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Home My WebLink About740594 sal STATE O� COLORADO ss. • COUNTY 07 WELD ' 'hv Board • C L1 1911-CC)/(c. / of Courty C;o s.lor.2rs FEB 1. TX74 �� 4.49 `,_ CpUSi'!CIERR AND RECORDER AlfCENTRIC CORPORAT Deputy Constructors P.O. Box 14026 (303) 238-0411 Denver, Colorado 80214 STATE OF COLORADO • 1 COUNTY OF WELD aa. li rntii r,_ C-.rk of ih,. ,.ourd of County Comrn.ssicnars February 6, 1974 FEB 1. 1 IJ/4 COULT,CLERK AND MCCOWD.R Board of County Commissioners !By -- -----. Deputy Weld County Courthouse Ninth Avenue & Ninth Street Greeley, Colorado 30631 Re: Weld County Recreation Building Certificate of Insurance Gentlemen: Enclosed please find Certificate of Insurance covering our '.Workmen's Compansation, General and Auto Liability coverage through March I , 1975. Very truly yours, CENTRIC CORPORATION /Cg2-2<-0c-il 71(- CACt Ronald W. Lasley Project Manager RWL/bw Enclosure /175774 740594 / L f f -.- CERTIFICATE OF Ir IURANCE AMERICAN EMPLo%74.RS' INSURANCE COMPANYIA NAME OF INSURANCE COA G705 This certifies to the addressee ,.,own below that Boston, Massachusetts the following described policies, subject to their - ------- — -- — CITY AND STATE terms, conditions and exclusions, have been issued to: o NAME AND ADDRESS CENTRIC CORPORATION, P. O. Box 14026, Edgewater Branch, s OF INSURED Denver, Colorado 8021.4 aa d COVERING (SHOW PROJECT NAME Weld County Recreation Building AND/OR NUMBER AND LOCATION) island Grove Park, Greeley, Colorado a. Addressee O Date January 29, 1974/mew 0 g Weld County Board of County Commissioners LWeld County, Colorado KIND OF INSURANCE POLICY NUMBER Inception Date Expiration Date LIMITS OF LIABILITY 1. (a) Workmen's Comp. $/ / ' / / /Statutory Workmen's Compensation (b) Employers' Liability . 9045-041 3-1-74 3-1-75 $ 100,0000ne Accident and Aggregate Disease 2.Comprehensive $ ------ Each Person —Premises and Operations General Liability C 9045-044 3-1-74i 3-1-75 $ Each Person —Elevators $ Each Person —Independent Contractors Each Person PRODUCTS INCLUDING $ —COMPLETED OPERATIONS (a) Bodily Injury $ Each Person —Contractual Including - - -- __-- -- -- - $ 500,000Each Occurrence— Personal Injury $ 500,000A fe ate g9 g PRODUCTS— INCLUDING COMPLETED OPERATIONS $ lOO,000Each Occurrence—Premises—Operations C 9045-042 3-1-74 3-1-75 $ 100,000Each Occurrence-Elevators $ 100,000 Each Occurrence—Independent Contractors '� (b)Property Damage re c r n o o u CT s I N C L 'uTN $ 100,000EOCh Occurrence—COMPL ETEO OPERATIONS $ 100,000Each Occurrence- Contractual $ 100,000Aggregate — __ - ---- -- -- — OPERATIONS. PROTECTIVE 3. Comprehensive 3174 3-1-75I$ 100,000Aggregate —PRODUCTS AND CONTRACTUAL Automobile liabilityAC 9045— 3-1-74 $ 500,_000 EachPerson — (a)Bodily Injury $ 500,_000EachOccurrence— (b)Property Damage ifl00,000Each keerzk nt Occurrence 4. Excess EC 9045-043 3-1-74 3-1-75 1,000,000 each occurrence Liability 1,000,000 aggregate "NO INSURANCE SHALL BE CANCELLED OR OTHERWI E VOIDED DURING THE CONTRACT PERIOI NOR SHALL ANY INSURANCE BE INVALIDATED SHOULD THE INSURED WAIVE ANY OR ALL RIGHT OF RECOVERY AGAINST ANY PARTY. Please answer the following questions: UNDER GENERAL LIABILITY POLICY OR POLICIES Yes No 1. Does Property Damage Liability Insurance shown include coverage for XC and U hazards? —_X ----- 2. Is Occurrence Basis Coverage provided under Property Damage Liability? --X- -- 3. Is Broad Form Property Damage Coverage provided for this project? _.X- I y 4. Is Personal Injury Coverage Included? - X - - _- a O 5. Is coverage provided for Contractual Liability (Hold Harmless Clause) assumed by insured? X_ - --- - n f r� UNDER AUTOMOBILE LIABILITY POLICY OR POLICIES o X 1. Does coverage shown above apply to non-owned and hired automobiles? — — - — X in 2. Is Occurence Basis Coverage provided under Property Damage Liability? - - - ,,,rn AMERICAN EMPLOYERS' INSURANCE COMPANIZ In the event of cancellation, fifteen (15) NAME INSURAN7 CJq/yPANY - I U days written notice will be given to the By:_ 1_4,,,_ vhn I '^ party to whom this certificate is addressed. AUTHORIZED REPRESENTATIVE let.; Z OWNER ❑ ARCHITECT ❑ CERTIFICATE OF INSURANCE CONTRACTOR ❑ AIA DOC. 0-705 SEPT. 1965 EDITION ONE PAGE FIELD ❑ THE AMERICAN INSTITUTE OF ARCHITECTS PAGE 1 MA® OTHER 1735 NEW YORK AVE., WASHINGTON,0.C.©TOSS Hello