Laserfiche WebLink
CERTIFICATE OF INSURANCE <br /> ISSUE DATE <br /> :7/15/97 <br /> PRODUCER J 714I2 CERTIFICATZ IS XSSUED AS A MAT_ER OF INFORMATION ONLY P.t:D• CC, <br /> Font McGnhey In.:uran•;r., _ I NC RIGHTS LPG:J 1.ie 4;:R'::FICAT'c OLDER. THIS _£:tTIFIOITE DOES NO AM ND, <br /> P.C. Box E410 I EXTEND OR ,:.TER THE C6VZAACc. AFFORDED BY THE1POLICI£S 3ELO . <br /> 23; South Ridge <br /> g-ockcnridgC, ;_G e0424 I COMPANIES i;pr^CRD' <br /> .ANC CJVERAGE <br /> CC:-!PLN1 LE:T�k ta: II;v�ON :NSUPANCE COMPPSJY <br /> I <br /> CCM?ANY LETTER E: <br /> INSURED I CCMPANY LETTER C: <br /> Ray ward Trucking, Ray Wnrd and Guyrene Ward dba I <br /> 30193 Highway 84 J COhIPAt1Y LET:ER D. <br /> L.-ores, CO 81323 J <br /> J COMP.0,NY LETTER E: <br /> J <br /> COVERAGES <br /> THIS %S TO CERTIFY THAT POLIMS 05, INSrJrANCE LISTED BELOW HAVE BEE;' ISSUED TO THE INSURED N1uN1ED ABCVE FOR THE POLICY F£RTCD <br /> INDICATED, NCTWITHSTANDINI ANY RFCUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR :4AY PERTAIN, THE I $LT.ANCE A?c'7RVED BY THE POLICIES DESCRIBED HEREIN IS SU8.7ECT TO ALL THE TERMS, <br /> EXCLUSIONS P.trD CONDITIONS CF SUCH POLICIES. LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIM$. <br /> CoI } I POL. EFF. J POL. EXP. I <br /> LTRI TYPE OF INSTIRza`i^S I FJL:CY NUMBER. I DATE ( DATE I LIMITS <br /> (GENERAL LIABILITY I } I I GENERAL AGGREGATE 2,000'rm <br /> A I [X) COMMERCIAL GENERA:, LIABII.IT1'I UPK5023812 J 04/01/97 I 04/01/5$ I PRODUCT-COMP/OPS AGG. $ 2,000,000 <br /> I [ I CLAIMS 220E .XI CCCUR. I j I I PERSONAL & hn✓. ItiJURY <br /> J [ ] OWNER'S & CON n 1,OOJ,U00 <br /> TRACTOR'S PROT. <br /> { I I EACH GCCURF.ENCE $ I,OUO,000 <br /> FIRE DAMAGE (Any one fire) $ 50,000 <br /> J I J I I MED. EXPENSE (Any orr person:$ 5,000 <br /> IAUTOXOBIL£ LIABILITY I J I I <br /> ![ ] A-NY ALTO I J I I COMBINED SINGLE LIMIT g <br /> }[ l ALL OWNED AUTCS I } <br /> [ ] SCHEDULED AUTCS J j I I BODILY INJURY cPer person' $ <br /> ([ ] !lIRED AUTOS J } <br /> J[ ) NOti-OWNED T=-Cs = J } I I BODILY INJURY (Per Accide:lt) g <br /> j [ ) GARAGE LIABILITY I I <br /> PROPERTY DAMAGE $ <br /> )EXCESS LIABILITY I I J <br /> [ I UMBRELLA FCR.M I I J J EACH OCCUREDICE $ <br /> I [ ) OTHER THAti UMBRELLA FORM I I } I AGGREGATE <br /> $ <br /> WORKER'S COMPENSATION J I J I I STATUTORY LIMITS <br /> J AND J I } J EACH ACCIDENT <br /> } I I DISEASE-POLICY LIMIT $ <br /> j EMPLOYER'S LIABILITY I I I I LISEA$$-2ACH EMPLOYaE $ <br /> }OTHER I <br /> DESCRIPTION OF OPERA:IDNS/LCCATICNS/VE!iICLES!SPECI L ITE:4S <br /> CERTIFICATE HOLDER CANCELLATION <br /> ISHOULD A-0Y OF THE ABOVE DESCRIBED POLICIES BE CkNCELLED <br /> ISEFORE THE EXPIPAT=CN DATE THEREOF, THE ISSUiNC COMPANY <br /> (WILL �1�'IJEAVOR TO 24P.II, 30 DAYS WRTTTEN NOTICE TO THE <br /> I CERTIFICATE HDLDER NPl= TO THE LEFT, 1;R;T FAIL JMZ To MAIL <br /> (SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIAa. LXTY Ot <br /> JA?l.- KIND UPON THE CCP!PANY, ITS AGENTS OR REPRESENTATIVES. <br /> STATE OF Zvi, RAD)-AT';N YVONNT <br /> )A' .HOR!=) REPRESENTATIVE <br /> D: ISION CF b:ItJERIaLs' & GECL•031: } <br /> 1313 SHERKW ST RC�'14 21S <br /> DENVER, CC 8•)2Q3 <br /> �� FORM 25-S (7/90) <br />