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ACORD,M CERTIFICATE OF INSURANCE oii2aioo
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
All American Agency Facilities ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
C/O Van Gilder Insurance Corp. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
700 Broadway, Suite 1000 COMPANIES AFFORDING COVERAGE
Denver, CO 80203 � Y ,,,
ACarolina Casualty
INSURED COMPANY
Weld County Youth Alternatik4s BInion Insurance Company
Inc . Dba Weld County Partners — — —
COMPANY
1212 8th Street c
Greeley, CO 80631
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 PODCY EXPIRATION
TYPE OF INSURANCE POLICY NUMBER LIMITS
LTR DATE(MM/DD/YY) DATE(MWDDNY)
A GENERAL LIABILITY NP0763585 01/26/00 , 01/26/01 GENERAL AGGREGATE $1, 000, 000
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPAGG $1, 00 0 000
CLAIMS MADE X OCCUR PERSONAL&ADV INJURY 81, 000 , 000
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $1, 000 , 000
FIRE DAMAGE(Any one fire) $ 50 , 000
MED EXP(Any one person) $ 5 , 000
A AUTOMOBILE LIABILITY NP0763585 01/26/00 01/26/01 COMBINED SINGLE LIMIT $1, 000 f 000
X ANY AUTO
ALL OWNED AUTOS BODILY INJURY
(Per person)
SCHEDULED AUTOS $
X HIRED AUTOS BODILY INJURY
(Per accident)X NON-OWNED AUTOS 8
--- - - --- - - - - PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY.
EACH ACCIDENT $
AGGREGATE $
B EXCESS LIABILITY A4876520 01/26/00 01/26/01 EACH OCCURRENCE O 000, 000
X UMBRELLA FORM AGGREGATE $3 L0Q0, 000
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND STATUTORY LIMITS
EMPLOYERS'LIABILITY _ _-�� - ---- - --- -
EACH ACCIDENT $
THE PROPRIETOR/ INCL DISEASE-POLICY LIMIT __ $
PARTNERS/EXECUTIVE -- - -
OFFICERS ARE EXCL DISEASE-EACH EMPLOYEE $
A OTHER NP0763585 01/26/00 01/26/01. 1, 000, 000 Each Claim
Professional Liab 1 , 000 , 000 Aggregate
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
The County of Weld, Colorado, By & Through the Board of County
Commissioners of the County of Weld, including officers & employees, & the
(See Attached Schedule . )
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
The County Of Weld Colorado EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
915 - 10th Street i0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Greeley, CO 80631 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVFy
AcoRDzss '(3r93)1 of 2 #S88748/M88731 »'+
G./J. 0?-9-Aar 2000-0359
DESCRIPTIONS (Continued from page 1.)
D.A. for the 19th Judicial District & his employees are additional
insured/lessor of premises .
cisGEM2e2(3n3)2 o12 #S88748/M88731
PARAFF
ACORDr. CERTIFICATE OF INSURANCE DATE(MM,DDIYY)
01/28/00
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
All American Agency Facilities ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
c/o Van Gilder Insurance Corp . OLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P . ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
700 Broadway, Suite 1000 COMPANIES AFFORDING COVERAGE
Denver, CO 80203 r.
COMPAI/PJ
ACarolina Casualty
INSURED
Partners, Inc . & Affiliate6, COMPANY
Insurance Company
701 South Logan, Suite 10
COMPANY
Denver, CO 80209
c
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.
CO POLICY EFFECTIVE POLICY EXPIRATION
L7R TYPE OF INSURANCE POLICY NUMBER DATE(MMIODM') DATE IMM/DD/TY)
LIMITS
A GENERAL LIABILITY NP0763585 01/26/00 01/26/01 GENERAL AGGREGATE C, 000 , 000
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $1, 000, 000
CLAIMS MADE X OCCUR PERSONAL B ADV INJURY $1, 000, 000
OWNER'S B CONTRACTOR'S PROT EACH OCCURRENCE $1, 000 , 000
FIRE DAMAGE(Any one lire) $ 50, 000
MED EXP Any one person) $ 5, 000
AUTOMOBILE LIABILITY
- -- COMBINED SINGLE LIMIT $
ANY AUTO
ALL OWNED AUTOS
BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS
BODILY INJURY
NON-OWNED AUTOS (Per accident)
- -- -- -- PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER_THAN AUTO ONLY.
EACH ACCIDENT $
AGGREGATE $ -.
B EXCESS LIABILITY A4876520 01/26/00 . 01/26/01 EACH OCCURRENCE 0 , 000, 000
X 1 UMBRELLA FORM AGGREGATE 0 , 000, 000
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND STATUTORY LIMITS
EMPLOYERS'LIABILITY
EACH ACCIDENT $ _
THE PROPRIETOR] INCL DISEASE-POLICY LIMIT $
PARTNERS/EXECUTIVE --- ------ --- - -- - --- -
OFFICERS ARE EXCL DISEASE-EACH EMPLOYEE $
A OTHER NP0763585 . 01/26/00 01/26/01 1, 000 , 000 Each Claim
Professional Liab 1, 000 , 000 Aggregate
DESCRIPTION OF OPERATONS/LOCATIONSNEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Weld County EXPIRATION DATE THEREOF.THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
915 Tenth Street n DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
Greeley, CO 80631 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE/ a
ACORD 25-S(3/93)1 of #M88581 ACORD CORPORATION 1993
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