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Home My WebLink About20111682.tiff OP ID: EC AC ORo CERTIFICATE OF LIABILITY INSURANCE DAT07/01D/YYYY) 07101/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER 816-474-3535 NAME: Hays Companies of Kansas City 816-842-5795 (AIC,NE No,EXtI: I FAX I(NC.No): 920 Main Street, Suite 2100 E-MAIL ADDRESS: Kansas City, MO 64105 PRODUCER CERNE-1 CUSTOMER ID#: INSURER(S)AFFORDING COVERAGE NAIC# INSURED Cerner Corporation INSURER A:Hartford Fire Insurance Co. 19682 Attn: Amanda Loftin INSURERB:National Union Fire Ins.Co. 2800 Rockcreek Parkway INSURER C: Kansas City,MO 64117-1121 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POLICY NUMBER IMMIDDIYEFF YYY) (MMIDDIYYYY) LIMITS CY EXP LTR TYPE OF INSURANCE INSR YWD GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ CLAIMS-MADE OCCUR MED EXP(My one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GE 'L AGGREGATE LIMIT APPLIES PER'. PRODUCTS-COMP/OP AGG $ PRO- POLICY IFFT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON-OWNED AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE I $ RETENTION 8 WC STATU- 0TH- ANDEMPL EMPLOYERS' X TORYLIMITS I FR AND EMPLOYERS'LIABILITY 1,000,0 A ANY PROPRIETORIPARTNER/EXECUTIVE Y/N NIA 37WNMS3453 (AOS) 07101/11 09/01111 E.L.EACH ACCIDENT $ OFFICER/MEMBER NH) 37WBRMS3450(WI) 07101111 09/01111 E.L.DISEASE-EA EMPLOYEE $ 1,000,C A OFFIC(MandER/Mtory in ER If yes,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,0 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,it more space is required) CERTIFICATE HOLDER CANCELLATION WELDCO1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED Ih Weld County ACCORDANCE WITH THE POLICY PROVISIONS. Monica Mika 915 10th Street AUTHORIZED REPRESENTATIVE Greeley,CO 80632 / "L _ _ ©19888-2009 ACCORD CO 2011-1682 ,d ACORD_26(2006/09) , The ACORD name and logo are registered marks of ACORD LtY- /� 40.75 `�� 7-,3-20(1 Hello