Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutE AND L LEGG CHUCK HOFFMAN FULLER BIVENS STEELY - INSURANCE CERTIFICATETHE LINDEN COMPANY 9702291398 03/05 '98 14:42 NO 473 02/02
ac &D CERTIFI TE OF LIABILITY INSU NC WIpp d 23/0O/9
IIiTYx 1 03/05/98
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MArTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
The Linden Co. of Northern Co.
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2900 South College AVenue-438
i ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
Port Collins CO 80525
COMPANIES AFFORDING COVERAGE _
1 Michael D. Pierce
COMPANY
PNOH.No 970-229-9304 Fu NO 970-229-1398
A IbvI*yers EEutual
INSURED
---'-�-
COMPANY
B C.0 Z.A.
Vaney Trucking, Inc. Dba
71.A11
Duane V.1ney Trucking
C
2507 Breokhill AdIt.
Collins CO BOS24
�p
COVERAGES
THIS LS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO -HE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTMTMETANDINO ANY REOUIREMENT TERM OR
CONDITION OF 1VJYCO14TRAUF OR CYHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES OESCRZED HEREIN 19 SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LASTS SHOWN MAY HXWE BEEN REDUCED BY PA,D CLAIMS
TYPE W INSURANC! POLICY NUMBCS
LYRIC^
POLICY EFFECTIVE :POLICY EXPIRATION
LIMITS
'
- i
DATE(MMIOW") I DATE(NNDOYYl
QENERAL LIABILITY
-
—^
GENERAL AGGREGATE
8 1000000
�I Ail
X' CWWACA�GENERAL UABIUT�
OX6104898
09/14/97
09/14/96
' PRoartrs COMP� .WO
_
t 1000000_
CLAIMS MADE X I C=_ IN
I
pET1�YLAl A ADV INJURY
�FACW
q 1000600
OWNER94COMNACTOR'9 PigT
CLL.LAIRENCE
ISY 000_
_
PMAGE (Any M.Mn
MCC EXP LA, am anon)
$50000
$ 5000
A
�AUTO/AOBµE IUeKITY
$ZANY AJTO
OX8104698
09/14/97
09/14/981
I'll ILE LIMP
E 1,000,000
ALL auNED AW05
h
—�-
I BODRY INJLARY
it scHEWL[D AUFOs
(Pawnan)
_
HIREOAUWS
NONdANEDAUrOB
-�
� 90DLY IN.ASRY
(PM APCd.-V J
PROPERTY DAMAGE
S
III GARAGE LIABILITY
�"1
�I�I
I
I
AU 'O ONLY FA ACCIDENT
S
ANY AUTO--
OMER THAA AUTO ONLY
j EACW
^
- _--
ACCAEM
j AGGREGATE
$
S
LEXCESS LIABILITY
—,
EACH OCCURRENCE
S —_
F UMSRSL'_A FORM
I
FAGGREGATE
ii ---
OTHER THAN UMBREI LA FORM
-�— ---
S -
�YWTLKERSCOMPENBATIONAND
EIOLOYERS' LIABILITY
A !f
.-�MIEt EH
F^t
THE PROPRILSORI 1 -47L 1963162
0 7/01/97
El EACH ACCIDENT
�EL
41 S 100000
`s
PARTNERSwmcUTIvE L_
07/01/90
DISEASE PDL IcY UMn
f
_ SOOODO
OFFICERS ARE EACL
L"^'---^-
EL DISEASE EA EMPLOYEE
S 100000
OTHER
r
A
PHYSICAL DANAGE I099104890
09/14/97
09/24/98
SEE AZLW SEE SAELON
DESCRIPt1p0M�CyF�'�7RATgNBgQCATIWIYNEMICLEWEREG(S ITEMS
H87Y+D$TH ISNiIIN�D
III B O MITHNRE9PECTS '1'DTI'TFI$S 8�.idOR DDi2'C1181
NORl(
ADDIONAL INSURED
DCAVU
IN�9VR TIIi
ICIERTIFICATE MOLDER
CANCEL LA MW
FORT-23
SHUULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EAPIRATNRJ PATH THEREOF THE KKW WO COMPANY KRLL EbOEAVd1 To MVL
CITY OF FORT COLLINS
- -DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
PURCHASING DEPARTNBNT
BUT FAILURE TO MAIL. SUCH NOTICE SHALL WHOSE NO R&IOAtION OR UAIS1,1Y
256 N MOUNTAIN AYE.
OFAMYKNoVFONTNECCMPANY I1fBA0EKTB DR
ITT COLLINS Co BOS22
AVTILORBffi REPKEBETITAIN[
�sl_
Michael D Pierce