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Home My WebLink AboutWRIGHT BALLARD CONSTRUCTION - INSURANCE CERTIFICATE (6)FROM :RINGKJOB AGENCY FAX NO. :9702231279 Dec. 19 2003 12:27PM P2 lnsured's N me and Address Wright Bd and Construction, Inc 6821 Aare i Drive Fort Coliir a, CO 80521 CERTIFICATE OF UASILJTY INSURANCE American Family Insurance Company Q American Family Mutual Insurance Company if seledion box is not checked. 6000 American Pky Madison, Wisconsin 53763-0001 Agent's Name, Address and phone Number (Agt./Dist.) Lesa Ringkjob 375 E. Horsetooth Bldg 6 Ste. 100 Ft. Collins, CO 80525 This eertifi ate is issued as a matter of information only and corrfers no rights upon the certificate Holder This certifi ate does not amend, extend or alter the coverage afteded by the policies listed below. COV ERAC ES This is to een Vial pdicies of Irrsuranoa Reled bclaw have bean issued to tha instired nomad abwa to Ne pD0QY Carratl urdir trial. nolwltlretanrGng . ry requaer i term u MnVition of any wntm" or other OMPI' a Will 'eV= W whlon this C8116 alb May be "Ifild Of Moir pertain, the Muni afkakid by pia pal' 'aeon descdbed nareie is sW*Ct to all the leans. oxcuaons, and Conditions of ii polities. POLICY TYPE OF I VSURANCE POLICY NUMBER FFECHVE EX Ip 710N LIMUS OF LIABILITY Flomeown +rai edr@ly Injury antl ropeny Darrwpe Mobileho, leowners Liability Each Cownenca g Boatowne a Liability eaauy Inlwy and PropOny Damage . Each Occurrence 5 ,000 Personal 1,mbretla Liability eomty INuy and Proparty Damage Gaon(lootmrunca $ 1000 Farm/Ran- h Liability pa,anai uebthy Eseh OccurPS& occurrence rence $ .000 Falrn Employers UeNl;N �— Gaon ocwnencn $ 000 %tatvtory •aA�ewi.a,ear< Workers C xttpensatlon and Employer} Liability t 05-X34845-Sl-00 02/18/2003 02/18/2004 EaehAetloenl $ 100,000 Dsdaae -EaCh Employe9 $ 100,000 Disease - Pdiey i vna 3 500 -000 Genen : Liability z Coma arciaal General 1labilit (ocgtrrenca) Genrral Aggregate $ 1,000 Ord Products-corQdkiwOpera ion6Apgregale $ 1,000,000 ParapnalandAdvaraLn Ihor, $ 500 ❑ 05-X92387-03-00 04/01/2003 04/01/2004 Eadn occu'rence $ 500 ,00o ❑ Damage to premises Rented Io you $ 100 000 Businesso Viers Liability Mescal Eaparlae (Any one Person) $ 5 '000 E,p Gooteranoet t $ 000 LiquorLiat lity Autarr ih Liability Aggragatei $ 040 CommonCaVeeLitWl S OW A'Aregalainit $ '000 — - ❑ Any Aul - ❑ All Own d Autos d Schedu Id Autos ❑ Hired Al ro ❑ Nonowr !d Autos 9odry Injury. Each Person $ ,000 Bodily Inury• E rCn Aoddant $ ,000 Properly Damage ,OOD 0 Excess Lial ility ❑ Commer sal Blanket Excess eoaty Injury and Property Damage Cgrllbinco $ ,000 ❑ Other!Mist Ilaneous Coverages) Each OCcunance/AggregaM $ ow RIPYI N1 PFJiA ION3lE T! NS/VE IDLES RES7R1 nON rSpE IiEdA R t Tho urtlwNtrad or partnen aMwn ae rnal+rbd ❑ HavC l efeded to M OOyared as a ❑ Hrvq NJl mplbyar uM1er this pnliry t j Frt d axa-canplettd UpCatwns a99rdgate is equal to arch CERTIFlCATE HOLDER'S NAME AND ADDRESS aontnance knot and is Induoed in lioucy aggragam. • CANCELLATION I ity of Fort Collins Should any of the above described policies be cancelled before the 1 urchasing Dept expiration date thereof, the company will endeavor to mail '( days) 31 N College Ave written notice to the Ce oblita Holder named, but failure to malt s C noM a shell Impose no obligation or liabilittyv of any kind upon tho F Drt Collins, Co. 80524 company, its agents or representatives. f0 days unless different number of days showm- 0 This certifies coverage on the date of issue only. The above described policies are subiact to cancellation in confo miry with their tcm,s and by the laws of the sidle �r i��„e U-201 Ed, 5100 12/18/03 Certificate Holder