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ACORD.. CERTIFICATE OF LIABILITY INSURANCE 02/21/00
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
CROSSROADS INSURANCE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P .O . BOX 1010 - - r r• COMPANIES AFFORDING COVERAGE•
AULT, CO 80610 COMPANY
(970) 834-1337 FAX: 834.1393 A THE TRAVELERS INSURANCE COMPANY
INSURED � COMPANY
WELD ADOLESCENT RESOURCES, INC . B COLORADO COMPENSATION INSURANCE
2116 24TH STREET COMPANY
GREELEY, CO 80631 C LEXINGTON INSURANCE COMPANY
COMPANY
D
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES
ND CATED, NOTWITHSTANDING ANY REQUIREMENT, BEEN THE ABOVE FOR
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,
HAVE BEEN REDUCED BY PAID CLAIMS.
CO EXCLUSIONSTYPE OF AND INSURANCE
IONS OF SUCH POLICPIES LIMITS OLICY NUMBER
MAY POLICY EFFECTIVE POLICY EXPIRATION LIMITS
DATE IMM/DDNYI DATE IMM/DD/YYI
LTR GENERAL LIABILITY GENERAL AGGREGATE 52 , 0 0 0 , 0 0 0
I X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $2 , 0 0 0 , 0 0 0
-I CLAIMS MADE [X I OCCUR PERSONAL&ADV INJURY 51 , 000 , 000
A I OWNER'S&CONTRACTOR'SPROT I660497X6313TCT00 02/01/00 02/01/01 EACH OCCURRENCE 51 , 000 , 000
FIRE DAMAGE IAny one fire) $ 50 , 000
�� "- "" MED EXP IAny one Person) A 5 , 0 0 0
''I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
_ ALL OWNED AUTOS BODILY INJURY $
IPe!person)
SCHEDULED AUTOS — -- _- -- _
[I HIRED AUTOS BODILY INJURY $
IPer accident)
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO I OTHER THAN AUTO ONLY
" EACH ACCIDENT $
_-- AGGREGATE 5
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
WC STATU- BOTH
WORKERS COMPENSATION AND
EMPLDYERG'LIAGUTY I EL EACH ACCIDENT 1.51 0 O , 000
�THE PROPRIETOR/ INCL 3121780 07/01/99 07/01/00 EL DISEASE-POLICY LIMIT $500 , 000
PAFTNERS/EXECUTIVE IXI EL DISEASE-EA EMPLOYEE 4100 , 000
OFFICERS ARE: X EXCL
, OTHER EACH CLAIM $1 , 000 , 000
PROFESSIONAL 107 1435 04/25/99 04/25/00 AGGREGATE $1 , 000 , 000
CILIABILITY DEDUCTIBLE 2 , 500
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER IS ALSO ADDITIONAL INSURED
CERTIFICATE HOLDER cANC 1,LATioN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
WELD COUNTY EXPIRATION DATE TH = , SUING COMPANY WILL ENDEAVOR TO MAIL
915 10TH STREET 10 D W EN OTICE TO TH CERTIFICATE HOLDER NAMED TO THE LEFT,
GREELEY, CO 80631 BUT F LURE Td M SUCH NOTIC SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF A Kt' • PON THE •MPANY, ITS AGENTS OR REPRESENTATIVES.
AUT •yy7,'ESEN TIVE
I
ACORD 25-s 11#95# ® 2000-0525
in A 02-023' a010O
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