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Home My WebLink About000105.tiff ^•'"f.yn J ;h �,;> { `�"' rt ynL ,..M.f.F rr- di:' ..�*, a ,3ETTAB$1S'fl.:`:' � : ' �'' ''' E ISSUE DATE(MMIDD/VY) , A. 'Of ® CERTIFICATE;OF INSURANCE . ' ' 07/01/86 ,, •RODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS '1:11: r. NO RIGHTS UPON THE.CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Arthur 7. Gallagher & Co. P.O. Box 24809 COMPANIES AFFORDING COVERAGE Denver, Colorado 80224 5,11 ' COMPANY A Underwriters at Lloyds, London LE-TER _-. _&-Other British Companiescssr CCMPAttV — LETTER B Hartford Fire Insurance Co. INSURED ---- - _ -- - _-- - _-- I COMPANY C rifil: Colorado Counties Casualty & Property Pool LETTER International Surplus Lines Insurance Co. (Per The Attached) CCMRATY D 1177 Grant Street ETTER 4 Denver, Colorado 80203 COMPANY LETTER E COVERAGES THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED A. ANY REQUIREMENT TERM OR CONDITION BE ISSUED OR MING OF O UMENT WITH RESPECT TO AY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN S SUBJECT TO ALL THE TES EXCL S ONS I AND CONDI TIONS OF SUCH POLICIES. _ _- .h �Mo Y f R ECILL 1 L c :,I,II N I IAUtl TTY LIMITS IN THOUSANDS CO TYPE OF NSURANCE POLICY NUMBER )A• (MM!OD/1'Y lit. iMM ILL I EACH A LTR GENERAL LIABILITYOuat Claim JLIY •© COMPREHENSIVE FORM ISL3512/IC05349 07/01/86 07/01/87 � $C -ims ":de For © PREMISES/OPERATIONS "Fiore Hlv $ UNDERGROUND ,LAMAr,E $ "•_LSI N.© EXPLOSION 8 COLLAPSE HAZARD : � © PRODUCTS/COMPL ETED OPERATIONS © CONTRAGTUAI �cor,n nFD $ 150, $ 400, ' © INDEPENDENT CONTRACTORS ea "h .'r . e_ h la BROAD FORM PROPERTY DAMAGE © 1Ii30NALINJURY $ Incl.PERSONAL©UTOMOBILE INJURY © Taw Fnfor_cement— See Attached Addendum for Additional Information r LIABILITY T B. .r ANY AUTO 15L3512/1CO5349 • 07/01/86 07/01 /87 $ in ALL OWNED AUTOS (PRIV. PASS)II ) ALL OWNED AUTOS/OTHER THAN) P° a"I,1'•" $ 1 PRIV. PASS — ■ HIRED AUTOS PIFOPENTY $ DAMAGE I NON-OWNED AUTOS ^— -- x• GARAGE LIABILITYoI a PC) 150 400 i; COM-ea �a< a'k EXCESS LIABILITY �tonao C— - ll UMBRELLA FORM Binder 33 07/01/86 07/01/87 o Tg IT LL $Refer t•$lddendu+ in OTHER THAN UMBRELLA FORM Attar ed --- -- — sTATuloaY ~:r' WORKERS' COMPENSATIONI $ (EACH ACCIDENT) , AND $ (DISEASE POLICYLIMIT) 4,' EMPLOYERS' LIABILITY $ (DISEASE EACHEMPLOY'! "•' OTHER I Excess Property Binder 07/01/86 ' 07/01/87 Refer to Addendum • Pro• rt ISL3512/ICO5349 Attached -, DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS OA 105 A CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX -0 Weld County PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO iIF MAIL DAYS W' - T TICE TO THE CERTIFICATE HOLDER NAMED TO THEM. Post Office Box 758 LEFT -. EA RE I AIL H NOTICE SHALL IMP••E NO OBLIGATION OR LIABILITY Greeley, CO 80632 OF V KIND PO E COMP S/IGENTJ'REPRE TA�' S. ) AUTH( •ZED R � `.� TAT IVE / (/ - / q • ACORD 25(8184) © 17.1/AC0RD CORr3nnDION 1984', COLORADO COUNTIES CASUALTY & PROPERTY POOL ENDORSEMENT #1 • NAME OF ASSURED The unqualified word assured wherever used in the excess insurance policies includes not only the named insured, but also: Colorado Counties Casualty and Property Pool (CAPP) including it's Board of Directors, Officers, Employees, Agents, and all participating Counties as members thereof including their elected and appointed Officials, Trustees, Directors, Officers, Employees, and Volunteers, individually and collectively, while acting within the scope of their duties as such and any Person, Organization, Trustee or Estate to whom the Named Assured is obligated by virtue of written contract or agreement to provide insurance such as is offered by this insurance but only in respect to operations by or on behalf of the Named Assured. SECTION II Agreement E, any Person while using an owned automobile or a hired automobile and any Person or Organization legally responsible for the use thereof, provided the actual use of the automobile is by the Named Assured or with his permission and any Official of the Named Assured with respect to the use of non-owned automobile in the business of the Named Assured. This insurance with respect to any Person or Organization other than the Named Assured does not apply; A. To any Person or Organization, or any Agent or Employee thereof, operating an automobile sales agency, repair shop, service station, storage garage, or public parking place, with respect