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HomeMy WebLinkAboutHALL IRWIN - INSURANCE CERTIFICATE (3)DE6-24-2003 09:19 AM GAULT, SCOTT "ww Ao Uu WTI l-9pr rlooa 6 reLer50r1 1r14• CllantS. 197w 9706866737 P.01 Ia-lu1 Sub U262 R.I. HAI lE ACORN CERTIFICATE TIFICATE OF LIABILITY INSURANCE . z; obQMYY) —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 E A 061MIGNIMIN1EUAUABAJTY :xj 000UR El UAwA,.Afm OEOU"10 NtllrnlroH s AUC376770200 01101104 01101105 MOO 46.22Q.000 n1AA64AM6 05,000,000 1 1 B 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