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Home My WebLink About000110.tiff sat ARTHUR J. GALLAGHER & CO. - DENVER P. 0. Box 24809, Denver, Colorado 80224 303/773-9999 DON WARDEN/WELD COUNTY JULY 18, 1987 To: Date: Re: BARBARA STEPHENSON From: ear eau,lizs Ca/Ina/4 and Appeal Pool CERTIFICATE OF PARTICIPATION Colorado Counties Casualty and Property Pool (herein called CAPP) hereby certifies that Weld County is a participating member of CAPP for the period beginning July 1, 1987 through June 30, 1988. The coverages, conditions of membership, and other provisions applicable to members of CAPP are described in CAPP's Bylaws, and in the excess policies obtained by CAPP, a current copy of which has been provided to the County. In addition to other limits, the coverages provided to Weld County through membership in CAPP and in consideration of the payment of its annual contribution are limited to: Property ( Includes EDP, Inland Marine, Auto Physical Damage): $50,000,000 Each Occurrence "All Risk" basis with sublimits of $500,000 each occurrence. Aggregate applying separately to Flood & Earthquake *General Liability: Bodily Injury/Property Damage: $ 400,000 Each Claim *Automobile Liability: Bodily Injury/Property Damage: $ 400,000 Each Claim Personal Injury Protection: Statutory *Errors & Omissions: $ 400,000 Each Claim $ 1 ,000,000 Aggregate Crime Coverages: Monies & Securities ( Inside): $ 150,000 Each loss'. Monies & Securities (Outside): $ 150,000 Each loss Employee Fidelity: $ 150,000 Each loss *Excess Liability (Federal and Out of State only): $ 600,000 Each Claim Maintenance Deductible: $ 500 Applying only to Property, Auto Physical Damage & Crime Losses. * Claims Made Coverage Form CAPP retains $150,000 each claim/loss for property and liability to a combined total annual aggregate of $2,550,000 for all CAPP members with an additional maximum of $1 ,000,000 provided by excess insurers above the $2,550,000; thus the total coverage available to CAPP members for the first $150,000 per person of loss and loss expense will be $3,550,000 for the- year, including defense costs and associated expenses. COLORADO COUNTIES CASUALTY AN) PROPERTY POOL By: L [ Q.LY Warren C. Behm, iniator Colorado Counties, Inc. Pool Managen 110 I . I r r V V r r / SET TAB STOPS AT ARROWS -Or ® CERTIFICATE OF INSURANCE ISSUE DATE(MM/DD/Y1') PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Arthur -.�0. (. �J.)Z�.Ikx Y p! Co-' NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. '- F.O. k-i ;_4E1.I4? 4:' Deriver, L )isracky R022,1 COMPANIES AFFORDING COVERAGE fr COMPANY A ..r'iclot-WY i hair c,...1:. E..ioiCi ,4 I. TV:Itai LETTER COMPANY INSURED LETTER p MI ()d or ado 'LA 4 N it.1.E.'s I_ i-.i uo 1..