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Home My WebLink About000149.tiff The Travelers (Package Policies) GENERAL PURPOSE ENDORSEMENT Effective from 8/10/68 _Amending Policy numbered ND 6256402 y p At It noon standard time at the address of the Named Insured Date of Issue 9/12/68 LS stated in the policy declarations. Named Insured THE ROARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD Continuous Policy_Three Year Policy X Next Policy Anniversary or Expiration Date 1/15/69 Office DENY. 052 Producer HOP K I NS-LUNDY 41707 Total premium due under this endorsement: Additional $ 2616.00 Return $ 1. Complete the following: Dates Due X]Additional Premimn 0 Return Premium 8/10 68 466.00 1/15 69 1075.00 1/15/70 1075.00 2. It is agreed that as of the effective date hereof the policy is amended in the following particulars: TO INCLUDE THE ATTACHED ENDORSEMENTS- P-124 (1) 2 (2) 2 (3) , & (4) - BOILER & MACHINERY SUPPLEMENTAL CONTRACTS AhD 12913 - ESERVE OR SEASONAL OBJECTS HOPKINS-LUNDY INSURORS, INC. 200 1ST NAT'L BANK BLDG., 353.5530 GREELEY, COLORADO Representing The Travelers 149 This endorsement is executed on the reverse side hereof. ! I p )_ If any additional premium is noted on the reverse side, this endorsement is issued in consideration thereof. If any return premium is noted on the reverse side, the receipt thereof is acknowledged upon acceptance of this endorsement. THE CHARTER OAK FIRE INSURANCE ECCOMPANY THE TRAVELERS INDEMNITY COMPANY Secretary Secretary lei Countersigned by ?"----- 1-3902 REV. 1-66 PRINTED IN V.S.A. 567 ND2A The Travelers (Package Policies) P 124 BOILER AND MACHINERY SUPPLEMENTAL CONTRACT For Attachment to Policy No._11D&25f402- The Insuring Agreement, Exclusions, Conditions, Definitions and Special Provisions,and other Isms of this Supplemental Contract shall apply only as specified herein and none of the provisions, stipulations, and other terms of the policy to which this Supplemental Contract is attached shall apply to insurance hereunder, except the cancellation provisions applying to Section I of the policy. named Insured I THE BOARD Of COUNTY COMMISSIONERS OF THE DECLARATIONS COUNTY- OF.-WFL1) Address 911 9TH AVENUE GRFELEY, WELD` /CpOpUNTYt'l C�sO/LqORADO -- Efie tiv e From 12 noon stondore`tI h}�c rre.rtof t1Rd111b�/�Sile as stated herein_- Premium S The following are made a part of this Supplemental Contract at inception date: Schedules Numbered 1 4-1 ) Endorsements Numbered.. - _ -- -- - - SCHEDULE No. 1 Location of Objects described below -. .AS_ SPEC(F1ED BELOW_- COLORADO _. .... $_AS_SPECIFLED_-BELOW . GREELEY _-_ County State Limit per Accident City _ --. -- -- — --- — Section No. Desi Ob Description of Objects—Other Provisions and Coveraget Number of el Object - - --- -- - — - _ --- - 922----9TH STREET ----LIMIT_$50-0,000 ---- - - _ _ _ BLANKET- BO-I LERS.,- -F IRED--VESSELS AND ELECTRIC 1 BROAD-- - -- STEAM--GENERATORS -- g- 0,;--BUNDKET- -UNFIRED--VESSELS (-EXCEPT- ELECTRIC - 3 -- BROAD ingt STEAM--GENERATORS-) Ea - tBLANKET 9TH_ST._&_9TH LAVE. -LIMIT $100,000_ - BLANKET- BOILERS,--FIRED_ VESSELS- AND- ELECTRIC--- -_ - .1 BROAD STEAM GENERATORS --SLANKE-T-- UNFIRED VESSELS --(EXCEPT ELECTRIC 3- -BR0AD_ STEAM GENERATORS) abbreviation fThe number and this identifies the Definitions and Special p ucF lSenwsions Section eh tionio applicable oithe Object described opposite said number.A word or appearing with (Continued on Page Z) P 124 1-3845 4-64 PRIMO in U.S w. 667 The