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Home My WebLink About20000727 ACORD,M CERTIFICATE OF LIABILITY INSURANCE DATE IMM/DDLYSN ! 03/20/2000 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Talbot Boulder Insurance Associate ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1601 28th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE Boulder, CO 80301 COMPANY American Compensation Ins Co A INSURED Island Grove Regional Treatment Center COMPANY 1140 M Street COMPANY C Greeley CO 80631 L--- - -- _- _ -- - COMPANY D COVERAGES 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. POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER LIMITS LTfl DATE IMM/DD/YYI DATE IMM/DDNYI GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ ' CLAIMS MADE OCCUR � L] PERSONAL&ADV INJURY $ OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE FIRE DAMAGE{Any one fire' $ ^JAI MED EXP IAny one person) S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ I ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS IPer Vereonl S HIRED AUTOS ' BODILY INJURY NON OWNED AUTOS IPer accidenD S --- - — - — PROPERTY DAMAGE S nn I,1Sk ,a 23VU AUTO ONLY-EA ACCIDENT ' S GARAGE LIABILITY I ANY AUTO OTHER THAN AUTO ONLY:EACH ACCIDENT 5- - - - - - AGGREGATE S EXCESS LIABILITY EACH OCCURRENCE 5_ 1 UMEIELLP FORK' ACARESATE < OTHER THAN UMBRELLA FORM $ A WORKERS COMPENSATION AND ACCO0040794 10/01/1999 10/01/2000 TORY LIMITS °ER_,.. EMPLOYERS'LIABILITY EL EACH ACCIDENT $ THE PROPRIETOR/ INCL I i EL DISEASE POLICY LIMIT S PARTNERS/EXECUTIVE - -- OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Certificate Holder shall read: Weld County Colorado, by and through the Board of County Commissioners of Weld County, its employees and agents FAX Insured: Jim Marcy 970 356-1349 CERTIFICATE HOLDER CANCELLATION Weld County Colorado SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Board of County Commissioners EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 915 10th Street 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 10 days notice for non-payment BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Greeley CO 80632 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZE EPRESENTATIVE Lena n3�.27�.?coL 1�‘fic ACofiD 25-S WSr95i e s 2000-0727 Hello