( I'V"c¢a I I ':. �:1 LETTERNY C I nc II I(hrI la'1 1 (;t_A,II1-✓ 't I ffif3r -Q-i t h l E§? COMPANY D LETTER _e ' A_r Co.Itlt , do v i'. COMPANY E LETTER COVERAGES THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICAZED. 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 IJEREIN IS SUBJECT TO.ALLTHE TERMS EXCLUSIONS.AND CONDI- ‘' TIONS OF SUCYWPOLICIES." • CO POLICY EFFECTIVE POLICY EXPIRATION LIABILITY LIMITS IN THOUSANDS LTR i. TYPE OF INSURANCE POLICY NUMBER DATE(MM/00/YY) BATE(MWDD/W) EACH Or c_0OCGENERAL LIABILITYMI BODILY ll NJURY COMPREHENSIVE FORM $ �i I i�'�C' IrJz�j , :_ '� ® PREMISES/OPERATIONS UNDERGROUND - DPAMAGEry L J"')I r r ilk ( LN,f4 MI EXPLOSION 8 COLLAPSE HAZARD $ El PRODUCTS/COMPLETED OPERATIONS • CONTRACTUAL COMBINED `� Lk%j gi INDEPENDENT CONTRACTORS - - - , a ® BROADtORM PROPERTY DAMAGE ll PERSONAL INJURY PERSONAL INJURY $ AUTOMOBILE LIABILITY > ° BODILY INJURY ■'ANY AUTO (PER PERSON) $■-ALL OWNED AUTOS(PRIV. PASS.) BODILY INY Ell ALL OWNED AUTOS/OTHER THAN) (PER ACCIDENT) $ e ₹ l PRIV..PASS / ® HIRED AUTOS PROPERTY Ill NON-OWNED AUTOS ,py DAMAGE $ ,; ■ GARAGE LIABILITY rf ,�.. ,„. BIB PD ■ ( COMBINED $ EXCESS LIABILITY f ' ®UNIBRELLA.PORM r - * ' ,{ 9p - COMBINED $ $ ® OTHER THAN UMBRELLA FORM » ` N STATUTORY '\te WORKERS'COMPENSATIONI "` AND T $ (EACH ACCIDENT) EMPLOYERS' LIABILITY $ (DISEASE-POLICY LIMIT) $ (DISEASE-EACH EMPLOYEE) BOTHER • DESCRIPTION OF OPERATIONS/LOCATIOMSNEHICLES/SPECIAL ITEMS' ' ' 1" r, .'F4:-. Heaciii,teF t Classk", Pi.crL t , L?_:)lnt"adL CERTIFICATE HOLDER CANCELLATION (-'t@Y-C.E3 ('M_rt:.YICX115't Cf"A.irCI1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- C/ca I f'a'rt—,• P!_uit. PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO F'.Cl. Pox 7:',2t5 MAIL 1O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Finite, CO l.B651 OF ANY KIND UPON THE �COMPANY TS AGENTS OR REPRESS VESe ACORD 25(8/84) © IIR/ACORD CORPORATION 1984 SET TAB STOPS AT ARROWS Of ® CERTIFICATE OF INSURANCE ISSUE DATE(MM/DDl1'Y) PRODUCER - ;. ER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, Ar#.I'roir J . I +J i �i)"u t :. i:iJ, ,. ;; EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ;, P.O Bo); 4! !r 1.k-flyer , )3 I r-, 'kJ , :4 COMPANIES AFFORDING COVERAGE 0 COMPANY LETTER A I 9 , i J'.. COMPANY - ' INSURED Y3, LETTER in COMPANY l-C,II,;-ci�?"i i �I,I ;,-.-. I � „+7.9 , I l ..[LETTER Dur -_, COMPANY LETTER n •; .- b COMPANY E LETTER COVERAGES THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICASED. 