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Home My WebLink About000112.tiff MAR 0 9 1987 41 • e . e� &lash/ and Pilopetil Pool • „no r �' Calauda eoantieA,sew. 7:f 1177 cunt Shed `. )ena t,games 80203 I N" 303)861-4076 PRESIDENT Tom Puy Bent County 456-1600 VICE-PRESIDENT Don Warden March 5, 1987 Weld County 356-4000 COMPTROLLER Peter Kenney Clear Creek County TO: CAPP Member Counties 534-5777Wee SECRETARY FROM: Harry P. Bowes, CCI Executive Director - Don DeFord Garfield County RE: CAPP Policies 945-9150 DIRECTOR James Bates Pueblo County Enclosed are copies of the Excess Property and Excess 534-.'550 Casualty policies for the Colorado Counties Casualty DIRECTOR and Property Pool . Bruce Baumgartner Summit County you ou have any questions, please call me. as3�zss1 DIRECTOR /pb R.D.Muellenberg Yuma County 332-5796 Enclosures POOL ADMINISTRATOR Terry Bone.ARM 861-4076 LOSS PREVENTION MANAGER Gregory F.Hidden 861.4076 112 PRODUCER NUMBER DATE OF ISSUE RENEWAL OR REPLACEMENT NO. 46E2}B * 100 9-1 tics NEW EXCESS INSURANCE POLICY INTERNATIONAL SURPLUS LINES INSURANCE COMPANY CHICAGO, ILLINOIS INCORPORATED 1971 DECLARATIONS 'SRS IS A'CLAIMS MAIM POLICY 531-000256-5 POLICY NUMBER ELI ITEM 1: NAMED INSURED: COLORADO COUNTIES CASUALTY AND PROPERTY POOL D 1177 GRANT STREET, SUITE 301 STREET LOCATION MAINE EI DENVER, COLORADO 80203 CITY STATE CO y 7 1 I $6 l " To l 7 I I l 87 I ITEM 2: POLICY PERIOD: FROM I EFFECTIVE DATE 1201 AM STANDARD TIME AT THE ADDRESS OF THE NAMED INSURED AS STATED HEREIN a cnrn amrt A LD aM_ ITEM 3: PREMIUM: m 23 TOTAL: $ 555.100.00 cl cJo C = IN ADVANCE $555,100.00 9 CO CD z 15T ANNIVERSARY O 2ND ANNIVERSARY ADJUSTABLE AT A RATE OF PER FLAT ITEM 4: UNDERLYING INSURANCE: $150,000. EACH PERSON/$400,000. EACH OCCURRENCE 11010 COLORADO JURISDICTION GENERAL LIABILITY/AUTOMOBILE LIABILITY (SECTION II) PER UNDERWRITERS AT LLOYDS, LONDON POLICY #ISL 3512 AND VARIOUS COMPANIES POLICY #IC05349. FORMS TO BE FURNISHED BY THE COMPANY. ITEM 5: .-LIMIT(S) OF COVERAGE HEREUNDER: $1,000,000. EACH OCCURRENCE AND IN THE AGGREGATE (NAHRE APPLICABLE) AS RESPECTS LIABILITY FOR JURISDICTION OTHER THAN WAIVER OF IMMUNITY AS SET FORTH IN ARTICLE 10 OF TITLE 24 COLORADO REVISED STATUTES EXCESS OF THE LIMITS STATED IN ITEM # 4. ATTACHED FORMS, ISLIC 37, ENDTS. 1-26 ITEM 6: CANCELLATION: 60 DAYS THIS IS A CLAM MADE POLICY. DATE: 9-4-S6scs COUNTERSIGNED BY AUTHORIZED SIGNATURE ICI I(`-ICI Qo..17/9AI GCrum and Forster - Endorsement w ganUat ons IT IS HEREEY UNCERSTCCC ANC AGREED THAT ENDORSEMENT *24 IS DELETED ARE REPLACED EY THE FCLLCWING: IT IS HEREEY UNCERSTOCC AND AGREEC THAT PART V-CONDITIONS, 2. NCTICE CF LOSS ; PARTICIPATION IN DEFENSE EY THE COMPANY, IS DELETED ANC REPLACEC EY THE FCLLCWING NCTICE CF CLAIM MUST EE MACE IN WRITING AND RECEIVED EY GALLAGHER EASSETT CP THE COMPANY DURING THE POLICY PERIOD. THE CCMPANY AT ITS Oa CPTICN MAY. EUT IS NOT REQUIRED TC PARTICIPATE IN THE INVESTIGATION, SETTLEMENT OR DEFENSE OF ANY CLAIM OR SUIT ACAIi\ST THE INSURED. ARTHUR I. CA UCHER&Co. 11-4 DEC 15 10 Ij l'I TPWar DEC 2 2 1986 DENVER,CO. All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below. Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective Endt # Policy # with the policy. 27 531-000256-5 Effective on and after JUL Cl. 1986 , 12:01 a.m. standard time. Issued to COLORADO COUNTIES, INC. Issued by INT€RNAT'FGN.'L SURPLUS L�t�€5 Insurance Company Expiration date JUL 01,1987 Countersigned by Authorized Representative ", r .. a INTERN/ )NAL SURPLUS LINES INSURANCE L IPANY CHICAGO, ILLINOIS (A stock insurance company, herein called the company) Agrees with the insured, named in the declarations made a part hereof, in consideration of the payment of the premium and in reliance upon the statements in the declarations and subject to the limits of liability, exclusions, conditions and other terms of this policy: PART I - INSURING AGREEMENTS t. Excess Liability Indemnity 2. Policy Period:Termination of Underlying Insurance To indemnify the insured for the amount of loss which is in ex- This policy applies to loss taking place during this policy period. cess of the applicable limits of liability of the underlying insurance If the immediate underlying policy is canceled, this policy like. _. described in item 4 of the declarations;provided further that the limit wise is canceled effective on the same date at the same time and with- of thecompany's liability under this policy shall not exceed the applic' out notice to the insureds- If the immediate underlying policy other- able amount described in item 5 of the declarations. wise ceases to apply (for reasons other than the exhaustion of an The provisions of the immediate underlying policy are Incorporated aggregate limit of liability), this policy likewise ceases to apply to the as a part of this policy except for any obligation to investigate and de. same extent on the same date at the same time and without notice to fend and pay for costs and expenses incident to the same,the amount the insureds. of the limits of liability,any"other insurance' provision and any other provisions therein which are inconsistent with the provisions of this policy 1. Immediate Underlying Policy PART II - DEFINITIONS "Immediate underlying policy"means the policy of the underlying this policy."Loss"does not include investigation,adjustment,defense insurance which provides the layer of coverage, whether primary or or appeal costs and expenses nor costs and expenses incident to any of excess,immediately preceding the layer of coverage provided by this the same,notwithstanding that the underlying insurance may provide policy insurance for such costs and expenses. 2. Loss 3. Underlying Insurance "Loss"means the sums paid as damages in settlement of a claim "Underlying insurance" means the insurance policies described or in satisfaction of a judgment for which the insured is legally liable, in item 4 in the declarations and includes any renewal or replacement after making deductions for all recoveries, salvages and other insur- of such policies. ances(whether recoverable or not) other than the underlying insur- ance and excess insurance purchased specifically to be in excess of PART III PROVISIONS GOVERNING THE APPLICATION OF THE AGGREGATE LIMITS OF LIABILITY 1. Reduction of the Aggregate 2. Application of the Aggregate to'Periods of Time This provision applies only if this policy contains an aggregate The aggregate limits of liability of this policy apply separately to limit of liability which applies to the occurrence each aggregate period.The first aggregate period of this policy begins If the limit of liability of the underlying insurance is less than as on the effective date of this policy and ends on the next termination stated in item 4 in the declarations because the aggregate limits of date of the aggregate period of the immediate underlying policy. Any liability of the underlying insurance have been reduced, this policy succeeding aggregate period of this policy is concurrent with the becomes excess of such reduced limit of liability if such reduction is aggregate period of the immediate underlying policy unless it is the solely the result of injury or destruction occurring after the inception final aggregate period.The final aggregate period of this policy begins date of this policy and not before. Nothing contained herein shall on the termination date of the aggregate period of the immediate operate to increase the limit of the company's liability. underlying policy immediately preceding the expiration date of this policy and ends on the expiration date of this policy. PART IV - NUCLEAR ENERGY LIABILITY EXCLUSION The following exclusion applies in addition to those stated as applicable - in the Primary Insurance. This policy does not apply: As used in this exclusion: "hazardous properties" include radioactive. toxic or explosive pro- 1. Under any Liability Coverage, to injury, sickness, disease, death or perties; destruction "nuclear material" means source material, special nuclear material (a) with respect to which an insured under the policy is also an in. or byproducts material: sured under a nuclear energy liability policy issued by Nuclear "source material," "special nuclear material," and "byproduct ma- Energy Liability Insurance Association, Mutual Atomic Energy feriae' have the meanings given them in the Atomic Energy Act of Liability Underwriters or Nuclear Insurance Association of Can- 1954 or in any law amendatory thereof: ada,or would be an insured under any such policy but for its ter "spent fuel" means any fuel element or fuel component, solid or mination upon exhaustion of its limit of liability; or (b) resulting from the hazardous properties of nuclear material and liquid,which has been used or exposed to radiation ip a nuclear re- with respect to which(1)any person or organization is required to actor; maintain financial protection pursuant to the Atomic Energy Act "waste" means any waste material (1) containing byproduct mater- of 1954.or any law amendatory thereof, or (2) the insured is, or ial and (2) resulting from the operation by any person or of nuclza- had this policy not been issued would be, entitled to indemnity tion of any nuclear facility included within the definition nuclear facility under paragraph (a)or (b) thereof; from the United States of America,or any agency thereof, under any agreement entered into by the United States of America, or "nuclear facility" means any agency thereof,with any person or organization. (a) any nuclear reactor, 2. Under any Medical Expense Coverage,to expenses incurred with res- (b) any equipment or device designed or used for (1) separating the pect to bodily injury, sickness. disease or death resulting from the isotopes of uranium or plutonium,(2)processing or utilizing spent hazardous properties of nuclear material and arising out of the opera. fuel,or (3) handling, processing or packaging waste. tion of a nuclear facility by any person or organization. (c) any equipment or device used for the processing, fabricating or 3.'Under any Liability Coverage, to injury, sickness, disease, death or alloying of special nuclear material if at any time the total amount destruction resulting from the hazardous properties of nuclear mater- of such material in the custody of the insured at the premises where ial, if such equipment or device is located consists of or contains more than 25 grams of plutonium or uranium 233 or any combination (a) the nuclear material (1) is at any nuclear facility owned by, or thereof, or more than 250 grams of uranium 235. operated by or on behalf of,an insured or(2)has been discharged or dispersed therefrom: (d) any structure, basin, excavation, premises or place prepared or (b) the nuclear material is contained in spent fuel or waste at any used for the storage or disposal of waste, time possessed,handled,used.processed. stored.transported or and includes the site on which any of the foregoing is located, all disposed of by or on behalf of an insured; or operations conducted on such site and all premises used for such (c) the injury,sickness,disease,death or destruction arises out of the operations; furnishing by an insured of services,materials,parts or equipment "nuclear reactor" means any apparatus designed or used to sustain in connection with the planning,construction,maintenance.opera nuclear fission in a Self.supporting chain reaction or to contain a tion or use of any nuclear facility, but if such facility is located critical mass of fissionable material: within the United States of America, its territories or possessions With respect to injury to or destruction of property. the word "injury" or Canada, this exclusion (c) applies only to injury to or destruc• or "destruction" includes all forms of radioactive contamination of tion of property at such nuclear facility. property _�JSUC 3O a".. ca.vir - _..