HomeMy WebLinkAbout107125 BIVENS TRUCKING & EXCAVATING INC - INSURANCE CERTIFICATE (2)FROM SKIES WEST INS AGCY, IN PHONE NO 970 223 3236 Apr 09 2002 05'50PM Pi
A ORD„ CERTIFICATE OF LIABILITY
INSURANCE 2/13/2002
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
SKIES WEST INS AGENCY INC
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2601 SOUTH L&NAY 430
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
FORT COLLINS, CO
80525
INSURERS AFFORDING COVERAGE
INSURED
INSURER A ALLIED IFD GROUP
HIVENS TRUCKING E, EXCAVATING, INC
INSURERS NORTHLAND INS CO
3900 IDEAL, DRIVE
INSURER -.-- — - --
INSURERD
SORT COLLINS Co 80524-
INSURER E
PnVFOAOMFR
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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR
MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS _
wSA TYPE Of INSUMNCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
GENERALLNBIUTY
EACHOCCURRENCE
S 1, ODD, DD
s 50,000
A
®I COMMERGALGENERAL LIABILITY
CLAIMS MADE ®OCCUR
GLO 7560061335
06-20-2001
06-20-2002
IRE DAMAGE none 6/e1
XIEO EXP (Any o,ro I
E S,000
S I,OOD,DOD
❑
f EAEONAL B ADV INJURY
S 2,000,000
❑
IENERALAGGRELATE
PRODUCTS COMPIOP AGO
S 2,000,000
_
GEN L AGGREGATE LIMIT APPLIES PER
POLICY ICJ PRO
LOC
--
AUTOMOBILE
❑
7
LIABILITY
ANY AUTO
(OMtlAED SINGLE LIMIT
(=a am. )
S 1,000,000
BOOILYINJVRY
(Par P.HCA) _
_
B
❑
ALL DINNED AUTOS
SCHEDULEDAUTO6
TN 233790
03-16-2001
03-16-2002
$
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S
S
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GARAGE LIABILITY
AUTOONLY EAACCIDENT $
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IACH OCCURRENCE
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❑ OCCUR CLAIMS MADE
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S
❑ DEDVCTIDLE
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_
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NgRRERSCOMPENSATIONAND
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EMPLOYERS LIABILITY
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S
IC l D166ASE 6A EMPLOYE
S _
—
EL DISEASE -POLICY LIMIT
Is
OTHER
OFJORN'TIOM OF OPERATION&LOCATIONS/VEHICLMMCLUSIONS ADDED BY ENDORSEMENTISPELIAL PROVISIONS
PFCTIFWATF NOI DFR I(11 .,.,.,T,,..... —.— ....see, eTmP CANCEL I ATION
SHUVLO ANY OR THE ABOVE DESCRIBED POLICIES BE CANCRLLED BEFORE THE EXPIRATION
CITY OF FT COLLINS
010
PURCHASING DIVISION
DATE THEREOF TNEISSUwO wsuRFR NLLL ENOFAYOR TO MALL — OAVSWRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SMALL
P O BOX 580
IMPOSE ND OBLIGATION OR L"ILITY OF MY UPON THEIMSVRER. ITS AGENTS OR
FORT COLLINS CO 80522-0500
A RESENTATIVES
AUTOO EO E6ENTATIVE
ACORD 26S (7187) l \ m ACORD CORPORATION 1S88