HomeMy WebLinkAboutHALL IRWIN - INSURANCE CERTIFICATE (3)DE6-24-2003 09:19 AM GAULT, SCOTT
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9706866737 P.01
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ACORN CERTIFICATE TIFICATE OF LIABILITY
INSURANCE
.
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—110-0111101
PRODUCER
Flood A Paterson Ins. Inc.
TWIFC AV A rAATTffR OF INFORMATION
ONLY AND CONFERS NO RIOM UPON THE CERTIFICATE
P. O. Box 57e
4687 W. Sith Street
HOLDER. THIS CERTIFICATE DOSS NOT AMEND. EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Greeley, CO 10032
INSURERS AFFORDING COVERAGE
NAIC S
REC
HALL IRWIk CORPORATION
P.O. BOX 2150
GRCL�LEY, GO 006�2
INSURBRA' Zurich
wsuwa: Pinnscol Assurance
INSURER CI TriYelera InSUEBDCe
i
INSURERD:
041JUR E;
'1el'13L�:L�l4;
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PgrUOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACTOR OTHeR DCGUMENT WITH RESPECT TO WHICH THIS CERTIFIOATE MAY BE ISSUM OR
MAY PERTAIN. THE INSLNWICE AFFMCD BY THE POLICIES DESCRIBED HORN IS SUBJECT TO ALLTHE YER1M5, FXCLUAIONSAND CONDITIONS OF SUCH
POLICIES. AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCED aY PAID CLAIMS.
R
TTFE OF INSURANCE
POLCYNUMBER
MMAW
LENTE
A
GENERALLUeMTY
X COMMERCULLONNPRALLIABLITY
WIMSMADR []OGAUR
CP0975776100
ov011D4
01/01106
SACROCONWNCE
000
NEOExP(MYweol1ldn)
A900000
110 ,000
PER30NAL i A0V M4UAY
It
QENIAMAGaaoATS
0 000
GEN'L AGGREGAT E LMIT APPLIES PAR
POLICY X PRO, LOC
PRODUCTS. CDMPIOPAMO
22,90Q BDQ
A
AuraualILe
)t
x
)L
UARIU?V
ANY AUTO
ALL OWNEDAUTOS
+OJIMUL80AUY01I
InRIDAUTDS
NONCWNEDAUToa
CP037fi778400
01/01/04
01101/09
COMBINED BIN6LE L11R
(95 w0de'4
31,000,000
BODILY INJURY
(PAI Pa,eonl
4
00DILYINJURY
UbIrM I=
1
DnrrBAMAa[
( PLe4l+iel
1
GARAGE LIABILITY
ANY AUTO
AUTO ONLY • [A ACCIDENT
4
gf�, fiA ACC ^" NL N AGG
r
A
INNOUM *M"LIABILITY
X OCCUR ID GLAr,A u W
DEDucnalE
NkIENIIon :
AUC375770200
01101104
01101105
EAOHOCCURRENOE
15 000 000
AUu16UAII.
05,000,000
1
1
B
WORNERSCOMPENSATION AM
RMI L741911 LUBIUTY
ANY�PNOPWETORT iPA EpRNE
E N, il*"A M oft
4021105
01/01/04
01101/05
X °T^�
E,L r,Aul nccmEnT
--
E.L.MEN DISEASE -EA EMPLOYEE
4100
0 000
[,L. OU IANK POLICY LIMIT
500 000
C
OMER Equipment
0788009OX1144TIL04
01101/04
01/01108 j
Blanket Equipment Limit
611,SSB,33r1
Deductible $1.00
owsc uvricK of oPBNnnus I LwAnoNs r YENCLEe I Excu=Na ABwD BY ENDgtfEA1EN1' I srlelAL FNOVE[ane
City of Fort Collins
Engineering Department
P.O, box B50
Fort Wliny, CO $0022-0580
ANY OF rMS ABOVS Descwew POLICIES BS
6410r, TM INOWN0 inewmyaL Mamyc
AT[ NA+E&TOTNE
oR TY OF ANY MO UI
ACORD 25 (2001)00) 1 of 2 178247491/M207U0 ,,.f - �DdIVI e
I NEFORE THE EXPIRATION
30 _ naswwrnN
NLUM TOoo Ia &NAL.
- Imfbl%"QR
DE6-24-2003 09:19 AM GAULT, SCOTT
Uvw AO son u-rNi-Fp rlooa & reTserson ins.