- .___. -_..__._._ - ._—_—__ PART V - CONDITIONS 1. Underlying Insurance —Changes During th.. Policy Period necessary to the recovery of any such amounts shah oe apportioned Any change in coverage or premium in the underlying insurance between the interests concerned, including the insured, in the ratio of shall be promptly reported to the company and the insured shall,upon their respective recoveries or, in the event of a totally unsuccessful request, furnish the company with copies of such changes. attempt to recover. in the ratio of the respective amounts sought to be recovered. Any change in the premium for the underlying insurance shall be promptly reported to the company and the premium for this policy. 5. Other Insurance subject to the minimum premium,may be adjusted in accordance with This condition does not apply with respect to the underlying in. the manuals of the company then in effect surance or excess insurance purchased specifically to be in excess of 2. Notice of Loss; Participation in Defense by the Company this policy. Notice of an occurrence which appears likely to involve this policy If.with respect to a loss covered hereunder.the insured has other shall be given by or on behalf of the insured to the company or any of insurance, whether on a primary, excess or contingent basis, there— shall be no insurance afforded hereunder as respects such loss; pro its authorized agents as soon as practicable. The company at its own vided, that if the applicable lima of liability of this policy is greater option may, but is not required to, participate in the investigation, than the applicable limit of liability provided by the other insurance, settlement or defense of any claim or suit against the insured. this policy shall afford excess insurance over and above such other in- 3. Action Against Company surance in an amount sufficient to give the insured, as respects the No action shall lie against the company unless.as a condition pre- layer of coverage afforded by this policy. a total limit of liability equal cedent thereto.the insured shall have fully complied with all the terms to the applicable limit of liability afforded by this policy. of this policy. 6. Cancellation Any person or organization or the legal representative thereof who This policy may be canceled by the rOmed insured,by mailing to has secured a judgment against the insured shall thereafter be entitled the company written notice stating whhheri,thereafter,the cancellation to recover under this policy to the extent of the insurance afforded by shall be effective. This policy may be ca celed by the company by this policy. Nothing contained in this policy shall give any person or malting to the named insured at t ee/y ddress.shown in the declara- organization any right to join the company as a co-defendant in any bons written notice stating when ro1fless than ten days thereafter,or action against the insured to determine the insureds liability Any pay- the number of days set forth in Meth 6 of•the Declarations. such can ments by the company under this condition 3 shall discharge the com- cellation shall be effective.The rhaling of notice as aforesaid shall be pants obligation to the insured to the extent of such payments. sufficient proof of notice'The'effectrv999 date of cancellation stated in Bankruptcy or insolvency of the insured or of the insured's estate the notice shall be me tete end ofrfrel policy period Delivery of such shall not relieve the company of any of its obligations hereunder. written notice eithgc}pbythe named i s red or by the company shall be 4. Subrogation and Other Recoveries equivalent to mailfn& j / If the named insured elearned premium or minimum pre- In the event of any payment under this policy, the company shall mium,whichever is greats all be computed in accordance with the be subrogated to all the insured's rights of recovery therefor against customary shop rate tabl and procedure. If the company cancels, any person or organization and the insured shall execute and deliver earned premium or minimum premium,whichever is greater. shall be instruments and papers and do whatever else is necessary to secure computed,pro rata Premium adjustment may be made either at the such rights.The insured shall do nothing after the occurrence to pre- time ca9Cellation is effected or as soon as practicable after cancella- judice such rights. lion becomeseffective.but payment or tender of unearned premium is Because this policy affords excess coverage.the insured's right of not icondition of cancellation recovery cannot always be exclusively subrogated to the company. It 7. First Named Insured is, therefore, agreed that the company shall act in concert with all other interests concerned,including the insured,in the enforcement of The insured first named in item 1 in the declarations is authorized any subrogation rights or in the recovery of amounts by any other to act on behalf of all named insureds and other insureds with res- means.The apportioning of any amounts so recovered shall follow in pect to the giving and receiving of notice of cancellation and to receiv' the principle that any interest, including the insured. that shall have Ing any return premium that may become payable under this policy. paid an amount over and above any payment under this policy shall The insured first named in item 1 in the declarations is responsible first be reimbursed up to the amount paid by such interest; the com• for the payment of all premiums but the other named insureds jointly pany shall then be reimbursed out of any balance then remaining up and severally agree to make such premium payments in full if the in- to the amounts paid as the result of loss covered under this policy;and sured first named in item 1 fails to pay the amount due within thirty lastly,the interests,including the insured,of whom this coverage is in days after the company gives a written demand for payment to the excessareentitledtoclaim any residue remaining.Expenses and costs insured first named in item 1. IN WITNESS WHEREOF,the company has caused this policy to be signed by its president and secretary, but this policy shall not be valid unless countersigned on the declarations page by a duly authorized representative of the company. • 1 Secretary /% '�J President ISLIC 39 Rev.l7/641 Crum and Forster Endorsement orgamza'ons FAMED INSURED ------------- THE UNQUALIFIED WORD INSURED WHEREVER USED IN THE EXCESS INSUR- ANCE POLICIES INCLUDES NOT ONLY THE NAMED INSURED, BUT ALSO; COLORADO COUNTIES CASUALTY AND PROPERTY POOL (CAPP) INCLUD- ING ITS BOARD CF DIRECTORS. OFFICERS. EMPLOYEES. AGENTS. E ALL PARTICIPATING COUNTIES AS MEMBERS. THEREOF. INCLUDING THEIR ELECTED AND APPOINTED OFFICIALS. TRUSTEES. DIRECTORS. OFFICERS. EMPLOYEES. ANC VOLUNTEERS. INDIVIDUALLY AND COL- LECTIVELY, WHILE ACTING WITHIN THE SCOPE OF THEIR DUTIES AS SUCH AND ANY PERSON, CRGAN IZATION. TRUSTEE OR ESTATE TO WHOM THE NAMED INSURED IS OBLI GATED EY VIRTUE OF WRITTEN CONTRACT OR AGREEMENT TC PROVIDE INSURANCE SUCH AS IS OFFERED HY THIS INSURANCE 3UT ONLY IN RESPECT TC OPERATIONS BY OR ON BEHALF OF THE NAMED INSURED. All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below. Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective Endt ft Policy M with the policy. 01 31-000256-5 Effective on and after JUL U I. 7986 12:01 a.m. standard time. Issued to COLORADO COUNTIES. INC. Issued by INT€RNAT IONAL SURF' U5 L I 11rES Insurance Company Expiration date JUL 01. 1987 q 1 _ Countersigned by 4 .n--s ` Ci �/ � -'�>`�t' Aumoraea Reoresema!me aCrum and Forster Endorsement Or9a nrla lionS COLCRADC GOVERNMENTAL IMMUNITY ACT ENDORSEMENT IT IS HEREBY UNCERSTOOC 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 COLORADC GOVERNMENTAL IMMUNITY ACT OR TO CLAIMS OR ACTIONS FOR WHICH IMMUNITY IS WAIVED UNDER THE COLORADO GOVERN- MENTAL IMMUNITY ACT ARTICLE 10 CF TITLE 24 COLORADO REVISED STATUTES AS AMENDED FROM TIME TO TIME. All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below. Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective Endt # Policy # with the policy. 02 31-000256—S Effectiye on and after JUL 01. 1986 , 12:01 a.m. standard time. Issued to COLORADO COUNTIES. INC. Issued by INTEPALATI^NAr 57JDP Li IS LIMES Insurance Company Expiration date QQ JUL 01• 19877 Countersigned by /J tit J a - 4Z). \..L \. i^, Auihor¢ea Rey esenlaYVP . Calm and Forster Endorsement votga„*taiions ABSOLUTE SEEPAGE AND POLLUTION EXCLUSION FCR AND IN CONSIDERATION OF THE PREMIUM CHARGED. IT IS UNDER- STOOD AND AGREED THAT THE COMPANY WILL NOT BE OBLIGATED TG: 1 . MAKE PAYMENT FOR ANY LOSS; OR 2. PROVIDE OFFENSE IN CONNECTION WITH ANY CLAIM ARISING OUT OF OR RELATED TO ANY OCCURRENCE. DIRECTLY CR INDIRECTLY. CAUSED BY OR RESULTING FROM THE DISPERSAL. 'DISCHARGE. ESCAPE. RELEASE. SATURATION CR DISPOSAL. BY O. ON EEY.ALF OF ANY INSURED. OF SMOKE. VAPORS. SOOT FUMES. ACIDS. ALKALIS. TOXIC CHEMICALS. LIQUIDS. GASES OR ANY OTHER MATERIAL. IRRITANT. CONTAMINANT OR POLLUTANT IN OR INTO THE' ATMOSPHERE. OR ON. ONTO. UPON. IN OR INTO SURFACE OR SUS-SURFACE: A. SOIL; °. WATER OR WATERCOURSES; C. OSJECTS; C. ANY TANGI;:LE CR INTANGIELE MATTER; WHETHER SUDDEN CR NOT. THIS EXCLUSION APPLIES TD ANY CLAIM `_'.Y WHOMEVER OR WHATSOEVER MADE, INCLUDING. FUT NOT LIMI TEO TO. ANY PUBLIC. PRIVATE OR GOVERNMENTAL PERSON. CONCERN. eon. ENTITY. AGENCY. OFFICE OP CORPCRAT ION. IT IS FURTHER AGI?EEO THAT THE AGGPEGATE LIMIT JF LIAOIL'Ty OF ANY UNDERLYING INSURANCE CR SELF-INSURED RETENTION WILL NOT 1?E i<_DUCELI EY LOSSES ARISING GUT CF SUCH CLAIMS. All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below. Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective Endt # Policy # with the policy. 03 531-000?_56-5 Effective on and after JUL O1. 1980 , 12:01 a.m. standard time. Issued to COLORADO COUNTIES. INC. Issued by IpitELI-wm �A. SLID of-US L1uE5 Insurance Company Expiration date JUL 01. 1937 Countersigned by (j 0.cs`1 "? AuIha.¢ed Pepresemau.e 1 I aCrum and Forster Endorsement organizations ABSOLUTE ASBESTOS EXCLUSION FOR AND IN CONSIDERATION CF THE PREMIUM CHARGED. IT IS UNDER- STOOD AND AGREED THAT THE CCMFANY WILL NOT BE OBLIGATED To: ( 1 ) MAKE PAYMENT FOR ANY LOSS; OR (2) PROVIDE DEFENS.1 IN CONNECTION WITH ANY CLAIM ( I ) ARISING OUT OF OR ( II ) RELATED TO ANY OCCURRENCE. CR ( III ) DIRECTLY OR INDIRECTLY CAUSED bY. BASED UPON OR RESULTING FRCM: ( A) ASBESTOS OR ANY ASBESTOS RELATED INJURY UR DAMAGE; OR ( b) ANY ALLEGED ACT. ERROR. OMISSION OR DUTY INVOLVING A53E5TJ5. ITS USE. EXPOSURE. PRESENCE. EXISTENCE. DETECTION, REMOVAL. ELIMINATION OR AVOIDANCE. OR ( C) THE USE. EXPOSUR=. PRESENCE. EXISTENCE. DETECTION. REMOVAL. ELIMINATION CR AVOICANCE CF ASBESTOS IN ANY ENVIRONMENT. BUILDING OR STRUCTURE. IT IS FURTHER AGREED THAT THE AGGREGATE LIMIT OF LIABILITY OF ANY UNDERLYING INSURANCE CR SELF- INSURED RETENTION WILL NOT BE REDUCED DY LOSSES ARISING CUT OF SUCH CLAIMS. All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below. Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective Endt # Policy # with the policy. 04 531-0002£b-5 Effective on and after JUL 01. 198' , 12:01 a.m. standard time. Issued to COLORADO COUNTIES. INC. Issued by I NTE Plas.T-I-UNAL SteWRLUS LINES Insurance Company Expiration date JUL 01. 1997 Countersigned by • r`=\: CL A-A```,c) Autnol4eo Aeo'esemanve 1 VaCrum and Forster Endorsement orgamralsonS DIRECTORS AND CFFICERS EXCLUSION IN CONSIDERATION CF THE PREMIUM CHARGED. IT IS UNDERSTOOD AND AGREED THAT THIS POLICY DOES NOT PROVIDE COVERAGE FOR ANY INSURED OR ANY DIRECTORS CR OFFICERS OF ANY INSURED COVERED SY THIS POLICY FOR A WRONGFUL ACT WHILE ACTING IN THEIR INDIVIDUAL OR COLLECTIVE CAPACITIES AS DIRECTORS OR OFFICERS. THE TERM naRONGFUL ACT" MEANS ANY ACTUAL OR ALLEGED ERROR OR MISSTATEMENT CR MISLEADING STATEMENT OR ACT OR OMISSION OP NEGLECT OR BREACH OF DUTY EY ANY INSURED OR ANY DIRECTORS OR OFFICERS WHILE ACTING IN THEIR INDIVIDUAL OR COLLECTIVa CAPACITIES. OR ANY MATTER CLAIWEC AGAINST THEM SOLELY •?Y REASON CF THEIR 3EING DIRECTORS OR CFFICERS OF THE COMPANY. All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below. Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective Endt # Policy # with the policy. 05 JI-000256-5 Effective on and after JUL 01 . 1986 . 12'.01 a.m. standard time. Issuedlo CCLCRADC COUNTIES. INC. Issued by INTERNATIONAL SURPLUS LINES Insurance Company Expiration date JUL 01 . 2987 Countersigned by k.r �x-j-= -��'� 9 J • �' 4ulnou lea Rearesenla live rCrum and Forster Endorsement a 0rganila00ns EMPLOYEE BENEFIT LIABILITY IN CONSIDERATION CF THE PREMIUM CHARGED, IT IS HEREBY UNDERSTOOD AND AGREED THAT THIS POLICY IS EXTENDED TO INCLUDE "EMPLOYEE BENEFIT LIABILITY". AS MORE FULLY DEFINED IN THE SCHEDULED UNDERLYING POLICIES AND THAT AS RESPECTS SUCH COVERAGE THIS POLICY IS SUBJECT TO THE SAME WARRANTIES. TERMS AND CONDITIONS (EXCEPT AS REGARDS THE PREMIUM, THE OBLIGATION TO INVESTIGATE AND DEFEND. THE AMOUNT AND LIMITS OF LIABILITY ANC THE RENEWAL AGREEMENT, IF ANY ) AS ARE CONTAINED IN THE SAID UNDERLYING POLICIES. IT IS HOWEVER FURTHER UNDERSTOOD AND AGREED THAT THE ABOVE EXTENSION IN COVERAGE CCES NOT APPLY TO CLAIMS BASED UPON THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974. PUBLIC LAW 93-406• COMMONLY REFERRED TO AS THE PENSION REFORM ACT OF 1974 AND AMENDMENTS THFRETC. OR SIMILAR PROVISIONS OF ANY FEDERAL, STATE CR LOCAL STATUTORY LAW OR COMMON LAW. All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below. Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective Endt ft Policy M with the policy.L06 31-000256-5 Effective on and after JUL 01. 1986 , 12:01 a.m. standard time. Issued to COLORADO COUNTIES, INC. Issued by INTERNATIONAL "rrnn, tt5 LI"ES Insurance Company Expiration date JUL 01, 1f987 Countersigned by '6 • rt U6'-��—Q��,,, Au'floete0 ReDresenlaive GCrum and Forster Endorsement organizations IN CONSIDERATION CF THE PREMIUM CHARGED. IT IS HEREBY UNDERSTOOD AND AGREED THAT NO COVERAGE IS AFFORDED UNDER THIS POLICY FCa: I ) WORKERS CCMPENSAT ION ANC/OR EMPLOYERS LIABILITY AND/OR OCCUPATICNAL DISEASE. All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below. Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective Endt # Policy # with the policy. 07 31-000256-5 Effective on and after JUL 01 . 1986 12:01 a.m. standard time. Issued to CCLCRADC COUNTIES. INC. Issued by INTERN AT SUDPLrIS I INES InsuranceCompany Expiration date JUL 01. 1987 ^ cp -_ Countersigned by 1 �L' V C-i.�:-^�c c ' Autrionzea Representative GCrum and Forster Endorsement organ is rionS EMERGENCY MEDICAL TECHNICIANS AND/OR PARAMEDICS PROFESSIONAL LIABILITY EXCLUSION IN CONSIDERATION CF THE PREMIUM CHARGED, IT IS HEREBY UNDERSTOOD AND AGREED THAT COVERAGE AFFORDED BY THIS POLICY DOES NOT APPLY TO INJURY. SICKNESS. DISEASE, DEATH OR DESTRUCTION DUE TO THE RENDERING OF OR FAILURE TO RENDER ANY PROFESSIONAL SERVICE BY ANY EMERGENCY MEDICAL TECHNICIANS AND/OR PARAMEDICS. \ 7 P. _ N \,l • lJ h} JV/\VV (� All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below. Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective Endt # Policy K with the policy. 08 31-000256—S Effective on and after JUL 01. 1986 , 12:01 a.m. standard time. Issued to COLORADO COUNTIES, INC. Issued by INTEOd/TIONAL SUQPLUS LINES Insurance Company Expiration date JUL 01 , 1927 r Countersigned by 2 -i Uc- 43 -k ! C> Awho zed Representative VaCrum and Forster Endorsement organu a lions SEXUAL MISCONDUCT EXCLUSION SEXUAL CR PHYSICAL ABUSE CR MOLESTATION OF ANY PERSON BY ANY INSURED. ANY EMPLOYEE OF ANY INSURED OR ANY VOLUNTEER WORKER DOES NOT CONSTITUTE PERSONAL INJURY WITHIN THE TERMS OF THIS POLICY AS DEFINED IN ITEM O1 CF SECTION II - DEFINITIONS OF THE UNDERLYING POLICIES LISTED IN ITEM 04 OF THE DECLARATIONS. AND AS SUCH CLAIM ARISING. CIRECTLY OR INDIRECTLY, FROM THE AFOREMENTIONED IS EXCLUDED. All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below. Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective Endt # Policy M with the policy. 04 >31-000256-5 Effective on and after JUL 01• 1986 . 12:01 a.m. standard time. Issued to COLORADO COUNTIES. INC. Issued by ibITZ.DNI•T T rteau SUDDLt6 LIN?5 Insurance Company Expiration date JUL 01. 1987 Countersigned by A - n • •Lf .�---��1 c ' Am.,o,aed Rep'esenlae"e ♦a. Crum and Forster Endorsement organza bons ERRORS AND ❑MISSIDNS LIABILITY EXCLUSION IT IS AGREED THAT THIS PCLI CY DOES NOT APPLY TO ANY LIABILITY ARISING OUT OF ANY ERROR CR OMISSION. MALPRACTICE OR MISTAKE OF A PROFESSIONAL NATURE. COMMITTED CR ALLEGED TO HAVE SEEN COMMITTED BY CR ON BEHALF OF ANY INSURED EXCEPT AS RESPECTS INCIDENTAL MEDICAL MALPRACTICE. IT IS FURTHER AGREED THAT THIS EXCLUSION DOES NOT APPLY TO SECTION II-DEF'NIT ICNS. PERSONAL INJURIES, 1(A) . AS DEFINED IN THE UNCERLY ING POLICIES. All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below. Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective Endt # Policy # with the policy. 10 (531-000256-5 Effective on and after JUL 01. 1986 12:01 a.m. standard time. Issued to CCLORADC COUNTIES. INC. Issued by INTFaveT l=NAL Suano IS LINES Insurance Company Expiration date JUL 01._19(,87 p V o-fliC^� \ Countersigned by D . n . (Wbbon zed Reoresema bye aCrum and Forster Endorsement organizations INVERSE CONDEMNATION EXCLUSION CLAUSE THIS POLICY DOES NOT COVER CLAIMS FOR LOSS OR DAMAGE OR ANY LIABILITY OF ANY INSURED ARISING OUT OF OR IN ANY WAY CONNECTED WITH THE OPERATION OF THE PRINCIPLES OF EMINENT DOMAIN. CONDEMNATION EY WHATEVER NAME CALLED REGARDLESS OF WHETHER SUCH CLAIMS ARE MADE DIRECTLY AGAINST ANY INSURED OR BY VIRTUE OF ANY AGREEMENT ENTERED INTO EY CR ON BEHALF OF ANY INSURED. All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective dale of your policy, unless another effective date is shown below. Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective Endt # Policy # with the policy. 11 3 1—000256-5 Effective on and after JUL 01. 1986 12:01 a.m. standard time. Issued to COL ORAL)C COUNTIES. INC. Issued by LNG+1ATIBWAL SURPLUS L-I PiES Insurance Company Expiration date JUL 0101957 Countersigned by -Z • r r v G-� M Q.__ L[$) /wnonzea Reoresentat,ve GCrum and Forster Endorsement organizations HOSPITAL AND/OR CLINIC PROFESSIONAL LIABILITY EXCLUSION IN CONSIDERATION OF THE PREMIUM CHARGED. IT IS HEREBY UNDERSTOOD AND AGREED THAT CCVERAGE AFFORDED .3Y THIS POLICY DOES NCT APPLY TO INJURY. SICKNESS. DISEASE. DEATH OR DESTRUCTION DUE TO THE RENDERING OF OR FAILURE TC RENDER ANY PROFESSIONAL SERVICE BY ANY HOSPITAL ANC/CR CLINIC. All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below. Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective Endt # Policy # with the policy. 12 31-000256—S Effective on and after JUL 01. 1986 . 12:01 a.m. standard time. Issued to COLORADO COUNTIES. INC. Issued by INTERNATIONAL -SURPLUS LINES Insurance Company Expiration date JUL 01.19 Countersigned by .2 • 47—' \--in- i^.0 CL(87 `CCC AWnouIeo Representative G. Crum and Forster - Endorsement organualions IN CONSIDERATION OF THE PREMIUM CHARGED. IT IS HERESY UNDERSTOOD AND AGREED THAT THIS INSURANCE DOES NOT APPLY TO ANY CLAIM ARISING OUT CF THE OWNERSHIP. MAINTENANCE. OPERATION OR USE. INCLUDING LOADING CR UNLOADING. OF ANY OWNED AIRCRAFT, AIRFIELDS. RUNWAYS. AIR TRAFFIC CONTROL. All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below. Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective Endt # Policy # with the policy. 13 531-000256-5 Effective on and after JUL 01. 1986 . 12:01 a.m. standard time. Issued to Cr1 OR ADC COUNT ICS. JNC. Issued by INT CRNAT I ONAL SURPLUS LINES Insurance Company Expiration date JUL 01, 1987 1987 P /''� ,, �((n/��//� ,� Countersigned by ' �\ • utA.(!�C/µ2Q, Authorized Reoresentalive GCrum and Forster Endorsement ofganiraoons IN CO"SIJE!:ATION .:F THE PREMIUM CH.'-P.GEC. IT IS UND r 3TUOD AND AGREEC THAT SUCH CCVERAGE R5 IS AF-CF.DD 3Y THIS PCLICY DOES NCT APPLY TC 'r AT2RCRAFT L.IAEILITY. UNLESS SUCH LIABILITY CrVERED ;3Y VALIC ANC COLLECT IELE UNDERLYING INSURANCE AS LISTED IN ITEM #4 JF THE DECLAN ATILNS. FCC‘ THE FULL LIMITS OF LIABILITY SEDAN THi=RcIN, ANC THEN ONLY FOR SUCH HAZA::DS FOR AhICH CCVERMG.- IS AFFORDED UNDER SA IC UNOEI'LYING INSURANCE. All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below. Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective Endt # Policy N with the policy. 14 E 31—0002E 2 E 6—': Effective on and after JUL Cl I . INC , 12:01 a.m. standard time. Issued to cm! rtrtt^r- C W TT " Issued by 1,4T _t:N-Ar-Y I9NNAt et.FRrLus LIN:.-s Insurance Company Expiration date J�)( �n/JUL 01• 19t37 Countersigned by /. ) • '\ . U IJ 0C_J Autno'¢ed Repesentar.ve aCrum and Forster Endorsement orgamzahons IN CONSIDERATION CF THE PREMIUM CHARGED. IT IS HEREBY UNDERSTOOD AND AGREED THAT THIS INSURANCE DOES NOT APPLY TO ANY CLAIM ARISING OUT OF OR BY REASCN OF: (A) CAUSING CR CONTRIBUTING TO THE INTOXICATION OF ANY PERSON; CR (E1 THE FURNISHING OF ALCOHCLIC BEVERAGES TO A PERSON UNDER THE LEGAL DRINKING AGE; OR (C) ANY STATUTE. ORDINANCE OR REGULATION RELATING TC THE SALE. GIFT. DISTRIBUTION [JR USE OF ALCOHOLIC BEVERAGES. EXCLUSIONS ( A) ANC (C) CNLY APPLY IF THE NAMED INSURED IS IN THE BUSINESS OF MANUFACTURING. DISTRIBUTING. SELLING. SERVING OR FURNISHING ALCOHOLIC EEVERAGES. ,All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below. Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective Endt # Policy # with the policy. 15 31-000256—S Effective on and after JUL 01 . 198`' . 12:01 a.m. standard time. Issued to COLORADO COUNTIES. INC. Issued by I N TE RAL*T LpM&L SutPI IM LI NF q, Insurance Company Expiration date JUL 01. 1987 Countersigned by 2, -CL' e;,-L=-L-CN-Y- 1.-\ Aumonzeo Reoresentanve a Crum and Forster Endorsement organizations CARE. CUSTODY. CONTROL EXCLUSION DAMAGE TO REAL PROPERTY EXCLUSION IT IS AGREED THAT THIS PCLICY DOES NOT APPLY TO INJURY TO OR DESTRUCTION CF OR LOSS OF REAL PROPERTY LEASED. RENTED TO. OCCUPIED DR MANAGED BY THE INSURED. DAMAGE TO PERSONAL PROPERTY EXCLUSION IT IS AGREED THAT THIS POLICY DOES NOT APPLY TO INJURY TO OR DESTRUCTION OF CR LOSS OF PERSONAL PROPERTY IN THE CARE. CUSTODY OR CONTROL CF THE INSURED OR AS TO WHICH THE INSURED IS FOR ANY PURPOSE EXERCISING PHYSICAL CONTROL. FOR THE PURPOSE CF THIS ENDORSEMENT. PERSONAL PROPERTY MEANS ALL PROPERTY OTHER THAN REAL PROPERTY. �' 1O A \'�i it r C r . All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below. Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective Endt # Policy # with the policy. 16 31—OOO256—S Effective on and after JUL 01. 1986 12:O1 a.m. standard time. Issued to COLOR ADO COUNTIES. INC. Issued by zNT'EJia{3T3JJN,L cnwnr iit r inn=c, Insurance Company JUL 01, 1987 19 Expiration dale Q )7 Countersigned by iU n—' Li�x -'`L v(8!��t ap!'onzea Representative aCrum and Forster Endorsement organizations IN CONSIDERATION OF THE PREMIUM CHARGED, IT IS HEREBY UNDERSTOOD AND AGREED THAT THIS INSURANCE DOES NOT APPLY TO ANY CLAIM ARISING OUT OF: PROPERTY DAMAGE TO: I . PROPERTY YOU OWN, RENT OR OCCUPY; 2. PREMISES YOU SELL, GIVE AWAY, ABANDON. IF THE "PROPERTY DAMAGE" ARISES OUT OF ANY PART OF THOSE PREMISES; 3. PROPERTY LOANED TC YOU; 4. PERSONAL PROPERTY IN YOUR CARE, CUSTODY OR CONTROL; 5. THAT PARTICULAR PART OF REAL PROPERTY ON WHICH YOU OR ANY CONTRACTORS OR SUBCONTRACTORS WORKING DIRECTLY OR INDIRECTLY ON YOUR BEHALF ARE PERFORMING OPERATIONS. IF THE "PROPERTY DAMAGE" ARISES OUT OF THOSE OPERATIONS; CR 6. THAT PARTICULAR PART OF ANY PROPERTY THAT MUST BE RESTORED. REPAIRED CR REPLACED BECAUSE "YOUR WORK" WAS INCORRECTLY PERFORMED ON IT. PARAGRAPH (2) GF THIS EXCLUSION DOES NOT APPLY IF THE PREMISES ARE "YOUR WORK" AND WERE NEVER OCCUPIED, RENTED OR HELD FOR RENTAL BY YOU. PARAGRAPHS (3). (4) . (5) AND (6) OF THIS EXCLUSION DO NOT APPLY TO LIABILITY ASSUMED UNDER A SIDETRACK AGREEMENT. DAMAGES CLAIMED FOR ANY LOSS. COST CR EXPENSE INCURRED EY YOU JR OTHERS FCR THE LOSS OF USE, WITHDRAWAL, RECALL. INSPECTION. REPAIR, REPLACEMENT. ADJUSTMENT, REMOVAL OR DISPERSAL OF: 1 ) "YOUR PRODUCT;" 2) "YOUR WORK;" CR 3) "IMPAIRED PROPERTY;" IF SUCH PRODUCT, WORK. CR PROPERTY IS WITHDRAWN CR RECALLED FROM THE MARKET OR FROM USE BY ANY PERSON OR ORGANIZATION BECAUSE OF A KNOWN OR SUSPECTED DEFECT. DEFICIENCY. INADEQUACY JR DANGEROUS ll CONDITION IN IT. r 1- ' ` A All other terms and conditions of this policy remain unchanged. i i CC This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below. Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective Endt # Policy # with the policy. 17 31-000256-5 Effective on and after JUL 01. 198" 12:01 a.m. standard time. Issued to CCLCRADC COUNTIES. INC. Issued by 1NTFCNATiFINAL' Gt1BP1 OS I INFO Insurance Company Expiration date JUL 01. 1987 Countersigned by 2 - (2.• L)c- Q--0,R-, k Awhor¢ed AewesematRe aCrum and Forster Endorsement organ i l at i ons ABSOLUTE FAILURE TO SUPPLY EXCLUSION IN CONSIDERATION OF THE PREMIUM CHARGED. IT IS HEREBY UNDERSTOOD AND AGREED THAT THIS POLICY DOES NOT APPLY TO ANY LIABILITY ARISING OUT OF THE FAILURE TO PROVIDE: A. ELECTRICITY CR MAINTAIN PROPER ELECTRICAL POWER. AND/OR B. WATER OR MAINTAIN PROPER WATER PRESSURE. AND/OR C. GAS OR MAINTAIN PROPER GAS PRESSURE. All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below. Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective Endt # f Policy # with the policy. 13 31-000256-5 Effective on and after JUL 01. 1986 12-.01 a.m. standard time. Issued to COLORADO COUNTIES. INC. Issued by IMTED+v•T 1-rvrAL $UCW US LINES- Insurance Company Expiration date JUL 01. 1987 }n( Countersigned by 'w '(—` \t Ch-,L2—�- 1:2`—�f ---.)C Aulnonted Feotesentaive • aaCrum and Forster Endorsement organuai,ons IT IS Ht..r1Y UNCEFSTOCD AND AGREEC THAT ENCORS-_MENTS NE. #15. v16 ANC rt17 APPLY ONLY AS RESPECTS NON COLORAD1 JURISDICTION. All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below. Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective Endt # Policy # with the policy. 19 531-000256-5 Effective on and after JUL 01 . 198r` , 1201 a.m. standard time. Issued to Cut [-PAM' rnt ITT = S. INC. Issued by I NT IF.X ?T I(ANAL ;URPLU'; Insurance Company Expiration date JUL 01. 1 ')'470 (� �� `(�, Q� Countersigned by �J !� ' �U ll✓.h/e.` it ALTo,!Zed Pep,eseMdlwe GCrum and Forster Endorsement Organizations IN CONSIDERATION CF THE PPEYIU4 CHARGED, IT IS UNDERSTOOD AND AGv5FC THAT SUCH CI:VERAC'E AS IS AFFU;:DE_D 3Y THIS PCLICY DUES NCT APPLY TC PEPSCNAL INJURY LIAEILITY. UNLESS SUCH LIAEILITY IS CGVEF.EG EY VALID AND CCLLECTI .LE UNDERLYING INSURANCE AS LISTED IN ITEM A4 OF THE DECLA.R<ATIONS, FOR THE FULL LIMITS GF LIAEILITY 3hi[WN TFER'r.IN• ANC THEN ONLY FOR SUCH HAZARDS FOR WHICH CCVETAGE IS AFFORD C UNDER SAID UNDERLYING INSURANCE. EXCEPT AS 1-:ESPECTS ENDGRScMENTE 49 AND All ATTACHED TC. THIS PCLICY. All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below. Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective Endt # Policy M with the policy. 20 7,.31—00r,r_ o— :: Effective on and after JUL 01 • 198' . 12:01 a.m. standard time. Issuedto rn r•;c^r n T1 , INC- . Issued by I1:1..:Cant IJraArL SUPPLUS LI NES Insurance Company Expiration date JUL 01 . 1987 ) Countersigned by .CJ dyln0.zed Reoresentaiwe aCrum and Forster Endorsement orgatvtanons CANCELLATION PROVISION: NO CANCELLATION OR TERMINATION OF THIS POLICY. AS AN ENTIRETY. WHETHER BY OR AT THE REQUEST OF THE INSURED OR BY TH_ COMPANY SHALL TAKE EFFECT PRI CR TO THE EXPIRATION OF NINETY ( 90) DAYS AFTER WRITTEN NOTICE CF SUCH CANCELLATION OR TERMINATION HAS aEEN FILED WITH THE COMMISSIONER OF INSURANCE. STATE OF COLO- RADO. UNLESS AN EARLIER DATE CF SUCH CANCELLATION OR TERMINA- TION IS APPROVED BY SAID COMMISSIONER OF INSURANCE. STATE OF COLORADO. All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below. Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective Endt # Policy # with the policy. 21 31-000256-5 Effective on and after JUL 01. 1986 , 12'.01 a.m. standard time. Issued to COLORADO COUNTIES. INC. Issued by I NTE RN AT 13NAL SWWI_US LINES- Insurance Company Expiration date JUL 01. 1987 t r Countersigned by • 12--: C.) C —�c.-C\ Autho•zed aeotesentairve GCrum and Forster Endorsement organizations IN CONSIDERATION CF THE PREMIUM CHARGED. IT IS HEREEY UNDERSTOOD AND AGREED THAT ITEM 12 UNDER PART II - JEFINIT IONS, LOSS. IS DELETED AND REPLACED EY THE FOLLOWING: 2) ULTIMATE NET LCSS - THE TERM "ULTIMATE NET LOSS" SHALL MEAN THE TOTAL SUM WHICH THE INSURED BECOMES OBLIGATED TO PAY 3Y REASON OF PERSONAL INJURY CR PROPERTY DAMAGE CLAIMS. EITHER THROUGH ADJUDICATION OR COMPROMISE. AFTER MAKING PROPER • DEDUCTIONS FCR ALL RECOVERIES ANC SALVAGES* AND SHALL ALSO INCLUDE HCSPITAL• MEDICAL AND FUNERAL CHARGES AND ALL SUMS PAID SALARIES. WAGES. COMPENSATION. FEES. CHARGES AND LAW COSTS. PREMIUMS CN ATTACHMENT CR APPEAL BONDS. INTEREST. EXPENSES FUR DOCTORS. LAWYERS, NURSES AND INVESTIGATORS AND OTHER PERSONS AND FOR LITIGATION, SETTLEMENT. ADJUSTMENT AND INVESTIGATION CF CLAIMS ANC SUITS WHICH ARE PAID AS A CONSEQUENCE OF ANY OCCURRENCE COVERED HEREUNDER. EXCLUDING ONLY THE SALARIES CF THE NAMED INSUREDS PERMANENT EMPLOYEES. FEES. CHARGES ANC EXPENSES FCR GALLAGHER BASSETT INSURANCE SERVICE ARE SPECIFICALLY EXCLUDED. AND ARE TO BE PAID by THE INSURED. All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below. Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective Endt ft Policy M with the policy. 22 31-000256-5 Effective on and after JUL 01. 1986 , 12:01 a.m. standard time. Issued to COLORADO COUNTIES, INC. Issued by I NT EiSAt4T 1-GN&L Surf _s' LI WI's Insurance Company Expiration date JUL 01. 1987 Countersigned by 8 ' I V w1-'3 ? AUInOr.zed AeDreserrlal've aCrum and Forster Endorsement olganuallons IN CCNSIDERAT ION OF THE PREMIUM CHARGED. IT IS HEREBY UNDERSTOOD AND AGREED THAT THIS POLICY DOES NOT APPLY TO ANY CLAIMS OCCURRING PRIOR TO THE RETROACTIVE CATE OF 07/01/86. All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below. Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective Endt # Policy # with the policy. 23 31-000256—S Effective on and after JUL O 1. 1986 1201 a.m. standard time. Issued to COLCRADC COUNTIES. INC. Issued by 1N-TcCNATI[NAL Suoor Ic LINFS Insurance Company Expiration dale JUL D 1. 1987 Countersigned by -48JQ - ��-' Aulnoutea Repleseniauve Crum and Forster Endorsement organtaattons r 1 / IT IS HEREBY UNDERSTOOD AND AGREED THA, . ART V - CONDITIONS. 2. NOTICE OF LOSS: PARTICIPATION IN DE ENSE BY THE COMPANY. IS DELETED AND REPLACED EY THE FOLLOWING: ti- / NOTICE CF CLAIM MUST BE MADE IN MR,ITING AND RECEIVED BY GALLAGHER BASSETT AND REPORTED TO. JTHE COMPANY DURING THE POLICY PERIOD. THE COMPANY AT IT ' OWN OPTION MAY. BUT IS NOT REQUIRED TO PARTICIPATE IN T .E INVESTIGATION. SETTLEMENT CR DEFENSE CF ANY CLAIM CR SUIT I ffJAGAINST THE INSURED. I / (71 V AJ At All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below. Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective Endt # Policy # with the policy. 24 31-000256-5 Effective on and after JUL 01. 198" 12:01 a.m. standard time. Issued to COLORADO COUNTIES. INC. Issued by INT EPA'A T3DuAr CUPRLUS LINca Insurance Company Expiration date JUL 01. 1 987 Countersigned by 2 . , _., U 4-4., -7 f ' A,tr,ry•;ea Reoresentaive aCrum and Forster Endorsement organizations EXTENDED REPORTING PERIOD A. IF THE UNDERLYING POLICIES LISTED IN ITEM #4, UNDERLYING, OF THE DECLARATIONS PROVIDE AN EXTENDED REPORTING PERIOD OPTION AND THE INSURED EXERCISES THAT OPTION THE COMPANY WILL PROVIDE AN EXTENDED REPORTING PERIOD ONLY IF: (1 (1) THIS POLICY IS CANCELLED OR NOT RENEWED BY THE COMPANY \OR ANY REASON EXCEPT NON-PAYMENT OF PREMIUM OR NON-COMPLIANCE WITH THE TERMS AND CONDITIONS OF THIS POLICY; (2) THE COMPANY RENEWS OR REPLACES THIS POLICY WITH OTHER INSURANCE THAT: (a) PROVIDES CLAIMS MADE COVERAGE FOR BODILY INJURY, PERSONAL INJURY, OR PROPERTY DAMAGE; (b) HAS A RETROACTIVE DATE LATER THAN THE ONE SHOWN IN THIS POLICY; OR (3) / THE COMPANY REPLACES THIS POLICY WITH OTHER INSURANCE THAT APPLIES TO BODILY INJURY, PERSONAL INJURY, OR PROPERTY DAMAGE ON OTHER THAN A CLAIMS MADE BASIS. NON RENEWAL MEANS THE REFUSAL BY THE COMPANY TO RENEW THE POLICY ON ANY TERMS. NON RENEWAL DOES NOT MEAN CHANGE IN LIMIT OF LIABILITY, PREMIUM, DEDUCTIBLE OR UNDER- LYING REQUIRED LIMITS, OR ANY OTHER TERMS AND CONDITIONS. B. IF THE COMPANY PROVIDES AN EXTENDED REPORTING PERIOD, THE FOLLOWING CONDITION IS ADDED TO THE POLICY: A CLAIM FIRST MADE DURING THE EXTENDED REPORTING PERIOD WILL BE DEEMED TO HAVE BEEN MADE ON THE LAST DAY OF THE POLICY PERIOD PROVIDED THAT THE CLAIM IS FOR DAMAGES BECAUSE OF AN OCCURRENCE THAT TOOK PLACE ON OR AFTER THE RETROACTIVE DATE BUT BEFORE THE END OF THE POLICY PERIOD. C. THE EXTENDED REPORTING PERIOD WILL BE AS SET FORTH IN EITHER (1) , OR (2) BELOW: (1) SIXTY (60) DAYS, STARTING WITH THE END OF THE POLICY PERIOD, IF NO OTHER INSURANCE THE INSURED PURCHASES TO REPLACE THIS POLICY APPLIES TO THE CLAIM OR WOULD APPLY BUT FOR THE EXHAUSTION OF ITS APPLICABLE LIMITS OF LIABILITY. THIS EXTENDED REPORTING PERIOD MAY NOT BE CANCELLED. All terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective Cate is shown below. Must Be Completed Complete only when this endorsement is not prepared with the policy or Is not to be effective Endt # Policy M with the policy. 