HomeMy WebLinkAbout20001406.tiff Client# : 12170 GRECI
ACOxnm CERTIFICATE OF LIABILITY INSURANCE T DA;E`zj,oo
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 DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
4687 W. 18th Street
Greeley, CO 80632 INSURERS AFFORDING COVERAGE
INSURED INSURERA:TIG Insurance Group, Inc .
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 CCNDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
sin POLICY EFFECTIVEPOLICY EXPIRATION
TYPE OF POLICY NUMBER DATE IMMID DM] DATE/MM/DOIYYI LIMITS
p EiENERALLIABILITY T70003739386103 06/01/00 06/01/01 EACH OCCURRENCE $1 , 000 , 000
lIX COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fln) $300, '.00 .
__ ) CLAIMS MADE XI OCCUR I MED EXP(Any one person) 'R5, 000
PERSONAL&AOV INJURY $1 , 00/ , 000
GENERAL AGGREGATE sNone
_.
iGENL AGGREGATE LIMIT APPLIES PER: , PRODUCTS—COMP/OP ADD.$1 , 000 , 000
POLICY PRO- I
LECT LOC *** 5.00 000_
i AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
(Ea accident)
'
ANY AUTO
ALL OWNED AUTOS BODILY INJURY $
,(Per person)
SCHEDULED AUTOS
' HIRED AUTOS BODILY INJURY $
(Per accident)
NON-OWNED AUTOS
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY I AUTO ONLY-EA ACCIDENT'$
ANY AUTO OTHER THAN EA ACC $ - _
AUTO ONLY: AGG5
EXCESS LIABILITY EACH OCCURRENCE I S _
OCCUR J CLAIMS MADE AGGREGATE
•
DEDUCTIBLE _—.__ _. $ -
1 RETENTION $ Ls --
WCSTATU- OTF-,
I WORKERS COMPENSATION AND LTORYLMITSI _EF ',I _
EMPLOYERS'LIABILITY E.L.EACH ACCIDENT
E.L.DISEASE-EA EMPLOYE E $
E.L.DISEASE-POLICY LIMT$
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
*** Legal Liability to Participants
(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 - $500, 000 .
CERTIFICATE HOLDER I ADDITIONAL INSURED;INSURER LETTER _ CANCELLATION
SHOULDANYOFTHEABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION
Weld County Colorado By & DATETHEREOF,THE ISSUING INSURER WILL ENDEAVO TCIMAIL30 DAYSWRITTEN
through the Board of County NOT10ETOTHE CERTIFICATE Ha?CGERN TOTHE LE , IUTF9ILURE TO DO SO SHALL
Commissioners of. Weld County, ( IMPO OOBLIGATION OR 4/ABILITY OF ANI KIND UPO HE INSURER! GENTS OR
915 10th Street REPRESEN TIVE . C
Greeley, CO 80631 A\THORIZED ' S= IVE
ACOR42S-S(Tf7)/. of 2 #S153654/M153648 DSM
c v1-e, 6V(i( CC 2(100-1406
2/ 7-7-)
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