to any accident arising out of the operation thereof; B. To an Employee with respect to injury to or sickness, disease or death of another Employee of the same Employer injured in the course of such employment in an accident arising out of the maintenance or use of the automobile in the business of such Employer; C. With respect to any hired automobile, to the Owner or a Lessee thereof, other than the Named Assured, nor to any Agent or Employee of such Owner or Lessee; COLORADO COUNTIES CASUALTY & PROPERTY POOL (Continued) D. With respect to any non-owned automobile, except as excess only over any valid and collectible primary insurance of any Employee or Official if such automobile is owned by him/her or a member of his/her household. The inclusion hereunder of more than one Insured shall not operate to increase the Company's limits of liability. LONDON PACKAGE POLICY LIMITS, COVERAGES, RETENTIONS Property: $ 500,000 Each Occurrence (Includes EDP, Inland Marine, "All Risk" Basis with Sublimits of Auto Physical Damage) $500,000 Each Occurrence/ Aggregate Applying Separately to Flood and Earthquake *General Liability: Bodily Injury/Property Damage: $ 150,000 Each Person $ 400,000 Each Claim *Automobile Liability: Bodily Injury/Property Damage: $ 150,000 Each Person $ 400,000 Each Claim *Errors & Omissions: $ 150,000 Each Person • $ 400,000 Each Claim $ 1 ,000,000 Annual Aggregate Crime Coverages: Monies at Securities (Inside): $ 150,000 Each Loss Monies & Securities (Outside): $ 150,000 Each Loss Employee Fidelity: $ 150,000 Each Loss Retro-Active Date: July 1, 1986 *Claims Made Coverage Form. LONDON PACKAGE POLICY LIMITS, COVERAGES, RETENTIONS (Continued) Retentions: Specific: Property $ 150,000 Each Loss 3rd Party Liability $ 150,000 Each Claim Crime $ 150,000 Each Loss Combined Retention $ 150,000 Each Loss Aggregate (Loss Fund) $ 2,400,000 Annually Aggregate Loss Fund Protective $ 1 ,000,000 Maintenance Deductible: $ 500 Applying only to Property, Auto Physical Damage do Crime Losses. Each individual County will be responsible for it's losses within the maintenance deductible COVERAGES PROVIDED 1. Property Including: A. Buildings B. Contents C. Contractors' Equipment do Miscellaneous Property Floaters D. Fine Arts E. Glass - (Includes Stained Glass and Vandalism) F. Valuable Papers G. Electronic Data Processing Equipment H. EDP Extra Expense I. Extra Expense J. Owners Interest in New Construction K. Miscellaneous Unnamed Locations - $500,000 2. General Liability Including but not Limited to (Claims-Made Form): A. Premises B. Products Liability/Completed Operations C. Blanket Contractual D. Personal Injury E. Law Enforcement Professional Liability F. Worldwide Coverage G. Liquor Legal Liability H. Care, Custody and Control I. Teachers Professional Liability J. Punitive Damages (silent in form) K. Cemetery Liability • L. Broadcasters, Publishers and Advertisers Liability M. Medical Payments (Premises) N. Watercraft (Limited to Boats under 26 Feet) O. Employee Benefit Liability P. Non-Owned Aircraft and Watercraft Q. Incidental Medical Malpractice 3. Errors dc Omissions (Claims Made Form): A. Elected and Appointed Officials B. Employees and Volunteers as Named Insureds 4. Crime Coverages Including: A. Employee Dishonesty Coverage - $150,000 Each Loss B. Monies & Securities - $150,000 Each Loss 5. Auto Liability Including (This is a Claims Made Form): A. Personal Injury Protection (Statutory Benefits) B. Medical Payments C. Owned and Non-Owned 6. Automobile Physical Damage EXTENSION OF PROPERTY COVERAGE BEYOND NORMAL COVERAGES • On the building coverages the Protected Self Insurance Plan includes all the normal coverages of fire, lightning, windstorm, hail, explosion, riot and riot attending a strike, civil commotion, aviation damage, smoke damage, vehicle damage and vandalism. In addition the following broadening of property coverage is included: 1) Losses on 100% Replacement Cost Basis without depreciation. (ACV if the building is not replaced within two years.) 2) "All Risk" to include flood and earthquake coverage (with a $500,000 annual aggregate applying separately to each). 3) "All Risk" to include water damage from rising water, backing-up of sewers, and wind driven rain and damage by surface water, waves, tidal wave, or spray from any of the foregoing. 