25 531-000256-5 Effective on and after 7/1 198 6 1201 am standard time. Issued to COLORADO COUNTIES, INC. PAGE 1 OF 3 lssuedby INTERNATIONAL SURPLUS LINES INSURANCE InERBelabCompany Expiration date X77/1/87 �^ Countersigned by 2 - C cij) AuMerited Reoresemsbve LWR 795(Re. 7/821 aCrum and Forster Endorsement V 0.93R,a3ro,. EXTENDED REPORTING PERIOD (CONTINUED) (2) TWELVE (12) MONTHS, STARTING WITH THE END OF THE POLICY PERIOD, IF NO OTHER INSURANCE THE INSURED PURCHASES TO RENEW OR REPLACE THIS POLICY APPLIES TO THE CLAIM OR WOULD APPLY BUT FOR THE EXHAUSTION OF ITS APPLICABLE LIMITS OF LIABILITY. THIS EXTENDED REPORTING PERIOD APPLIES ONLY TO CLAIMS AS A RESULT OF OCCURRENCES OF WHICH THE COMPANY IS NOTIFIED IN ACCORDANCE WITH PART V- CONDITIONS, 2. NOTICE OF LOSS; PARTICIPATION IN DEFENSE BY THE COMPANY, AFTER THE RETROACTIVE DATE SHOWN IN THIS POLICY, BUT NOT LATER THAN TWELVE (12) MONTHS AFTER THE END OF THE POLICY PERIOD. THE COMPANY WILL ISSUE AN EXTENDED REPORTING PERIOD ENDORSEMENT IF THE NAMED INSURED SHOWN IN THE DECLARATIONS: (a) MAKES A WRITTEN REQUEST FOR IT WHICH THE COMPANY RECEIVES WITHIN THIRTY (30) DAYS AFTER THE END OF THE POLICY PERIOD; AND (b) PROMPTLY PAYS THE ADDITIONAL PREMIUM WHEN DUE. THE EXTENDED REPORTING PERIOD ENDORSEMENT WILL NOT TAKE EFFECT UNLESS THE ADDITIONAL PREMIUM IS PAID WHEN DUE. IF THAT PREMIUM AND ANY ADDITIONAL AUDIT PREMIUM IS PAID WHEN DUE, THE ENDORSEMENT MAY NOT BE CANCELLED. THE TIME OF THE EXTENDED REPORTING PERIOD ON THIS POLICY WILL BE FOR A TERM NO GREATER THAN THAT PROVIDED IN THE UNDERLYING POLICY. IF MORE THAN ONE CLAIMS MADE -- UNDERLYING POLICY EXISTS, THE MAXIMUM TIME FOR THE EXTENDED REPORTING PERIOD ON THIS POLICY WILL BE THE EARLIEST DATE OF TERMINATION OF THE EXTENDED REPORTING PERIOD ON AN UNDERLYING POLICY. D. THE INSURANCE PROVIDED UNDER THE EXTENDED REPORTING PERIOD ENDORSEMENT WILL: (1) BE EXCESS WITHOUT ANY PRO RATA CONTRIBUTION WHATSOEVER OVER ANY OTHER VALID AND COLLECTIBLE INSURANCE AVAILABLE TO THE INSURED, WHETHER PRIMARY, EXCESS, CONTINGENT OR ON ANY OTHER BASIS, WHOSE POLICY PERIOD BEGINS OR CONTINUES AFTER THE ENDORSEMENT TAKES EFFECT; All terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective :ate is shown below. Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective Endt /ft Policy ft with the policy. 25 531-000256-5 Effective on and after 7/1 198 6 12:01 a.m. standard time COLORADO COUNTIES, INC. PAGE 2 OF 3 Issued to Issued by INTERNATIONAL SURPLUS LINES INSURANCE InWCompany Expiration date 7/1/87 Countersigned by - �✓11�` �"" LW!295(Rev.71B2) 'wino, Representative aCrum and Forster Endorsement organizations EXTENDED REPORTING PERIOD (CONTINUED) (2) APPLY ONLY IN THE SAME MANNER AS IF THE UNDERLYING INSURANCE WARRANTED IN ITEM 4 OF THE DECLARATIONS, HAD BEEN MAINTAINED WITHOUT CHANGE; AND (3) BE SUBJECT TO THE APPLICABLE PROVISIONS OF CONDITION 5, OTHER INSURANCE. E. THE PREMIUM FOR THE EXTENDED REPORTING PERIOD ENDORSEMENT WILL NOT EXCEED 1007. OF THE ANNUAL PREMIUM FOR THIS POLICY AND WILL BE FULLY EARNED WHEN THE ENDORSE- MENT TAKES EFFECT. F. THE PREMIUM FOR THE EXTENDED REPORTING PERIOD ENDORSEMENT WILL BE FULLY EARNED WHEN THE ENDORSEMENT TAKES EFFECT. G. THE COMPANY'S ISSUANCE OF THE EXTENDED REPORTING PERIOD ENDORSEMENT DOES NOT INCREASE THE COMPANY'S LIMIT OF LIABILITY UNDER THIS POLICY OR EXTEND THE POLICY PERIOD. All terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below. Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective Endt ft Policy M with the policy. 25 531-000256-5 Effective on and after 7/1 198 6 , 12:01 a.m. standard time. Issued to COLORADO COUNTIES, INC. PAGE 3 OF 3 Issued by INTERNATIONAL SURPLUS L1NEd IN3JR.V7CE instA444Gompany Expiration date Q 7/1/57 ,� �) Countersigned by rJ- n .. L) q�"` )A-�C� Auiflotllep Rep0Xnia11Ve Lw8 295 IRw.7/12) Crum and Forster • CEndorsement a organizations IN CONSIDERATION OF THE PREMIUM CHARGED, IT IS HEREBY UNDERSTOOD AND AGREED THAT THIS POLICY DOES NOT APPLY TO ANY CLAIMS OCCURRING PRIOR TO THE RETROACTIVE DATE OF JANUARY 15, 1986. AS RESPECTS EXCESS CONTINGENT/FEDERAL LIABILITY FOR THE COUNTY OF WELD. THE LIMIT OF LIABILITY APPLICABLE FOR THE PERIOD 1/15/86 TO 7/1/86 IS $500,000. EACH OCCURRENCE AND IN THE AGGREGATE (WHERE APPLICABLE) EXCESS OF $250,000. EACH OCCURRENCE. All other terms and conditions of this policy remain unchanged. This endorsement is a part of your policy and takes effect on the effective date of your policy,unless another effective date is shown below Must Be Completed Complete only when this endorsement is not prepared with the policy or is not to be effective Endt # Policy # with the policy. 26 531-000256-5 Effective on and after 7/1 198 F. . 12:01 a.m. standard time. sc • Issued to COLORADO CONNTTPc INC Issued by INTERNATIONAL SURPLUS LINES Insurance Company Expiration date 7/1/87 n Countersigned by 4, • '(L.. `1� ] Rulnonieo ReoresenpLve LWB 295(Rev.11/93) SERVICE OF SUIT CLAUSE It is agreed that in the event of the failure of the International Surplus Lines Insurance Company (herein called the Company) to pay any amount claimed to be due hereunder, the Company, at the request of the Insured (or reinsured), will submit to the jurisdiction of any Court of competent jurisdiction within the United States and will comply with all requirements necessary to give such Court jurisdiction and all matters arising hereunder shall be determined in accordance with the law and practice of such Court. It is further agreed that service of process in such suit may be made upon Vice President-Claims International Surplus Lines Insurance Company 100th Floor — Sears Tower 233 South Wacker Drive Chicago, Illinois 60606 and that in any suit instituted against any one of them upon this contract, the Company will abide by the final decision of such Court or of any Appellate Court in the event of an appeal. The above named are authorized and directed to accept service of process on behalf of the Company in any such suit and/or upon the request of the insured (or reinsured) to give a written undertaking to the insured (or reinsured) that they will enter a general appearance upon the Company's behalf in the event such a suit shall be instituted. Further, pursuant to any statute of any state,territory or district of the United States which makes pro- vision therefore, the Company hereby designates the Superintendent, Commissioner or Director of In- surance or other officer specified for that purpose in the statute or his successor or successors in office, as its true and lawful attorney upon whom may be served any lawful process in any action, suit or pro- ceeding instituted by or on behalf of the insured (or reinsured) or any beneficiary hereunder arising out of this contract of insurance (or reinsurance), and hereby designates the above named as the person to whom the said officer is authorized to mail such process or a true copy thereof. ISLIC 37 (2/81) PART 2 This Declarations page, with "POLICY PROVISIONS - PART 1", Form 4205, and endorsements, it any, issued to form a part tnereor, ompletes the below numbered STANDARD FIRE INSURANCE POLICY. 1, u a�' • r- - a _rtford Fire Insurance Company a L., artford Casualty Insurance Company THE HARTFORD V•® Hartford Accident and Indemnity Company ei ai Twin City Fire Insurance Company • Hartford Plaza, Hartford, Connecticut 06115 I The INSURER shall be'The Company ';.' ,. Y' " Co. Code designated herein by Co'Code —' ,. _,.> 1 POLICY NO. 83 XLS S02154 ..s zt«J.�y .i. > : • '� COLORADO COUNTIES CASUALTY & Previous Policy No. PROPERTY POOL (SEE ENDORSEMENT _s DECLARATIONS NEW • G-2240-3B(A) ) 3 Insured's Name and Mailing Address > (Number, Street, Town or City, County,State, Zip Code) 1177 GRANT ST. DENVER CO 80203 Policy Term > 07-01-86 -- 07-01-87' 1 f Producer's Name and Address Producer's Code —I Inception (Mo. Day Yr.) Expiration (Mo. Day Yr.) Years INTERNATIONAL SPECIAL RISK SERVICES 510254 10 GOULD CENTER LROLLING MEADOWS IL 60008 J It is important that the written portions of all policies covering the same property read exactly alike. If they do not, they should be made uniform at once. Insurance Is Provided Against Only Those Perils And For Only Those Coverages Indicated Below By A Premium Charge And Against Other Perils And For Other Coverages Only When Endorsed Hereon Or Added Hereto t s,-w�s W--....<.- y.,- Inv 0— ti``S�,r.�. + ' y'LN i,„4,:�.s' xi;zi..4,i wr„-Y-':.4 ACC',j t,FSCRIF't10yy At�D P N F pppppppP RTy ��yEREB +- � wir nook Fpma AOOREto +-T i>A k I sTA'fE`L(Cg0 15TRUCiplu iTit lg ROOF ANA pS9pANCT F gWLDIrNO S DOWERED 0 CONTNNIN. IIjaFERTY C04E� NORR MODu��tAND WNEINER MANUfAChINEX IN110LFSAlfA ON gETAILEN�gR THE 5E IncOR ACTT INVOLVED.. C� ,. IF FARM PROPERTY, STATE IF.OVWNER TENANT PIED .i y, 'J',.:i4;.,_". .: A".L??i+'L f -?�r'.S'"R , '3...::t f z .r'•,- -r ✓ 1. COVERING VARIOUS COUNTIES IN THE STATE OF COLORADO FOR REAL AND PERSONAL PROPERTY, EXTRA EXPENSE, EDP INCL. MEDIA & E.E., VALUABLE PAPERS, AND MOBILE DQUIPMENTAAS PER SCHEDULE ON FILE WITH THE COMPANY. t ,4V\A-11/6))CL,.� 'L1tli oaA2 AUT WEI SPECIAL STATE PROVISIONS: South Carolina Valuation Clause or Mississippi Total Insurance—See Form Attached: Item 1, 5 ; Item 2, S : Item 3, $ ; Item 4, S r'." VAS R AAppAo�vi ..._ P geR Oc Up' thCRe! t■O111Ifiep .7''.044;":4:1 y tyM, PR NO81.4" R IPNrEati Ming f ...j FIFI S NEM - MNCE AYWIIT ' 7S4,_--, F `V" M7E r,1. prUUY DUE r. AT Fl1ICH 1NMVMSART :7 .•_ M E Gpl).J'te+�4:r . `.a APPIIWEF ^ls t -*v`� �•t^+ ••�• „'_< c pro' 1. Fire and Lightning SEE FORM $500,000.5 50,000,000. - C $274,760. $ — Extended Coverage PER XXXX H OCCUR- A ALL RISK EXCLUDING RENCE R EARTHQUAKE AND FLOOD G E D Subject to Foor No,(s)Attachhod Heii t j(Inssert Foim Numbers)and Edition Date(s)' TOTAL(5)15274,760,—s 'Total Premium For Policy Term Paid $ 274 760. EXCESS PROPERTY INSURANCE FORM (0888) & G-2240-36 (A-B) In Installments Mortgage Clause:-Subject to the a provisions of the mortgage clause attached hereto,loss if any,on building Items,shall be payable to: ea".1 4 • (Insert Names)o/Mortgagea(s)an_d Mailing Address(es)).i; '�•� , � ': • ... _. • •-•--.- /MH/07-11-86 Countersignature Date Agency at Agent A THE HARTFORD Named Insured and Address Policy yLSuSD2er 8 154 I his endorsement forms a part of the policy as numbered above, issued by THE HARTFORD INSURANCE GROUP COLORADO COUNTIES CASUALTY & company designated therein, and takes effect as of the PROPERTY POOL effective date of said policy unless another effective date 1177 GRANT ST. is stated herein. DENVER, CO 80203 1p1efi ve8fgate Effective hour is the same as stated in the Declarations of the policy. Endt.3No. IT IS HEREBY AGREED THAT THE FOLLOWING LOCATION IS ADDED TO THE STATEMENT OF VALUES ON FILE WITH THIS COMPANY: SUMMIT COUNTY-JUSTICE CENTER IN CONSIDER TION OF THE ABOVE, AN ADDITIONAL PREMIUM OF /$3 , 247 IS DUE. C/ \Pt() I Nothing herein contained shall be held to vary, waive, alter. or extend any of the terms, conditions, agreements or declarations of the policy, other than as herein stated. This endorsement shall not be binding unless countersigned by a duly authorized agent of the company; provided that if this endorsement takes effect as of the effective date of the policy and, at issue of said policy, forms a part thereof, countersignature on the declarations page of said policy by a duly authorized agent of the company shall constitute valid countersignature of this endorsement. Form G324b] B Primed in u s A Countersigned by Authorized Agent y • It.4 THE HARTFORD Named Insured and Address - Policy Number 83 XLS SD2154 this endorsement forms a part of the policy as numbered COLORADO COUNTIES CASUALTY & Above, issued by THE HARTFORD INSURANCE GROUP company designated therein, and takes effect as of the PROPERTY POOL effective date of said policy unless another effective date 1177 GRANT ST. is stated herein. DENVER, CO 80203 Effective f cti e—Date Effective hour is the same as stated in the Declarations of the policy. Endt. No. 2 IT IS HEREBY AGREED THAT THE POLICY IS AMENDED AS FOLLOWS : 1) THE DESCRIPTION OF PROPERTY COVERED AS SHOWN ON THE DECLARATIONS PAGE FORM PPF-636-3 HS IS AMENDED TO INCLUDE AUTOMOBILE PHYSICAL DAMAGE . 