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 INSDRANCE AFFORDED BY TH$POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLg'HE TERMS,EXCLUSIONS,AND CONDI- -9. TIONS OF SUCH-POLICIES. CO POLICY EFFECTIVE POLICY EXPIRATION LIABILITY LIMITS IN THOUSANDS • LTR , TYPE OF INSURANCE POLICY NUMBER DATE(MWDD/YY) DATE(MM/00/YY) ® EACH OCCURRENCE AGGREGATE GENERAL LIABILITY BODILY . COMPREHENSIVE FORM INJURY $ $ ■ PREMISES/OPERATIONS PROPERTY t` ■ UNDERGROUND DAMAGE EXPLOSION 8 COLLAPSE HAZARD $ $ .,.. ■ PRODUCTS/COMPLETED OPERATIONS .. — • CONTRACTUAL BIM PD Ill.', CO DINED $ $ ■ INDEPENDENT CONTRACTORS (y IN BROADjFDRM PROPERTY DAMAGE Ilsg ■ PERSONAL INJURY PERSONAL INJURY $ , ■ }' AUTOMOBILE LIABILITY BODILY MI ii �' ill ANY AUTO INJURY w IM ALL OWNED AUTOS (PRIV. PASS) I ,_ (PER PERSON)- OTHER TPAHAN INJURY h{ ".- ■-ALL OWNED AUTOS(pglV. SS. (PER PGCIUfff7) $ � El HIRED AUTOS ' ug2 I II 'NON OWNED AUTOS DAMAGE ry $ r.. Yxi ■ GARAGE LIABILITY ■ CI a BD COMBINED , iiiiii EXCESS LIABILITY ' a: s ir,UMBfjELLA FORM 'e - BI a FD i� '- - 1 • •#T / COMBINED ' , "® OTHER THAN UMBRE[LA'FORM „ '` WORKERS'COMPENSATION J" STATUTORY r w AND _r-,. n $ (EACH ACCIDENT) EMPLOYERS' LIABILITY $ (DISEASE-POLICY LIMIT) '. OTHER $ (DISEASE EACH EMPLOYEE) s rl L_uTM<t_ I` i ':; 1(_il-,4t I • ' 1 `.- ' , i'. € zil , Sx rf7 ,Ft 1ri ;Lf;e:+ T - Il r.:::.:: I I 1 I�t,. r'it.ttc' 117- 1 i.- v tr'f9u,-.tak,J 5 e` SCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS ' ' - '� r .I u.: �,L'�J � i=[, I Et y, 1411-1A-IS.�:=R 117; ,`.'.: l.'s':: F „i rate 1;is 1;,J { ...}-6. �, - " 7,, ,r.t r:1 1. 3 Lh..7[3 L.i:x i',I •; ; s and vCF'T' i;-7 TI,)..a J. O4.Fvo.Lij_7 t .F?C J. .. ._ '.''CERTIFICATE HOLDER CANCELLATION i..AC);" FlaS..L. ; I I Lk..I 4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- F it 0 NW(t}:1;•_y,• PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 1 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Fire J r./., ff 1 -M'p LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY I it:if G ,Ir-P I ,r:I C I1-i g, OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVE. /.',4..ACORD 25(8184) © IIR/ACORD CORPORATION 1984 ° 4 ► V 1 M "� ' ti.� - TTA: T•PSAT .n ot.: �i . .. ;. c In. �_ f �';t ISSUE DATE(MM/DD/YY) :�: •�,.:'''',4/,,,iii-:, C R`"IF1CATE 4 , .1 :' •c•-•_).1 P r,i. :;ERTIFICATE IS ISSUED AS A MATTER OP INFORMATION ONLY AND CONFERS . NO NIGHTS UPON 1,1E CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, .'. '•.• Iii�.•,� .l' v U:+I'1•�c�i-; �r _. • EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ,.Y `. E...W.. Ems;: '.`�E ,1�; --- st •• . .. .. " r,,, t,;.;;.3 �;;�,• COMPANIES AFFORDING COVERAGE COMPANY u. LETTER A ?..11...: ."; :r•J.;. sr..._. F, _ i yy{j_' , I- , -=7. C:r.7T7,.er ;:;_,1 :1...t..,.,J1 11"I�.or_:tl'IC:i:. LAAill-tcli1.�.,!%, 4' COMPANY B INSURED _. LETTER COMPANY ' ' 'i 1.E :'.• : I..C_'lor-c{ C'' l_.•C'..1!'li..lf';,: I..-K::,Ssl.ii4t_' 1 'F-i.'i..i�.f• t:: ! .i. TTER C COMPANY D ...,r 1, 1 t / L?i s!.;' .._L.,.1, .:.'