HomeMy WebLinkAbout000111.tiff ENDORSEMENT # 1
ARTHUR J. GALLAGHER & CO. Date March 2, 1987
P.O. BOX 24809
DENVER, COLORADO 80224 This endorsement extends the bin /de expiration date an
4(303) 773-9999 additional ty days to . Please attach
this to the binder.
Mr. Don Warden Company Safety Mutual Casualty Corp.
Weld County
P.O. Box 758 Binder # 870115
Greeley, CO 80631
Type of Coverage Excess Workers Comp.
BINDER ENDORSEMENT # 1
For attachment to and forming a part of Arthur J. Gallagher & Co. ACORD form 75
insurance binder # 870115 effective January 15. 1987
COMPANY: SAFETY MUTUAL CASUALTY CORP.
INSURED: WELD COUNTY, COLORADO
Effective .Tan„ary 1 5, 1987 , it is hereby understood and agreed the coverages
provided by this insurance binder are extended for an additional thirty (30) days.
It is also understood and agreed the expiration date of this insurance binder is
amended to read as shown below:
Expires: April 15, 1987
All other terms and conditions remain the same.
.
Authorized \\
Date 3/2/87 Representative` 91 C1N
111
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