CIIenYIm ill."
9706866737 P.01
la'lul Sub aaea P.1
UAI 10
�ACODM CERTIFICATE OF LIABILITY
INSURANCE °Von
LE z"�
AMR
Flood A Paterson Ins. Inc-
IS I is IIS1UBG AX A R OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P. O. box ore
469T W. 18th Street
HOLDER. THIS CBRTIFICATR MUM NoTAYEND. EXTEND CA
ALTER THE COVERAGE AFFCRD80 BY THE POLICIES BELOW.
Greeley. CO 10032
INSURERS AFFORMNO COVERAGE
NAIC 0
' RN
HALL IRl41N CORPORATION
P.O. BOX 2150
GRL tWEY, 00 110032
INJURERA: Zurich
INBURSN&I Pinnacof Assurance
ER: TrAVelera InSUrB11Ce
INSURC
INSURER :
I VAERa:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 19BUED TO THE INSURED NAMED ABOVE POR THE POLICY PERIOD INDICATED, NOTWITHSTANDING
ANY REQUIREMENT. TOW OR CONDITION OF ANY CONTRACT OR OTTER OOCUMENT WITH RESPECT TO NMICH THIS OVATIFICAT9 MAY 60 MUM OR
MAY PERTAIN. THE INSURANCE AFFORDED BY THE PCLIGISS DESCRISED HEAEIN IS SUBJECT TO ALL THE TEAMS, EXCLUAIONSAND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED SY PND CLAIMS.
TTPT OF INSURAIICE
PUSYNBMBER
pAMKjjjWLIMITS
A
GENERAL LIA[INTY
X WMMERCMLOENOUIUAeuTY
CLAIM&MAL'* 7OCCUR
CP0375770100
011011D4
01/01106
OCOUFAE
EAC++Nce
s .000,000
91 000
MEDPJP(AnY41RPfW)
110.000
PERSONAL 1 ADV PIJ RY
11 00,000
Q[NaAµA001U0A.T111
1200000
CENN'L AOGREOAY E LOOT APPLEA PER
17 POLICY 511P12190FILOC
PR(3=111. COMPNOP AGO
12 Qn 000
A
AUTMCIOLII LIMILOW
X ANY AUTO
ALLOWNEDAUTM
&d!AAN�LBD AUY08
S( 141RSD AUTOS
X NONQWNED AUTO$
CP037s778400
01101J04
01/01106
COMBINES SIheLELWtY
IiP NNEEIdanG
11.000,DD0
1 h 11-y'INNl UflY
1
000ILY IµIURY
IP1r KORaIRI
1
F�tnPenrrDAMAa¢
t KC41M1
1
DARAGawA[IUTY
ANY AUTO
AUTO ONLY• EA ACCIOCNT
S
AnOOT14N EA Acc
AU MY: AGO
1
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A
061MIGNIMIN1EUAUABAJTY
:xj 000UR El UAwA,.Afm
OEOU"10
NtllrnlroH s
AUC376770200
01101104
01101105
MOO
46.22Q.000
n1AA64AM6
05,000,000
1
1
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W0R0R11COMPENBATQN AK
AtlPLOYERpB'iLY1AeINTY
0FP AAAIlM6R�AI WGV7 EIXRNE
tl u, vAON
s
4021105
01/01/04
01101/05
X °TA
E.6EACHACCIOENi
I.L.DISEASE -EA
1100
100 OW
[.L. Du[Aaa • PoucY LalIT
50
C
OTHER Equipment
OT060990X1144TIL04
01/01/04
01101105
Blanket Equipment Limit
S11,SBB,]3tl
OeduOttble 1000
GBaGwPnNrN DP Dnow Rnns N LCCAnONs I vENNret Ne a aacLwaNa ADDPD aY RNDOR&NFIENT I SPECIAL PRav[tlewa
w. N 9APICRII-LATiON
SHOULD ANY OF TIIB ASGVE OESOIbGW POLICIES SS GAI LED IEFGRE THE IX14RATION
City of Port Collins THSRSOA,TRI Wuwo1HS11Ra awlwWaR L 31 _ CAYswwTTEN
Engineering Department Nonce)NOUGA71
aanacAnwe NAM[ TnTwa PANwrs T000aosHAu
P.D. Box 580 IMPOSE DH TY ar ANY Hm0 UPON WGURO L 178 offFort Collins, CO 80522.0580o - ..._...--
Atbt: S6Oti Geult
ACORD 25 (200110e)1 of 2 0826YA91fM287340 — a DRD CORPS lose
•'DEC-24-2003 09:19 AM GAULT, SCOTT
"WW 40 ua u-rla•Ip rlooa a reLerson ins,
9706866737 P.01
ta'lu1 Sub U282 R.I.
