HomeMy WebLinkAbout20011364.tiff Client# : 12170 GRECI
ACORDY. CERTIFICATE OF LIABILITY INSURANCE osE(is%oi
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Ins . Inc . ONLY AND CONFERS NO RIGHTS UPON, THE.;CERTIFICATE
P. O. BOX 578 HOLDER. THIS CERTIFICATE Videlb-t AMEND, EXTEND OR
ALTER THE COVERAGE AFFORBra BY THE POLICIES BELOW.
4687 W. 18th Street
Greeley, CO 80632 INSURERS AFFORDING COVERAGE
r r C. "-i
INSURED
INSURERA TIG Insurance- C'otnpany'
City Of Greeley INSURER B.
dba Rocky Mountain Senior Games INSURER C:
-
1000 10th Street
INSURER D:
Greeley, CO 80631
INSURER E
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE(MM/DD/YV) DATE MWDDN
A I GENERAL LIABILITY BINDER187778 06/01/01 06/01/02 EACH OCCURRENCE $1, 000, 000
IX COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $300, 000
I CLAIMS MADE X OCCUR MED EXP(Any one person) $5, 000
PERSONAL&ADV INJURY $1, 000 COO
GENERAL AGGREGATE sNone _
GENL AGGREGATE LIM IT APPLIES PER: PRODUCTS -COMP/OP AGG $1, 000, 000
POLICY JECT �I LOC *** $1, 000, 00C
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
(Ea accident) $
ANY AUTO
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person)•
$
HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS (Per accident)•
•
• PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC__$
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
I OCCUR CLAIMS MADE AGGREGATE $
DEDUCTIBLE
I RETENTION $ $
WC STATU- IOTH-
i WORKERS COMPENSATION AND TORY LIMITS ER .
' =,gym OYEPS.LIABH1Ty
E.L.EACH ACCIDENT S
E.L.DISEASE-EA EMPLOYEE $
E.L.DISEASE-POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLE$/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
*** Participant Legal Liability
(address cont) The Weld County Sheriff and their employees .
The certificate holder is an additional insured per Form CG 2011 - Lessors
or Managers or Premises but only with respects to the operations of the
insured. Participant Legal Liability - $1, 000 , 000 .
CERTIFICATE HOLDER ADDmoNAL INSURED;INSURER LETTER: CANCELLATION
SHOULD ANY OFTH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Weld County Colorado By & DATE THEREOF, THE ISSUING INSURER WILL ENDEAV TO MAIL 30 DAYS WRITTEN
through the Board of County NOTICE TOTHE CERIFICATE H ITER�II ED TO THE ,BUT FAILURE TODOSO SHALL
Commissioners of Weld County, IM PO OOBLIGATION OR.CIABILITY OFNY KIND U N THE , SAGENTS OR
915 10th Street REPRESEN TIVE .
Greeley, CO 80631 .}UTHORIZED PR NTA VE
•
ACORD 25-S(7/97)1 of 2 4S185330/M185324 I DSM
CG'r)5�'f7 CptdEij 2001-1364
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