. LETTER R LA3tilVeY', CO i•.jr d_:M:_ .:'__i.,-..5 -- — — .•... COMPANY E .,,11.; LETTER • '•>COVERAGES ' THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICASED. ?' 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 INS�IRANCE AFFORDED BY THg POLICIES DESCRIBED HEREIN IS SUBJECT TO.ALLPTHE TERMS,.EXCLUSIONSI-AN0 CONDI- - 7''`' ?• VOW OF•SUCH POLICIES. - ' • ,1s .CO� POLICY EFFECTNE TTPOLICY EXPIRATION LIABILITY LIMITS IN THOUSANDS ::i•' LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM DOM) DATE(MWDOM) EACH AGGREGATE . {_ I GENERAL LIABILITY BODILY i • .. . I ^ 'r�l.'PREHENSIVE FORM INJURY $ $ .3 ', • I. •SES/OPERATIONS i PROPERTY ` .'J OF;VIOUND DAMAGE $ :. '•' ^.I'i.OSION&COLLAPSE HAZARD ! . 'ROOUCTS/COMPLETED OPERATIONS j : 'CONTRACTUAL "` I • 81 • Y8 PD it COMBINED INDEPENDENT CONTRACTORS ■ BROAD,FORM PROP...l'Y DAMAGE I. PERSONAL INJURY PE.SONAL INJURY • AlUTOISIVIILE LIABILITY BOOBY hT .l 4cj At1II (PER PERSON) . E • •I ALL. AIRED AUTOS(PRIV. PASS.) ... ... ;B % II.:k. i•ici :'T;C 1../E., ••::;.•••••)-::,1..E024: BODILY -$-Alts =, 4I E. T OTHER THAN INJURY,• ..•••..... ALL OWNED AUTOS;i PR IV PASS. (PER ACCIDENT) $ HIRED AUTOS "' j ' NON OWNED AUTOS • PROPERTY • i y<:.",:. f DAMAGE $ .x . , . GARAGE LIABILITY {`",. '`: + ■ BI 8 PD f: COMBINED $ :'(y.ji EXCESS LIABILITY.. - --- --- - _1. -. .. rl•U LLA.FORM ....:... ..'' • +� •. .. BI 8 PD $ ' r t ! :L. .. l `.* • ' _ 1; 4' 1 COMBINED $ $ 3 m " OTHER THAN UMBRELIA1ORM-.v.. '�.;{ I WORKERS'COMPENSATION,. - „ . .. I STATUTORY EA$ CH ACCIDENT) i.i .......-,.••••:,.. $ (DISEASE-41030(4 LIMIT). • EMPLOYERS' LIABILITY % • --, $ (DI.4EASE F'sCH EMPLOYEE) OTHER r ' " I P'r' pi rt yr (1,..H.: i-• r?,;.,. ?`::K. -'-'.'',--`3 ! . IC.ZT.:4'.•,: i,r,.;-:1/fig .:•;.-' ',,..',1.1...--.k4 4;5)0 x..) i_ci;.r, • . ......1..r sr;1. F'hysi.c:z.. 1'l(-a!I.:.) . Y.. I T:-500.., I dt-tC.:t*bi4: ) 4"F145T t'Ir.'of OPFRATIONS/LOCATIONSNE)IICLESISPECIAL:ITEMS• • .. ' .• r. �. . tir �. � • •,L�lr- � ✓- r.l- •,:,��'., I ':••-'.•_ -t..,�'i: _1=� x 1'.!_ - ,.. s'._.. -;.._5 ..... ..Gs�a'.[_r(: to Weld L'«!I'l l ?r-. , .•..•.i'-11a1. 'vE:'Ii:Ip.47y':i(1t ''Eit".•`r'Iic •_: C i ')r. .i.k E BOLDER CANCELLATION W.'1i!:'t t'at .c)I-lal C'''.ank SHOULD ANY OF TILE ABOVE DESCRIBED POLICIES BE CANCELLED ^eX- a r: .l:Ir Box'k)j t;7 PIRATION DATE THEREOF, THE ISSUING COMPANY WILL Ell #I i la TO • MAIL 'I DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NSIItT 'r'•)THE DS v;_.i.-C l El'f, CD -1 :;t: LEFT,BIIt FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBIJGATIOPT " *(TY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVEi>L. AUTH• .;' ; PRE.ENTATIVE• 1 giu�I ._lam' if �• w.• / 0-4 i'.:4.'