CIlen
�aCORa- CERTIFICATE OF LIABILITY
INSURANCE eA""AM1e°"'
12119103
PRODUCER
THIS CERTIFICATE is ISSUED AS A MATTER OF INFORMATION
Flood A Peterson Ins. Inc.
ONLY AND CONFERS NO RIGHTS UPON THE CCRTIFICA71
P. O. Box 070
4687 W.1Eth Street
HOLDER. THIS CERrieICATs DOSS NOT AMEND. EXPEND DA
ALTER THE COVERAGE AFFORDBD BY THE POLICIES BELOW.
Greeley, CO 10632
INSURERS AFFORDING COVERAGE
NAIC 0
INSUREO
HALL IRWIN CORPORATION
P.O. BOX 2150
GREELEY, 00 60032
INSURERA' Zurleh
INst Av III Ptnnecoi Assurance
INSURERti; Trawlers Insurance
INSURER D:
INpURBq E:
THE POLICIES Of INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTwrrWANDING
ANY REQUIREMENT. TOM OR cONDmON OF ANY CONTRACT OR OTHER OOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OA
MAY PERTAIN. THE INSURANCE AFFORCED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS MID CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED aY PAID CLAIMS.
R
TrriaposURmce
POLCYNUMBER
pAWOW
WMne
A
GENEBIILUAV41TY
MERCIAL ORNERA.L LIABUTY
CLAIMS MAM OCCUR
ZCtNL
CP0375776100
0110164
01/01106
WROCCURRENCE
f 000
ME0 UP IAMY 04 Man)
1300,000
f
PERSONAL R AOV INJVRY
01 000 000
06146RALACAWMATS
1'&t "000
GREGAIELMIT APPLIES PAR
�0' LOC
X:r X jig
PRODUrtS-ODPATP AGO
S'� 00000
A
AUTIMMMILA
X
X
X
L1ABIUTY
ANY AUTO
ALL OWNED AUTCa
60.IIAOUL0o AVY08
NIRWAV70e
NON OWNW AUTOS
CP037E776400
0110IJ04
01101105
((GB IIIdE� NBLILMIT
s1,0 CAO
eOUILY IMIUHY
Me pwvon)
f
t70011101RY
IIE0I01
ITFenrrDANAaa
t NerNNI
4
"RAOi LIAwuTM
ANY AUTO
• EAACCOMT
4
AAUTITOggppONLY
AU1100NLYN 4AAC`
OC
i
A
MON&UMLwJ UA LIABILITY
X OCCUR \.LAIMA UAC9
DEDucnaLE
HlIrNIION s
AUC375770200
01101104
01101108
EACHOWURRENOO
s5 000 000
u:ulsunlr
05,000,000
s
f
B
WORHERSWWSNSATIQNAM
ANY PRO R IITORILITY
aN6ER&q�&A RX"WWL7 EWTNE
Y
aPA QAI�neN OO
4021105
01/01/04
01101105
X N' ° ER
MA. EACH ACCIDENT
—.
E.L OISPA9E -EA EMPLOYE
MOM
100 0t5d
e,l, DI—M -POUCYLMIT
100,000
C
OTHER Equipment
OT86099OX1144TIL04
01101104
01101/09
Blenkel Equipment Limit
S91,tS121,325
OedXlatlbie 1000
Ds7Lcwrnum OF OON PIRATIS I LCCAn°NS I VF.MC"o I EXCUMNs AMM BY RNOgt =NT I srielAL rROVlecns
City of Fort Collins
Engineering Department
P.O. Box 580
Fort 0911ine, CO U522-0580
ACORD 25 t2001108! 1 of 2 0828t1491/Nf247340
SHOULD ANY OF THS ABOVE OSSMSED POLICIES Be CA LSO IAFORS THE EXRRATION
1N6Re0P, TIIE FrY
FANY
OShv= L 9n _ OAYEWRITTEN
NATO THE FAILURE TO 0030 SHALL
OP KNO UPON wRRM R, ITS f1YB1it OR
e
1988
DEC-24-2003 09:19 AM GAULT, SCOTT 9706866737 P.01
a0w A U,R u-rL,-rp riooa a reoerson ins4 tutu) bub J282 P.1
Cllen 13730
�ACORD- CIENTIFICATE OF LIABILITY
INSURANCE °"T'° "°°^"YV)
f211Y103
PRODUCER
TNIti CERTIFICATO 3 I5VUW AS A MATTER OF INFORMATION
Flood A Paterson Ins. Inc.
