HomeMy WebLinkAbout000113.tiff . Of CERTIFICATE OF INSURANCE I U:'DA,o'''.4/89
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I" 1!04/89;
PRODUCER -' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, ..
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
ROLLINS BURDICK HUNTER-C..C)LC)RAU COMPANIES AFFORDING COVERAGE
4643 S . ULSTER , SUITE" 1100
' DENVER , CO 0037 COMPANY
LETTER A CO1.O Cauirties C< ≤s & Prop Pool
COMPANY
INSURED LETTER B. ' Virginia Surety •C o TRR a n.y
COMPANY
Weld County LETTER C St . Paul- F:i.re Insurance Co ,
Colo Counties Cas & Prop Pool COMPANY ri
:1177 Grant. Street LETTER g .
Denver COMPANY E
- CO 80203 LETTER
COVERAGES
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,
NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY
BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS,AND CONDI-
TIONS OF SUCH POLICIES. 1'WWI BAN MAY HAVE BSI REDUCED PAID CLAtuA _
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS
LTR • DATE(MM DD1YY) GATE(MINDD/YY) •
GENERAL LIABILITY GENERAL AGGREGATE $
X COMMERCIAL GENERAL LIABILITY PEP • 7/0:1/88 7/01/89 PRODUCTS-COMP/0PS AGGREGATE $ 250
X < I CLAIMS MADE []OCCURRENCE PARTICIPATION PERSONAL 6 ADVERTISING INJURY $ 250
OWNER'S&CONTRACTORS PROTECTNE CERTIFICATE EACH OCCURRENCE $ 250
FIRE DAMAGE(ANY ONE FIRE) $
MEDICAL EXPENSE(ANY ONE PERSON): $ '
AUTOMOBILE LIABILITY
ANY AUTO PER 7/01/08 7/01./09 CSL $ 250
-< ALL OWNED AUTOS INJURY
SCHEDULED AUTOS I'I R T :I:C,-I. P A r I I.)N (PER PERSON) $BOD'�' HIRED AUTOS INJUURY
(PER
X NON-OWNED AUTOS CERTIFICATE 1PCCIDENT) $
GARAGE LIABILITY. •PROPERTY'
•
DAMAGE .
X CLAIMS MADE $
-EACH AGGREGATE
EXCESS LIABILITY OCCURRENCE
3 E:XL_213S3 7/0:L/88 7/01/89 $ $
X OTHER THAN UMBRELLA FORM CLAIMS MADE 750
STATUTORY
WORKERS'COMPENSATION • $ (EACH ACCIDENT)
AND $ (DISEASE-POLICY LIMIT)
EMPLOYERS'LIABILITY $ (DISEASE-EACH EMPLOYEE)
OTHER '
PROPERTY AND PART. CERT, 7/01/88 7/0:l/89 $50 ,000 ,000 BLANKET
AUTO PHYS DAMAGE ALL REAL./PEES PROP
MANUSCRIPT FORM :144JEt0524 7/01/88 7/0:1/89 $ 00 DEDUCTIBLE
DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES!RESTRICTIONS/SPECIAL ITEMS
COLORADO ORAD+O.) COUNTIES CASUALTY & PROPERTY FOOL. PROVIDES EMPLOYEE I- DISHONESTY Y AND
MONEY & SECURITIES COVERAGES AT $150 ,000 PER LOSS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX.
C c) 1.o T a d o Dept. Social Service_ PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
Accounting & P u r c h< .,I n n MAIL 90 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
• 1575 Sherman LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
Denver , Co 80203 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE 78510
ATION 1955
ACORD 25•S(11/85) 1 13 •
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