.,ACORD 25(8/84) c - - •RD CORPOR•TiON 1984 ► V 7 7 ► ,- TTA: T•P AT A"r,.1. , ' Of CERTIFICATE OF INSURANCE ISSUE DATE(MM/DD/YY) PRODUCER' - ` e THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY-AND CONFERS w - NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, Ht ti 4 ) f ] I qP ICJ.' LIT.. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Yei 4 e, COMPANIES AFFORDING COVERAGE AL I' a {'n '.. LETTER A ,_k.,I .-I 1T. r '-'. I L 1 .::I I�.�,ji:H...I .' r, COMPANY iI i_' w , ',P 1 , _ :'T- - r•.:..t-n I.i 411 I Ill?.:E ]'''S INSURED LETTER 13 :^.1,' COMPANY .4,,. i..i.1 NCB I 11 .= t2 c-I TTC-_I. (-Y'Cil •1 i .- IT. LETTER C 7.1 Er, 1 CO, 1.] _ l I , , LETTER D f 1bMI I Y , f �*, COMPANY E lcLETTER '„,„.t.t COVERAGES lite, THIS IS TO CERTIFY THAT 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 4,-.74BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS.SUBJECT TO-ALL.THE:TERMS;-EXCLUSIONS;MND CONDI-- ',lg.., 4'TIONS-OF SUCH-POLICIES. C• TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIABILITY LIMITS IN THOUSANDS fi: 1 ) MMIDDNV DATE IMM/DDNG EACH AGGREGATE X, OCCURRENCE €Y GENERAL LIABILITY [[33 BODILY ,e MICOMPREHENSIVE FORM INJURY $ $ ? IIIPREMISES/OPERATIONS PROPERTY 1eT x ME.. UNDERGROUND DAMAGE EXPLOSION &COLLAPSE HAZARD $ $ klitt ■ PRODUCTS/COMPLETED OPERATIONS Ak' In 4p46CONTRACTUAL COMBINED $ $ I'^` ■ INDEPENDENT CONTRACTORS ' BROAD,FORM PROPERTY DAMAGE PERSONAL INJURY PERSONAL INJURY $ AUTOMOBILE LIABILITY - BODILY INJURY ANY AUTO IDEA PERSON) $ ALL OWNED AUTOS(PRIV. PASS.) BODILY In ALL OWNED AUTOS/OTHER THAN) INJURY A P PRIV. PASS IN ACCIDENT) $ . HIRED AUTOS PROPERTY I NON-OWNED AUTOS ,'" DAMAGE $ GARAGE LIABILITY BISPD ® COMBINED $ EXCESS LIABILITY . $,,,,IIVMBRELLA FORM , .' I. ,J., .1 • 'r :+r l 'f. , ', BI S PD i l I ' ® OTHER THAN UMBRELLAFORM K` COMBINED $ $ ? STATUTORY - WORKERS' COMPENSATION ,r $ (EACH ACCIDENT) a{ J $ (DISEASE-POLICY LIMIT) EMPLOYERS' LIABILITY OTHER $ (DISEASE-EACH EMPLOYEE) '`.""« om., F 1:Vt., I.:-., I4 It-4;r )_.].J. "] 7[iL` ] ' ,t :• 1 q-r lD air I-I Ivy 1 .?.j. I)iL 11,ti:H� n r F );131VC 1_7-171 F' 4P,e. CRIPTION OF OPERATIONS/LOCATIONSNEHIOL,ES/SP.ECIAL.ITEMS.• ,>,••.,,,,.,,.., , . l' 1 a g } I.. 1 ' _I.^ #11i fi.-.d.I,+ II LF1. °i:.✓7. I � al i ? 1;k.1 1'.::n.Ti'i t..y •/-1N.4'CERTIFICATE HOLDER CANCELLATION I;r"c. ]N L ta-+,1 i 1 Ui 1 I..+::1. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- iUta 1].i-c {I 1 �?4a 91 h PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO k'F. MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE .1...:n bI"Et I•<, Ili u 1=3j LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY - OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIY- C. AUTHO- ,' -EPA ENTATIVE 41 ill A-lial eigali -I la All 'ACORD 25(8/84) © IIR/ACORD