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11 „ <br />i <br /> <br /> 8-9-85 1 <br /> PRODUCER <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFOR ATION ONLY AND CONFERS <br /> NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CE~~IITIFICATE DOES NOT AMEND, <br /> FLOOD & PETERSON INSURANCE, INC, E%TEND OR ALTER THE COVERAGE AFFORDED BY TryE POLICIES BELOW. <br />II <br /> P, 0. Box 578 <br /> <br />Greeley, CO 80632 COMPANIES AFFORDING C <br />OVERAGE <br /> PANY <br />A NORTIiERid IfiSURAi!CE CC, pF iJ.Y, <br /> COMPANY ` <br /> INS LETTER ~ s <br /> URED <br /> ED LOLOFF CONSTRUCTION <br />INC. PANV <br />co <br /> , <br />P, 0, BOX 518 ` <br />M <br />LETTER C <br /> Kersey, CO 80644 <br /> CDMPANY <br /> LETTER <br /> COMPANY E <br /> LETTER <br /> <br /> <br /> THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORT POLICY PERIOD INDICATED. <br /> NOTWITHS i ANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO ICH THIS CERTIFICATE MAY <br /> BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TER S, E%CLUSIONS, AND CONDI~ <br /> TIONS OF SUCH POLICIES. <br /> CO <br />TYPE OF INSURANCE <br />PO <br />IC <br />N <br />R <br />MB ppIICY EFFECTNF Ppp(,Y E%PIPAIION LI BILITY LIMITS IN THOUSANDS <br /> LT L <br />Y <br />U <br />E DALE IMM~DDM'I DAZE IMMi-Dn'v1 EACR <br /> <br />OCCURRENCE gGGREGAiE <br /> GE NERAL LIABILITY BODIL <br /> X COMPREHENSIVE FORM IwuR $ 5OO $ 5OO <br /> X PREMISES/OPEgATI0N5 <br />rv <br /> X UNDERGROUND OgMAG $ 25O $ 25O <br /> FXPLe)91BIYRL'E7LirPSE HldA(1B <br /> <br />X <br />PRODUCTS/COMPLETED OPERATIONS I <br /> X OONTRACTUAL COMBDr ~EO $ `$ <br /> A X INDEPENDENT COYTRACTORG GL 27867008 4-23-85 4-23-86 <br /> <br />X <br />BROAD FORM PROPERTY DAMAGE <br />' _ <br /> PERSONAL MJURV PEFl~ONAL INJURY $ 5QO ~ <br /> A UTOMOBILE LIABILITY BODLY I <br /> X <br />ANY AUTO IKAIgY <br />IPEP R 9 $ <br /> A X ALL OWNED AUTOS IPRIV. PASS.) NAM 67805069 4-23-85 4-23-86 ~~ ; <br /> X ALL OWNED AUTOS ~PTRIHVRPTASSN) <br />I tRF xn $ <br /> X HIRED AUTOS PROPE <br /> ~( NON~OWNED AUTOS DgMAG $ <br /> GARAGE LIABILITY BI 8 PD <br /> COMBIN D $1 ,DOD, <br /> EXCESS LIABILITY <br /> UMBFLLIA. FCRM17 BI 6 RD I <br />COMBIN~D <br />$ ,- <br />y <br /> OTNER THAN UMBRELLA FORM <br /> ' 5 3 <br />6 sTnru oRY - <br /> A COMPENSATION <br />WORKERS TC6 21616172 4-23-8 -8 <br />4-2 ACC <br />E <br />T <br /> ACH <br />IDEN <br />) <br />, I <br /> AND <br />' O IOIREASE POLICY LIMIT) <br /> EMPLOYERS <br />LIABILITY OO, IDISEASE~EACM EM1IPLOYEEI <br /> OTHER ~ I <br />I <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPECIAL ITEMS <br />COVERS INSURED'S GRAVEL OPERATIONS <br />WELD COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- <br />PIRATION DATE THEREOF, THE ISSUING COM P~,NY WILL ENDEAVOR TO <br />915 - 10th Street MAIL 30 DAYS WRITTEN NOTICE 70 THE CERTIFICATE HOLDER NAMED TO THE <br />Greeley, CO 80631 OF ANYUXINDILURE TO MAIL SUCH NOTICE SHALL IMPOS NO OBLIGATION OR LIABILTY <br />~ileOpl~JJFjCOMPANY. ~rC ercNTSyBB,R PRESENTATIVES. <br />