01/98 COMBINED SINGLE UMIT $ 1000000
B x AIL OWNED AUTOS 37C5ED52068E (A/O) 7/01/97 7/01/98 KetrircuRyipe,p...) $
r--'
SCHEDULED AUTOS
GODLY INJURY(P.r accident) $
x HIRED AUTOS
X NON-OWNED AUTOS
PROPERTY DAMACE $
GARAGE umanv
AUTO ONLY-EA ACCIDENT $
ANY AUTO
,--
OTHER THAN AUTO ONLY
EACH ACCIDENT $
..--
AGGREGATE $
ExcEss9sury
EACH OCCURRENCE $
UMBRELLA FORM
AGGREGATE $
C-- OTHER THANILIDEFIRIA FORM
d— wcammemeq410nno 37 WND52066E 7/01/97 7/01/98 STATUTORY UNITS X
CEMPUMUMUMUN
..--
EACH ACCIDENT $ 2000000
C.M•SE POUCY UNIT $ 2000000
DISEASE EACH EMPLOYEE $ 2000000
.„,
DESORPTION OF CPERATIONS/LOCATIONS/VEHICLES/SFECIN.ITEMS
Certificate Holder is included as additional Insured(except as respects all
coverage afforded by the WC policy) as required by written contract, but
only for liability arising out of the operations of the Named Insured.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE POLICIES LISTED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE
Weld County, Colorado c/o the THEREOF,THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
Board of County Commissioners NOTICE jilD*111ENICjEru-ATeH
OBLIGATION-- - gliiDLTBPItUtgEHEREIPK4I,NBErUZ:LTIHREE TZITIEBSAFjCFORI AFFORDING
NOTICE
of the County of Weld ANY
COVERAGE,ITS AGENTS OR REPRESENTATItTflTHCPTIFICATE
915 Tenth Street
Oreely, CO 80631 MARSH&MCLENNAN,INCORPORATED
BY
ANSI (1/95) MOM . 6/30/97
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