CORPORATION 1984 _ TTA= T•P AT A' Of CERTIFICATE OF INSURANCE ISSUE DATE(MM/DD/YY) 07/17/B7 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS ` 5 NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, lrt("A..Ir- j. 8.41 l,-r v I-x t . Co. : EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. r,, P.O. Ft;, 244;i r Drswwnr', .t_, ,r ,dry- 14 C..)24 COMPANIES AFFORDING COVERAGE' 2 COMPANY A I BI h-, t if T t,:•I- .I I L rvI) " I Ut dal LETTER ^ . . .. .,,rury,in=..girt nl l,rIII/ Ill-4.ilr- . III-JO .FItr. (COMPANY B INSURED LETTER IAJCF��rI)7 e 421 1 :_UL+.1,1\ (:i"'+:'JLC.Et 1'i:iQd MPA LETTERNV c 111 Jn Jznq I•L `I t i .itII:., 1.1 I�I %_U'! t :?! COMPANY D LETTER Lk-t t •r', • 1.3 J r Jr Ic,, ,t .1:1111 COMPANY E LETTER COVERAGES THIS IS TO CERTIFY THAT 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 PQLICIES DESCRIBED_HEREIN IS still IFrT TO Al I.ThER TcRMS;EXCLUSIONS,-AND'CONDI-- *-TIONSOF SUCH70OCIES-- CO POLICY EFFECTIVE POLICY EXPIRATION LIABILITY LIMITS IN THOUSANDS LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DDMI( DATE(MMiDD/W) EACH •K,.!i Ra..w E • Ws. GENERAL LIABILITY BODILY COMPREHENSIVE FORM 'zit >_; .. r _..J INJURY x I � _:. f.IIa .T. .r/TS„1.' (J;`�(. L: fv:, $ CY.HSf°1 $ PREMISES/OPERATIONS PROPERTY L.1...1,1R'IS I'.-417 .. 1-1.#41 UNDERGROUND DAMAGE $ $ 11. X EXPLOSION 8 COLLAPSE HAZARD ' y PRODUCTS/COMPLETED OPERATIONS - . .� RA/ BI 8 PI) CONT TUAL COMBINED $ VIT ,, $ fl INDEPREDENT CONTRACTORS R.14-1r4 ' f TM 40. ® BROAD ORM PROPERTY DAMAGE ' I�' .6..'. PERSONAL INJURY PERSONAL INJURY $ L1 1, _I t�y" AUTOMOBILE LIABILITY P BODILY INJURY r$. ,, ■ ANY AUTO IPER PERSON $ '' x ■ ALL OWNED AUTOS (°RIV. PASS) 174 BODILY ■ ALL OWNED AUTOS/OTHER THAN) INJURY ACCIDENT) $ 1 PRIV. PASS 1 la ■ HIRED AUTOS PROPERTY ■ NON-OWNED AUTOS DAMAGE $ ' In GARAGE LIABILITY -a BI H PD sx' COMBINED $ EXCESS LIABILITY -/ I A .,t�.s..}UMBRELLA FORM ,.:r 11111 1•' y. I{ i, ! Cl COMBINED $ $ * OTHER THAN UMBRELLA FORM-r i STATUTORY I ' i a WORKERS COMPENSATION. �•,• $ (EACH ACCIDENT) $ (DISEASE-POLICY LIMIT) EMPLOYERS' LIABILITY 1 $ (DISEASE-EACH EMPLOYEE) Y.t OTHER -_ ASCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECJAL,LTEMS.. ^o'•.., }: y.: CERTIFICATE HOLDER CANCELLATION . at I ( Fi:k:I I4-!L I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE T EX- ',f-9+) I l ,r 6i IE.&-{ lir. ..'.1=:N.'• PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENpEAVOR TO L:.PI r I,I t iJ Iit MAIL if DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDEf NAMED TO THE LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR(ABILITY Att.f t: I`b,.. t I ..r... bt.1 T 2U7 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. A. -•14 I REPRESENTATIVE ACORD 25(8184) © IIR/A •RD CORPORATION 1984 _ TTA: TsP AT A• . ''' Of CERTIFICATE OF INSURANCE ISSUE DATE(MM/DD YY) 404 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANDRS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, ifil Arthur 3. 