2) THE EXCESS PROPERTY INSURANCE FORM (0888) IS AMENDED AS FOLLOWS : A) COVERAGE ON PAGE 2 IS AMENDED TO READ : COVERAGE: EXCEPT AS IS PROVIDED FOR IN THIS ENDORSEMENT, THIS POLICY INSURES ONLY AGAINST LOSS OR DAMAGE AS PER THE PROVISIONS AND STIPULATIONS OF FORM0011/JAN 86, GENERAL INSURANCE AGREEMENT ON PAGES 2 THRU 5 , SECTION I - PROPERTY INSURANCE ON PAGES 5 THRU 8, SECTION IV - GENERAL CONDITIONS ON PAGES 18 THRU 22. OF THE UNDERLYING INSURANCE POLICY SHOWN BELOW, INCLUDING RENEWALS , EXCEPT AS IS PROVIDED FOR HEREIN AND IN THE FOLLOWING EXCEPTIONS TO THE ABOVE MENTIONED SECTIONS OF THE UNDERLYING INSURANCE POLICY: B) ITEM #6 ON PAGE 4 SUBSECTION 2 OF SECTION I - CONDITIONS IS AMENDED TO READ PAGE 8 IN LIEU OF PAGE 7 . D READ C) (90) DAYSAINELIEUION ON OF (30)AGE 5 IS DAYS (10ADAYSENONOPAYMENTNINETY ITEM *7 OF PREMIUM) . Nothing herein contained shall be held to vary, waive, alter, or extend any of the terms, conditions, agreements or declarations of the policy. other than as herein stated. This endorsement shall not be binding unless countersigned by a duly authorized agent of the company; provided that if this endorsement takes effect as of the effective date of the policy and, at issue of said policy, forms a part thereof, countersignature on the declarations page of said policy by a duly authorized agent of the company shall constitute valid countersignature of this endorsement. Form G-2240-3 a Pruned In u s A Countersigned by Authorized Agent ATHE HARTFORD Named Insured and Address ggl'cL tl154 his endorsement forms a part of the policy as numbered COLORADO COUNTIES CASUALTY & above, issued by THE HARTFORD INSURANCE GROUP COLORADO POOL company designated therein, and takes effect as of the PROPERTY effective date of said policy unless another effective date 1177 GRANT ST. is stated herein. DENVER, CO 80203 EtittcliotiDOW Effective hour is the same as stated in the Declarations of the policy. Endt. CONTINUED D) ITEM *8 OF PAGE 5 IS AMENDED TO READ: 8 . SUBSECTION 14 . OF SECTION IV - GENERAL CONDITIONS ON PAGE 20 , ENTITLED "APPEAL" , IS DELETED FOR THE PURPOSES OF THIS INSURANCE . E) ITEM #9 OF PAGE 5 IS AMENDED TO READ SUBSECTION 7 IN LIEU OF 6. F) IT IS AGREED THAT ITEM #10 AUTOMATIC RENOVATION COVERAGE IS ADDED TO THE EXCESS PROPERTY INSURANCE FORM (0888) AS FOLLOWS : 10 . AUTOMATIC RENOVATION COVERAGE THIS POLICY IS EXTENDED TO AUTOMATICALLY INSURE RENOVATIONS BEING MADE BY THE INSURED AT ANY LOCATION WITHIN THE TERRITORIAL LIMITS OF THE POLICY AND LISTED ON THE SCHEDULE OF VALUES ON FILE WITH THE COMPANY, PROVIDED THE INSURED ' S INTEREST IS NOT COVERED UNDER ANY OTHER POLICY, SUBJECT TO THE FOLLOWING CONDITIONS : A. COVERAGE SHALL CEASE 60 DAYS FORM THE DATE OF THE RENOVATION OF SUCH PROPERTY UNLESS THE RENOVATION IS REPORTED AS PROVIDED IN C. BELOW; B . THE LIMIT OF LIABILITY UNDER THIS POLICY FOR SUCH AUTOMATIC RENOVATIONS OF PROPERTY SHALL NOT EXCEED $1 , 000 , 000 . ANY ONE OCCURRENCE. Nothing herein contained shall be held to vary, waive, alter. or extend any of the terms, conditions, agreements or declarations of the policy. other than as herein stated. This endorsement shall not be binding unless countersigned by a duly authorized agent of the company: provided that if this endorsement takes effect as of the effective date of the policy and, at issue of said policy, forms a part thereof. countersignature on the declarations page of said policy by a duly authorized agent of the company shall constitute valid countersignature of this endorsement. Ponn 47140-3 B Prmtea m u S A Countersigned by Authorized Agent A THE HARTFORD Named Insured and Address Policy Number 83 XIS SD2154 This endorsement forms a part of the policy as numbered COLORADO COUNTIES CASUALTY & above, issued by THE HARTFORD INSURANCE GROUP PROPERTY POOL company designated therein, and takes effect as of the effective date of said policy unless another effective date 1177 GRANT ST. is stated herein. DENVER, CO 80203 Effe5)veoI ath Effective hour is the same as stated in the Declarations of the policy. Endt. Not CONTINUED C. THE INSURED SHALL REPORT ALL RENOVATIONS OF • PROPERTY AT THE LOCATIONS TO THIS COMPANY WITHIN 60 DAYS AFTER RENOVATIONS THEREOF AND ADDITIONAL PREMIUM SHALL BE PAYABLE FROM THE DATE OF RENOVATION. ALL OTHER CONDITIONS REMAIN THE SAME . NO PREMIUM CHARGE . Nothing herein contained shall be held to vary, waive, alter, or extend any of the terms, conditions, agreements or declarations of the policy. other than as herein stated. This endorsement shall not be binding unless countersigned by a duly authorized agent of the company; provided that if this endorsement takes effect as of the effective date of the policy and, at issue of said policy, forms a part thereof, countersignature on the declarations page of said policy by a duly authorized agent of the company shall constitute valid countersignature of this endorsement. Form G-7240-3 B Printed m USA Countersigned by • Authorized Agent .. CERNAT..JV.. 3;:: ..__ ',.. SERVICES 510254 .fl,4 THE HARTFORD Named Insured and Address Policy Number 83 x1S SD2154 COLORADO COUNTIES CASUALTY E PROPERTY POOL us endorsement forms a part of the policy as numbered (SEE ENDORSEMENT G-2240-38(A)) aoove, issued by THE HARTFORD INSURANCE GROUP 1177 GRANT STREET company designated therein, and takes effect as of the effective date of said policy unless another effective date DENVER. COLORADO 80203 is stated herein. Effective Date Effective hour is the same as stated 08-0186 in the Declarations of the policy. Endt. No. 1 IT IS HEREBY AGREED THAT THE FOLLOWING LOCATION IS ADDED TO THE STATEMENT OF VALUES ON FILE WITH THIS COMPANY: ALAMOSA COUNTY JAIL 1315 17TH STREET ALAMOSA, COLORADO 81101 IN CONSIDERATION OF THE ABOVE, AN ADDITIONAL PREMIUM OF $1,391. IS DUE. Nothing herein contained shall be held to vary, waive, alter, or extend any of the terms. conditions, agreements or declarations of the policy, other than as herein stated. This endorsement shall not be binding unless countersigned by a duly authorized agent of the company; provided that if • this endorsement takes effect as of the effective date of the policy and, at issue of said policy, forms a part thereof, countersignature on the declarations page of said policy by a duly authorized agent of the company shall constitute valid countersignature of this endorsement. LT/09-18-86 EXP: 07-01-87 Form G-2240.3 B Printed in US A Countersigned by Authorized Agent THE HARTFORD Named Insured and Address Policy Number 83 XIS SD2154 COLORADO COUNTIES CASUALTY & this endorsement forms a part of the policy as numbered PROPERTY POOL ET AL above, issued by THE HARTFORD INSURANCE GROUP 1177 GRANT ST. company designated therein, and takes effect as of the DENVER CO 80203 effective date of said policy unless another effective date is stated herein. Effective Date Effective hour is the same as stated O7-01-86 in the Declarations of the policy. Endt. No. A NAMED INSURED - THE UNQUALIFIED WORD ASSURED WHEREVER USED IN THE EXCESS INSURANCE POLICIES INCLUDES NOT ONLY THE NAMED LNSURED, BUT ALSO: COLORADO COUNTIES CASUALTY AND PROPERTY PCDL (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, WILE ACTING WITHIN THE SCOPE OF THEIR DUTIES AS SUCH AND ANY PERSON, ORGANIZATION, TRUSTEE OR ESTATE TO WHOM THE NAMED ASSURED IS OBLIGAITh BY VIRTUE OF WRIn'FN 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. Nothing herein contained shall be held to vary, waive. alter, or extend any of the terms, conditions, agreements or declarations of the policy. other than as herein stated. This endorsement shall not be binding unless countersigned by a duly authorized agent of the company; provided that it this endorsement takes effect as of the effective date of the policy and, at issue of said policy, forms a part thereof, countersignature on the declarations page of said policy by a duly authorized agent of the company shall constitute valid countersignature of this endorsement. EXP. 07-01-87 /MH/07-11-86 Form c-2210-3 B Printed u s A Countersigned by Authorized Agent �A THE HARTFORD Named Insured and Address Policy Number 83 XLS SD2154 COLORADO COUNTIES CASUALTY & this endorsement forms a part of the policy as numbered PROPERTY POOL ET AL above, issued by THE HARTFORD INSURANCE GROUP 1177 GRANT ST. company designated therein, and takes effect as of the DENVER CO 80203 effective date of said policy unless another effective date is stated herein. Effective Date Effective hour is the same as stated 07-01-86 in the Declarations of the policy. Endt. No. B IT IS HEREBY AGREED THAT AUTOMATIC COVERAGE IS PROVIDED FOR NEWLY ACQUIRED LOCATIONS UP TO A LIMIT OF $1,000,000. PER LOCATION TO BE REPORTED TO THE COMPANY IN THIRTY (30) DAYS. • Nothing herein contained shall be held to vary, waive, alter, or extend any of the terms. conditions, agreements or declarations of the policy, other than as herein stated. This endorsement shall not be binding unless countersigned by a duly authorized agent of the company: provided that if this endorsement takes effect as of the effective date of the policy and, at issue of said policy, forms a pan thereof. countersignature on the declarations page of said policy by a duly authorized agent of the company shall constitute valid countersignature 01 this endorsement. EXP. 07-01-87 /t4i/07-11-86 Form c.2240-3 a vnmeci in u s a Countersigned by Authorized Agent EXCESS PROPERTY INSURANCE FORM Policy Number: 83 XIS SD2154 Effective Date: 07-01-86 Named Insured: COLORADO COUNTIES (SEE ENDORSEMENT G-2240-3B (A) The inclusion of more than one Named Insured shall not increase the limits under this policy. INSURING AGREEMENT: In consideration of the payment of premium and in compliance with all of the terms and conditions of this policy, this Company does insure the Named Insured or legal representatives against all risks of direct physical loss or damage to the covered property from any external cause except as is excluded. LIMITS OF LIABILITY: This Company shall not be liable under this policy for more than $ 50,000,000. which is this company's pro rata share, being 100%, of the "ultimate net loss" of $ 50,000,000. in excess of the total amount of underlying insurance of $ 500,000. for loss or damage to property covered hereunder arising from any one loss or disaster, for all coverages and locations combined, nor for more than: 1. $ NO COVERAGE in the aggregate annually as respects loss or damage arising from "flood", nor 2. $ NO COVERAGE in the aggregate annually as respects loss or damage arising from °earthquake" . SPECIAL CONDITIONS: The following special conditions shall apply: 1 . The total amount of underlying insurance stated above shall be deemed applicable whether or not such total amount of underlying insurance is in force or collectible. e ate limits of 2. In the event of reduction or exhaustion of any aggregate ggr g liability of any policy providing underlying insurance to this policy, by reason of losses paid or incurred thereunder, this policy shall apply as if there was no reduction or exhaustion in limits or policies. DEFINITIONS: 1. "Ultimate Net Loss" , as used herein, means the actual loss sustained by the Named Insured as a direct result of the perils insured against in this policy, after making deductions for salvage and subrogation and recoveries from any source other than this policy and the underlying insurance and excess insurance policies, but in no event shall the "ultimate net loss" exceed the least of the following: a. the actual adjusted amount of loss; b. the total stated value for the property lost or damaged, as shown. on the statement of values on file with the Company dated 06-19-86 ; c. the interest of the Insured. 