4) Collapse of buildings or parts thereof extended to all risk of loss except normal settling, normal shrinkage, or normal expansion in foundations, walls, floors, or ceilings. 5) Automatic protection for newly acquired properties including contents and owned builder's risk up to $500,000. 6) No Coinsurance Clause or requirement. 7) No calculations of individual location rates. 8) Replacement to extend to any additional cost for rebuilding or repairing to meet ordinance requirements. 9) Cost of demolishing portions of building which are required to be removed because of damage by an insured hazard. EXTENSION OF PROPERTY COVERAGE BEYOND NORMAL COVERAGES (Continued) 10) Loss by freezing whether buildings are occupied or vacant. 11) Loss to statuary, marble, glass, fences, structures whether on or off the premises. 12) Loss by animals or birds. 13) Comprehensive automobile coverage and collision coverage automatic whether declared or not. 14) Robbery, Burglary and Theft of all property, including money and securities. • 16) Care, Custody and Control Coverage. 17) Property in transit wherever located. EXTENSIONS OF LIABILITY COVERAGE All of the usual Comprehensive General and' Automobile Liability coverages are included. In addition the following broader protection is provided. 1) Personal Injury - Bodily Injury, Mental Injury, Mental Anguish, Shock, Sickness, Disease, Disability, False Arrest, False Imprisonment, False Eviction, Detention, Wrongful Eviction, Malicious Prosecution, Discrimination, Invasion of Right of Privacy, Libel, Slander or Humiliation, Defamation of Character, Disparagement of Property, Piracy and any Infringment of Copyright or of Property, Erroneous Service of Civil Papers, Violation of Civil Rights, and Assault and Battery. 2) Insurance includes Blanket Contractual Liability includes all written and oral contracts. 3) Insurance will cover any owned automobiles or buses automatically on acquisition. 4) Insurance will cover any special event sponsored by the County. _ 5) Broad form named insured includes all employees and volunteers while acting within the scope of their duties as such. 6) Advertisers' Liability. 7) Law Enforcement Professional Liability. 8) EMT's and Paramedics Professional Liability. 9) Public Officials Liability. COVERAGES - EXCLUDED 1 . Personally Owned Automobiles 2. Property Losses of a Degenerative Nature - (Wear and Tear, Deterioriation) 3. War Risk and Nuclear Damage 4. Sexual Misconduct 5. The first $500 of each Property, Auto Physical Damage and Crime loss 6. Medical Malpractice Insurance other than Incidental Medical 7. Pollution (Including Sudden and Accidental) and Asbestos 8. Employees and Trustees Accidental Death and Dismemberment 9. Workers' Compensation 10. Athletic Participation for Schools 11 . Personal Surety Bonds Required by Law 12. Pension and Welfare Fiduciary Responsibility Insurance 13. Foreign Exposures 14. Failure to provide Utilities 15. Eminent Domain & Inverse Condemnation 16. Time element coverages other than extra expense 17. Boiler & Machinery 18. Aircraft 19. Hospital and Clinic Malpractice EXCESS PROPERTY Limits: $ 50,000,000 'Per Occurrence Excess of $500,000 Per Occurrence Property Covered: Buildings, Contents, EDP Equipment, EDP Media, EDP Extra Expense, Mobile Equipment, Extra Expense, Automobile Physical Damage Terms/Conditions: "All Risk" Subject to Company Conditions/ Limitations/Exclusions Replacement Cost Endorsement Automatic Acquisition Clause up to $1,000,000 Exclusions: Flood & Earthquake Builders Risk EXCESS CASUALTY Limits of Liability: $ 1 ,000,000 Excess of $150,000 Each Person 1 ,000,000 Excess of $400,000 Each Claim Terms/Conditions: Covers Federal & Out of State Suits Only Colorado Governmental Immunity Act Endorsement Follow Form Personal Injury Exclusions: Absolute Pollution & Seepage Absolute Asbestos ERISA Workers' Compensation/Employers' Liability/ Occupational Disease Inverse Condemnation Errors & Omissions Hospital/Clinic Malpractice Aircraft Liability COLORADO GOVERNMENTAL IMMUNITY ACT ENDORSEMENT It is hereby understood and agreed that except-for defense and supplementary payments as defined in this policy, coverage shall not apply to claims or actions for which immunity is available under the Colorado Governmental Immunity Act or to claims or actions for which immunity is waived under the Colorado Governmental Immunity Act as amended from time to time. 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