ONLY AND CONFERS NO RIONTB UPON THE 0ERT1MOVE
P. O. Box 573
4897 W. 16th Street
HOLDER. THIS CERTIPICATE DOES NOT AMEND, EXTEND OA
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Greeley, CO 80032
INSURERS AFFORDING COVERAGE
NAIC E
1 RED
HALL IRWIN CORPORATION
P.O. SOX 2150
GACULEY, Op a0532
INSURERA! Zurich
INSUAERB, Pin nacol Assurance
INsuREN C: Travelers Insurance
INauR6RQ.
INSURER E;
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWRHSTANDING
ANY REOUIREMENT. TERM OR CONDITION OF ANYCONTRACT OR OrAGR DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN. THE INSURAWCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ME) CONDITIONS OR GUCN
POLICIES. AGGREGATE UMITS SHOVNM MAY HAVE BEEN REUV:M UY PAID CLAIMS.
x
Trm OPINSURMCE
POLCYNUNBER
0AMEMO
UMmI
A
GENERAL
X COMMERCIALORNELALLIABUTY
CLAIMS IMUE F7X OCCUR
CP037MOloo
01/01/04
0110110E
EACROCCURRENCE
1 0,000
MBD EM(AFY 4A1000n)
t300000
11D
PERSONAL A ADV INJURY
If 000 000
aSNEAALAGORGOATG
12 00 000
GEN'L AGGNEGA( E LEAIT APPLOO PER
POUvOY X PRO LOC
PR0=11-COLOPIOPAGG
22,000,000
A
AUTOMMILEUAEILITV
X
X
X
ANY AUCO
ALL OW NEDAUT03
EC�Ii11ULPU AUT08
WIRED AUTOS
NOWOWNE0 AUTOS
CIP0376779100
01/01/04
01/01105
Ii0 wIdaNED N6LC LtlnT
71,000,�Qp
BDUILY INJURY
(Ph 'neon)
4
000ILY INJURY
IPV MUSIC)
1
P�tcPenrroAMAa¢
( KCKN^II
1
"MOELIARIUTY
ANY AUTO
AUTO ONLY • EA ACCIDENT
4
��. �NygE CA ACC
'^' "I� N AOG
1
4
A
aMCUSAIMV&L1AUAawTY
X OCCUR Q I:LAIMA eAM
OECUCYIgLE
Rk11NIIVN t
AUC375778200
01101104
01101105
FACH=UftR6NCE
161000,000
A;:Ia unU
05,000.000
1
t
B
WORE@RE GOMPENeATgN ANp
ANYPROPRI yABIUITY
OO"KeIMMUMPA PX"V990 EWTNE
YU �d�� �«
P
4021105
01/01/04
01101/05
X lawyilo
B.L. EACH ACCIUMT
E.L.S
L OISFA'JE -PA EMPLOYE
1100 000
1 OD DDD
E,I. DISEASE • P()UCYLMR
50O QOO
C
°THEN Equipment
OT000980X1144TIL04
01101/04
01/01/06
Blanket Equipment Limit
$11167A,335
Deductible 1 M
DtwFupnONCFOPERATIONS1LOCATION$Ivr.mLGB/EXCLIE mAmm BYENDORSOMENT1SPECIALFROVTYIONO
City of Fort Collins
Engineering 09partmsnt
P.O. Box 580
Fort Golpns, CO 80522.0580
ACORD 25 (2MI00) 1 of 2 982974911N12VU0
IMOVLD ANY OF THE AeOYE OESMOW POUNOW BB O
EATS T146R90t. TNI INUINa INMIRIOU"L MDUVM
CRRT�I1M'ATE NG NAM STO THE LSF
IGATIu[I OR TY OP ANY ITINO UPEW
e
U7 EBFORE THE EXPIRATION
3D _ MAY& WRITTEN
FAILURE TOM Eo &HALL