0888 83 XIS SD2154 PAGE 1 OF 5 2. "Earthquake" , as used herein, means earthmovement, earthquake, landslide, earth sinking, rising or shifting, including collapse, cracking or shifting of buildings, structures, or their parts, caused by, resulting from, contributed to or aggravated by "earthquake" and volcanic eruption, explosion or effusion, all occuring during any period of seventy-two (72) consecutive hours during the term of this policy. 3. "Flood", as used heren, means: a. flood, surface water, waves, tidal water or tidal wave, overflow of streams or other bodies of water, or spray from any of the foregoing, all whether driven by wind or not; b. water which backs up through sewers or drains; c. mudslide or mud flow; d. water below the surface of the ground including that which exerts pressure on or flows, seeps or leaks through sidewalks, driveways, foundations, walls, basements or other floors, or through doors, windows or other openings in such sidewalks, driveways, foundations, walls or floors. COVERAGE: Except as is provided for in this endorsement, this policy insures o ag@@l�,nst loss or damage as per the provisions and stipulations of Form 0011/ o 4.83, General Insurance Agreement on Pages 2 thru 5, Section I - Property Insurance on pages 5 thru 8, Section IV - General Conditions on pages ,pt thru.0raa of the '3nderlying insurance policy shown below, including renewals, except as is provided for herein and in the following exceptions to the above mentioned sections of the underlying insurance policy: 1. Any provisions relating to the "Aggregate Loss Fund", "Assured's Loss Fund", or "Aggregate Agreement" are deleted for the purposes of this insurance. 2. Subsection III of the General Insurance Agreements, entitled "TERRITORY" is replaced with the following: TERRITORY This policy covers property insured within the 50 states of the United States of America, the District of Columbia and Canada. 3. Subsection V of the General Insurance Agreements, entitled "SERVICE ORGANIZATION", is deleted for the purposes of this insurance. 4. This policy does not insure against: A. Loss or damage caused directly or indirectly by: 1 . hostile or warlike action in time of peace or war, including action in hindering, combating or defending against actual, impending or expected attack, by: a. any government or sovereign power (de jure or de facto) , or . by any authority maintaining or using military, naval or air forces; b. military, naval or air forces; or 0888 83 XLS SD2154 PAGE 2 OF 5 c. an agent of any such government, power, authority or forces, it being understood that any discharge, explosion or use of any weapon of war employing nuclear fission or fusion shall be conclusively presumed to be such a hostile or warlike action by such government, power, authority or forces; 2. insurrection, rebellion, revolution, civil war, usurped power, or action taken by governmental authority in hindering, combating or defending against such an occurrence; B. Loss or damage caused directly or indirectly by nuclear reaction or nuclear radiation or radioactive contamination all whether controlled or uncontrolled and whether such loss be direct or indirect, proximate or remote, or be in whole or in part caused by, contributed to, or aggravated by the perils insured against in this policy; however, subject to the foregoing and all provisions of this policy, direct loss by fire resulting from nuclear reaction or nuclear radiation or radioactive contamination is insured against by this policy; C. Loss or damage to steam boilers, steam pipes, steam turbines or steam engines, caused by any condition or occurrence within such boilers, pipes, turbines or engines (except direct loss resulting from the explosion of accumulated gases or unconsumed fuel within the firebox, or combustion chamber, of any fired vessel or within the flues or passages which conduct the gases of combustion therefrom); D. Loss or damage caused by explosion of steam boilers, steam pipes, steam turbines or steam engines (except direct loss resulting from the explosion of accumulated gases or unconsumed fuel within the firebox or combustion chamber, of any fired vessel or within the flues or passages which conduct the gases of combustion therefrom), if owned by, leased by or operated under the control of the tatted Insured, or for any ensuing loss or damage except by fire or explosion not excluded in this policy and then this Company shall be liable for only such ensuing loss or damage; E. Loss or damage to hot water boilers or other equipment for heating water caused by any condition or occurrence within such boilers or equipment, other than an explosion; F. Loss or damage caused by, resulting from, contributed to or aggravated by the following, regardless of any of the terms or this policy that might be interpreted otherwise: 1. Acts, errors or ommissiors (whether by the Named Insured or others) in: a. Planning, zoning, developing, surveying or siting property; b. Establishing or enforcing any building code, or any standard, ordinance or law regulating the construction, use or repair of any property or materials, or requiring the tearing down of any property, including the removal of debris; 0888 83 XLS SD2154 PAGE 3 OF 5 c. The design, specifications, workmanship, repair, construction, renovation, remodeling, grading or compaction of all or any part of the following facilities: (1) Buildings or structures; (2) Improvements or changes in or additions to land or other property; or (3) Roads, water mains, sewers,drainage ditches, levees, dams, or other acilities; d. The furnishing of work, materiali, parts or equipment in connection with the design, specifications, workmanship, repair, construction, renovation, remodeling, grading or compaction of any such property or facilities; or e. The maintenance of any of such property or facilities, all whether or not the property or facilities are: (1) Covered under this policy; or (2) Qa or away from the premises covered hereunder. The exception of this peril shall not reduce the insurance for a loss caused directly by any other peril not excluded in this policy. 5. This policy does not insure: A. Loss resulting from interruption of business or other consequential loss unless specifically_endorsed onto the underlying policy and, if such endorsement is data, after the inception date of this policy, specifically endorsed onto this policy. B. Land, land values, trees, shrubs, lawns, growing crops. C. Watercraft, including motors, equipment and accessories. D. Waterborn shipments. E. Jewelry, watches, watch movements, jewels, pearls, precious of semi-precious stones, precious metals, fine arts and furs iinlpsc m eci fi cal l y er nrsecl nntn tha underlyi nng__m_l i(y And, if such endorsement is dated after the inception date of this policy, specifically endorsed onto this policy. F. Vehicles licensed for highway use, except while on the premises of the Named Insured. 6. Subsection 2.of Section I-conditions, on page j, entitled DEBRIS REMOVAL, is replaced by the following: 2. DEBRIS REMOVAL: This policy covers expense incurred in the removal of debris of the property covered hereunder caused by a peril not otherwise excluded, except that this Company shall not be liable under this policy for the expense of removal, disposal, decontamination or replacementproperty discharged or. released by any means into or upon any water=course, body_of_water, underground aquifer, or_well,. The 'ultimate net loss' for loss or damage to property and expenses, including debris removal expense, shall not exceed the total values shown on the statement of values on file with the Company for the property lost or damages nor for more than the limit of liability applying under this policy. 0888 83 XLS SD2154 PAGE 4 OF 5 • 7. Cancellation: This policy may be cancelled by the Named Insured by surrender thereof to this Company or by mailing to this Company written notice stating when thereafter such cancellation shall be effective. Ibis policy may be cancelled by this Company by mailing to the Named Insured at the address shown in this policy, or last known address, written notice stating when, not less than thirty (30) days thereafter, such cancellation _ Q (r shall be effective. If the Named Insured fails to remit, when due, the � !4O S premium for this polio, this policy may be cancelled by this Company by 4 giving the Named Insured not less than ten (10) days written notice of AC (u 0 ` cancellation. The mailing of notice as aforesaid shall be sufficient I /Al4• proof of notice. The time of surrender or the effective date of ( 17t�� cancellation stated in the notice shall become the end of the policy , .r,� period. Delivery of such written notice either by the Named Insured or C . <t ,/ by this Company shall be equivalent to mailing. If the Named Insured or �t 1j ,1 this Company cancels, earned premium shall computed pro rata. Prenuum �� .�a g adjustment may be made at the time cancellation is effective and, if not ( l) then made, shall be made as soon as practicable after cancellation becomes t OY . effective. This Company's check or the check of its representative mailed \cot c, v , or delivered as aforesaid shall be a sufficient tender of any refund of wy je `\ ,% premium due the Named Insured. This Company is not required to tender any CfiliVF refund premiur before cancellation of this policy. �0 `a 8. Subsection 3g. of Section IV-General Conditions on page J,%, entitled "APPEAL", is deleted for the purposes of this insurance. 7 9. The following is added to subsection % of Section I.-Conditions, on page 8, entitled "ORDINANCE DEFICIENCY CLAUSE": The "ultimate net loss" for loss or damage to property and expenses, including expense under this clause, shall not exceed the total values shown on the statement of values on file with the Company for the property lost or damages nor for more than the limit of liability applying under this policy. UNDERLYING POLICY: The Underlying Insurance referred to herein is provided by: numbers ISL3512/ICO5349 and renewals issued by UNDERWRITERS AT LLOYDS OF LONDCN AND OTHER BRITISH COMPANIES It is a stipulation of this policy that the underlying insurance policy shown above shall be maintained in full force and effect during the currency of this policy. 0888 83 XIS SD2154 PAGE 5 OF 5 4 Jena `ac' or ci'c stair€ = er incl.,a [._ - 5 subject Ihereol, or the interest of the -ed therein, or in case 88 hereby insured shat to the wnu e insurance covenne yie 6 of any fraud or talse swearing by the dimmed relating thereto. 