'Mill 1.11 P < C:c,• EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. It a I , r , I r ',_;:-4 COMPANIES AFFORDING COVERAGE 4 .r_k COMPANY s LETTER A t r..14+rS Jf t -i' r L I dCl I ,r P.:I,N' 2 i J L-' 'a ii( ::.1 . I, 1:l:. _=: + ,.,p-,r,i c.L. COMPANY B ,� INSURED LETTER p si I.:AL IC,t -,do l ,P I ( :L ,_,+.1 T , I " :illEt 1,,, r_,. LETTERNV C IncILIJin:G L,,,-,1,.1 r-a 1 COMPANY L Lit oi i I. -:•1 ; ..,-,L LETTER COMPANY LETTER E Ilk COVERAGES 'Mt IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. `4^e'•'- NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 4,,0 BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS,AND CONDI- TIONS OF SUCH POLICIES. 4 CO POLICY EFFECTIVE POLICY EXPIRATION LIABILITY LIMITS IN THOUSANDS + TYPE OF INSURANCE POLICY NUMBER . '.umDATE(MM/DO/YY) GATE(MM/DDM) ; . EACHH G-EGAJE- GENERAL LIABILITY - "" r,. IllCOMPREHENSIVE FORM HOURY $ $ NJUY +,II IN PREMISES/OPERATIONS PROPERTY ' UNDERGROUND DAMAGE RR ;Z:1 EXPLOSION 8 COLLAPSE HAZARD - ._,"(11"E P' '.1 Ff.k,Tl, Y PRODUCTS/COMPLETED OPERATIONS CONTRACTUAL COMBED $ arA , $ 0 s. INDEPENDENT CONTRACTORS i :0c14 E, AIM 'J•`,� BROAD FORM PROPERTY DAMAGE PERSONAL INJURY PERSONAL INJURY - n n . .. AUTOMOBILE LIABILITY` - - BODILY INJURY $ ANY AUTO (PER PEe5oNl =N- - ALL OWNED AUTOS RIV PASS) BODILY y� , ALL OWNED AUTOS(THERPTHAN) INJY (PER ACCIDENT $ { , HIRED AUTOS PROPERTY NON-OWNED AUTOS DAMAGE $ ■ GARAGE LIABILITY BISPD ;f, ■ COMBINED $ ;�{ EXCESS LIABILITY a ■ UMBRELLA FORM C GI a PO OTHER THAN UMBRELLA FORM OMBNEo $ $ { uY*:,j WORKERS'COMPENSATION STATUTORY *� $ (EACH ACCIDENT) AND ,r $ (DISEASE-POLICY LIMIT) EMPLOYERS' LIABILITY vrl $ (DISEASE-EACH EMPLOYEE) `. F OTHER E .,..-. ,' i , '.1/F' . .i ,;, .+ % N A In I ' r-� Fr )ar—r—i::•�- . I,, .,:_:1s,.1 I, . _,, , :f t:Y:k3._. .- - t. c?f== , .: t :h�lto_zL.r.r-ern ( ' fill tai 1 N.(FIL'(.1 1.I:le ".. DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS iCir+V.2 FEr. ( 11YdF 11" I eia'I ._ •ro ()venue, Groel,--*/. CO CX-4.�31. t+,4 1's:ILl1 L to i a I A I' .D (IY(:I: ' CERTIFICATE HOLDER CANCELLATION {'1 I v 0+ Eir't+ I eP' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- t Civ E iw R l:; - PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO nOth i _ MAIL 1 , DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 7 GI''t 1 t,r , I...1 1 1 4 .•_.._ LEFT,BUT?AILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. RrGT° AUT-!' ED REP-ESENTATIV III/.1_ / c _ MP• LGdill i'S ACORD 25(8184) © IIR/A ORD CORPORATION 1984 Hello