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HomeMy WebLinkAbout20000359 WELCOU 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 Hello