89 property against the p...., involved, wnelher collectible or not. 7 Uninsurable This policy shall not cover accounts, bills, 90 Requirements in the insured shall give immediate written 8 and currency,deeds,evidences of debt,money or 91 case loss occurs. notice to this Company of any loss, protect 9 excepted property. securities; nor, unless specifically named 92 the property from turther damage,forthwith 10 hereon in writing, bullion or manuscripts. 93 separate the damaged and undamaged personal property, put 11 Perils not This Company shall not be liable for loss by 94 it in the best possible order, furnish a complete inventory of - 12 included. fire or other perils insured against in this 95 the destroyed, damaged and undamaged property, showing in 13 policy caused,directly or indirectly,by: (a) 96 acted quantities, costs, actual cash value and amount of loss 14 enemy attack by armed forces, including action taken by miff- 97 claimed;and within sixty days after the loss,unless such time 15 tary, naval or air forces in resisting an actual of an immediately 98 is extended in writing by this Company,the insured shall render 16 impending enemy attack; (b) invasion; (c) insurrection; (d) 99 to this Company a proof of loss, signed and sworn to by the 17 rebellion; (e) revolution; (I)civil war; (g) usurped power, (h) 100 insured, stating the knowledge and belief of the insured as to 18 order of any civil authority except acts of destruction at the time 101 the following: the time and origin of the loss, the interest of the 19 of and for the purpose of preventing the spread of fire, provided 102 insured and of all others in the property,the actual cash value of 20 that such fire did not originate from any of the perils excluded 103 each item thereof and the amount of loss thereto, all encum- 21 by this policy; (i) neglect of the insured to use all reasonable 104 brances thereon, all other contracts of msu,ance, whether valid 22 means to save and preserve the property at and after a loss, or 105 or not, covering any of said property, any changes in the title, 23 when the property is endangered by fire in neighboring prem- 106 use, occupation, location, possession or exposures of said prop- 24 ises; (j) nor shall this Company be liable for loss by theft. 107 erty since the issuing of this policy, by whom and for what 25 Other Insurance. Other insurance may be prohibited or the 108 purpose any building herein described and the several parts 26 amount of insurance may be limited by en- 109 thereof were occupied at the time of loss and whether or not it 21 dorsement attached hereto. 110 then stood on leased ground, and shall furnish a copy of all the 28 Conditions suspending or restricting insurance. Unless other• Ill descriptions and schedules in all policies and,if required,verified 29 wise provided in writing added hereto this Company shall not 112 plans and specifications of any building, futures or machinery 30 be liable for loss occurring 113 destroyed or damaged. The insured, as often as may be reason- 31 (a) while the hazard is increased by any means within the con- 114 ably required, shall exhibit to any person designated by tors 32 trot or knowledge of the insured; or 115 Company all that remains of any property herein described, and 33 (b) while a described building, whether intended for occupancy 116 submit to examinations under oath by any person named by this 34 by owner or tenant, is vacant or unoccupied beyond a period of 118 Comreaspany, and qusubscribe ibellthe produce tor and,ed as often gals may e 35 sixty consecutive days; or f 36 (c) as a result of explosion or riot, unless fire ensue, and in 119 account, bills, invoices and other vouchers, or certified copies 31 that event for loss by fire only. 120 thereof it originals be lost, at such reasonable time and place as 38 Other perils Any other peril to be insured against or sub- 121 may be designated by this Company or its representative, and 39 or subjects. jest of insurance to be covered in this policy 122 shall permit extracts and copies thereof to be made. 40 shall be by endorsement in writing hereon or 123 Appraisal. In case the insured and this Company shall 41 added hereto. tail to agree as to the actual cash value or 42 Added provisions. The extent of the application of insurance 125 the amount of loss, then, on the written demand of either. each 43 under this policy and of the contribution to 126 shalt select a competent and disinterested appraiser and notify 44 be made by this Company in case of loss. and any other pro- 127 the other of the appraiser selected within twenty days of such 45 vision or agreement not inconsistent with the provisions of this 128 demand. The appraisers shall first select a competent and dis- 46 policy, may be provided for in writing added hereto, but no pro- 129 interested umpire: and tailing for fifteen days to agree upon 47 vision may be waived except such as by the terms of this policy 130 such umpire, then, on request of the insured or this Company, 48 is subject to change. 131 such umpire shall to selected by a ludge of a court of record in 49 Waiver No permission affecting this insurance shall 132 the state in which the property covered is located. The ap- 50 provisions. exist, or waiver of any provision be valid, 133 praisers shall then appraise the loss, stating separately actual 51 unless granted herein or expressed in writing 134 cash value and loss to each item; and, railing to agree, shall 52 added hereto. No provision. stipulation or forfeiture shall be 135 submit their differences, only, to the umpire. An award in writ- 53 held to be waived by any requirement or proceeding on the part 136 ing, so itemized, of any two when filed with this Company shall 54 of this Company relating to appraisal or to any examination 137 determine the amount of actual cash value and loss. Each 55 provided for herein. 138 appraiser shall be paid by the party selecting him and the ex• 56 Cancellation This policy shall be cancelled at any time 139 penses of appraisal and umpire shall be paid by the parties 57 of policy, at the request of the insured, in which case 140 equally. 58 this Company shall, upon demand and sur- 141 Company's It shall be optional with this Company to 59 render of this policy, refund the excess of paid premium above 142 options. take all, or any part, of the property at the 60 the customary short rates for the expired time. This pot- 143 agreed or appraised value, and also to re- 61 icy may be cancelled at any time by this Company by giving 144 pair, rebuild or replace the property destroyed or damaged with 62 to the insured a five days' written notice of cancellation with 145 other of like kind and quality within a reasonable time, on gin- 63 or without tender of the excess of paid premium above the pro- 146 ing notice of its intention so to do within thirty days alter the 64 rata premium for the expired time, which excess, if not ten- 147 receipt of the proof of loss herein required. 65 dered, shall be refunded on demand. Notice of cancellatio,i shall 148 Abandonment. There can be no abandonment to this Corn 66 state that said excess premium (if not tendered) will be re- 149 pany of any property. 67 funded on demand. 150 When loss The amount of loss for which this Company 68 Mortgagee It loss hereunder is made payable,in whole 151 payable. may be liable a oe shall loss, beas hayer o eprovided,sixty ays ys 69 interests and or in part, to a designated mortgagee not 152 10 obligations, named herein as the insured,such interest in 153 received by this alter and ascertainment of the loss is made 71 this policy may be cancelled by giving to such 154 either by agreement between the insured and this Company ex- 72 mortgagee a ten days'written notice of can- 155 pressed in writing or by the filing with this Company of an 73 cellation. 156 award as herein provided. 14 If the insured fails to render proof of loss such mortgagee. upon 157 Suit. No suit or action on this policy for the recov- 75 notice, shall render proof of loss in the form herein specified 158 cry of any claim shall be sustainable in any 76 within sixty (60) days thereafter and shall be subject to the pro- 159 court of law or equity unless all the requirements of this policy 77 visions hereof relating to appraisal and time of payment and of 160 shall have been complied with, and unless commenced within 78 bringing suit. If this Company shall claim that no liability ex- 161 twelve months next after inception of the loss. 79 isted as to the mortgagor or owner, it shall, to the extent of pay- 162 Subrogation. ThThis Company pa may require of recoverythe insured nsun 80 ment of loss to the mortgagee, be subrogated to all the mort. 163assignment g st 81 gagee's rights of recovery, but without impairing mortgagee's 164 any party for loss to the extent that payment therefor is made 82 right to sue; or it may pay off the mortgage debt and require 165 by this Company. 83 an assignment thereof and of the mortgage. Other provisions In Witness Whereof,this company has executed and attested these presents; but this policy shall not be valid unless countersigned by the duly authorized Agent of�hithis company at the agency hereinbelore mentinned. p 9.Michael S. Wilder.Srnnap Runt 4205 HS (81) Printed in U.S.A. Standard Fire Insurance Policy for Alabama, Alaska, Arizona, Arkansas, Colorado,•Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee. Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin and Wyoming. STATE EXCEPTIONS KANSAS—The words"demand and"in line 58 and"on demand"in lines 65 and 67 are deleted.The woids"twelve months"in line 161 are changed to"sixty months". MAINE,NEW YORK,VIRGINIA—The words"twelve months"in line 161 are changed to"two years". MNNE,WISCONSIN AND FLORIDA—The words"five days"in line 62 are changed to"ten days". MISSOURI—Except with respect to cancellation because of non-payment of premium,misrepresentation,or evidence of incendiarism,lines 60 through 67 of the Standard Fire Polity are amended as follows:"This policy may be cancelled,not renewed,reduced in amount or adversely modified at any time by this Company by giving to the insured a tmry days written notice of cancellation,non-renewal,reduction in amount or adverse modification with or without tender of the excess of paid premium above the pro rata premium for the expired time,which excess,d not tendered,shall be refunded on demand". NORTH CAROLINA, NORTH DAKOTA —The words "twelve months" in line 161 are changed to "three years". WYOMING —The words "sixty days" in line 151 are changed to "forty-five days" and the words "twelve months" in line 161 are changed to "four years", NUCLEAR CLAUSE—(Not Applicable in New York): • The word "fire" in this policy or endorsements attached hereto is not intended to and does not embrace nuclear reaction or nuclear radiation or radioactive contamination, all whether controlled or uncontrolled.and loss by nuclear reaction or nuclear radiation or radioactive contamination is not intended to be and is not insured against by This policy or said endorsements,whether such loss be direct or indirect,proximate or remote,or be in whole or in part caused by,contributed to,or aggravated by "lire''or an) other per its insured against by this policy or said endorsements; however,subject to the foregoing and all provisions of this policy,direct loss by lire"resulting Irom nuclear reaction or nuclear radiation or radioactive contamination is insured against by this policy. Hello