Travelers (Package Policies) P 124 BOILER AND MACHINERY SUPPLEMENTAL CONTRACT For Attachment to Policy No—M1625640-2 Insuring Agreement, Exclusions, Conditions, Definitions and Special Provisions,and other terms of this Supplemental Contract shall apply only as specified herein and none of the provisions,stipulations, and other terms of the policy to which this Supplemental Contract is attached shall apply to insurance hereunder, except the cancellation provisions applying to Suction I of the policy. DECLARATIONS Named Insured I THE BOARD OF COUNTY COMMISSIONERS OF THE --_—c2UNTLSEWFLO Address 911. 9TH *VENUE GRFFI FYI_WELD COUNTY COI ORADO Effective From n 'I /1 C./6i2 to 'I a se'I : t z noon standtltlhh//r�I1111744``bb m dre of m Ins ea stated herein. Premium The following are made a part of this Supplemental Contract at inception date: Schedules Numbered 1_(2). ____ Endorsenteuts Numbered SCHEDULE No. 1 Location of Objects described below AS _SPECIFIED_BELOW $ -AS--.SPECIFIED.-BELOW._ _ .OREELEY WELD COLORADO__ .. Limit per Accident City County State Designating Description of Objects—Other Provisions Section No. D Number of Object and Coveraget ---- -11TH AVE.--& .16TH--ST.---- LIMI-T_$25-0.000 _ - - BLANKET BAILERS, FIRED-VESSELS AND ELECTRIC _ _ - , 1 BROAD STEAM GENERATORS __ BLANKET UNFIRED-VESSELS- (EXCEPTELECTRIC -- ---- --3_ BROAD -- STEAM-- GENERATORS) ens' - -- 8"e 1500 2ND-ST.--- LIMIT- $25-.000 - --- -- - - - BLANKET- BAILERS,_-F-IRED_VESSELS_AND ELECTRIC 1 BROAD g . fl STEAM GENERATORS_ - ---- m --BLANKET UNF-I-REO--VESSELS_(EXCEPT ELECTRIC 3 BROAD STEAM GENERATORS) {The numbern this column identifies the Definitions and Special Provisions Section applicable to the Object described opposite said number.A word or abbreviation appearing with said number identifies coverage provisions of such Section which apply to said Object. (Continued on Page 2) P 124 I-3845 4-64 PPINTrO IN U.S.A. 667 I;ae ,.:revelers (Package Policies) P 124 BOILER AND MACHINERY SUPPLEMENTAL CONTRACT For Attachment to Policy No._ND52564O2 The Insuring Agreement Exclusions, Conditions, Definitions and Special Provisions,and other terms of this Supplemental Contract shall apply only as specified herein and none of the provisions, stipulations, and other terms of the policy to which this Supplemental Contract is attached shall apply to insurance hereunder, except the cancellation provisions applying to Section I of the policy. DECLARATIONS Named Insured l THE BOARD OF COUNTY COMMISSIONERS OF THE - - -- COUNTY OF WELD - -.Address 911 9TH AVENUE - - GREE!FY4 _WELD _COUNT 1L —. -— Effective From l/1gispfe to /g 7RADte 12 on smnder i{ Y dd ss of the ed d slated h ein. - - - - IrCCm1Un1 $ The following are made a part of this Supplemental Contract at inception rlate — — — — — —Schedules Numbered 1_ __(3)-.-- -_ Endorsements Numbered_. SCHEDULE No. 1 Location of Objects described below AS—SPEC IFI ED_.BELOW $ AS SPECIFIED. BELOW-.. GREELEY _ . WELD COLORADO. Accident City _. Designating I— — —'— — -- — --—.. - County State Number of Object Description of Objects—Oth Provisions Secfien Ne -- —— -- — — -- - and C veraget — 16TH- ST. .&--17TH AV-E. - LIMIT $500,000 - --BLANKET-I BOILERS,- -FI-RED VESSELS AND ELECTRIC -1-- BROAD sLa. . . . STEAM .GENERATORS . Ya BLANKET_ UNEIRED_.ESSELS (EXCEPT-.ELECTRIC 3 _ ,BROAD LE 2 i .. -- -- STEAM_ GENERATORS) - - a BLANKET- MISCELLANEIOUS_MACH INES,_GEAR_ WHEELS B BROAD �_ AND ENCLOSED_.-GEAR-- SETS. _._. tig- --BLANKET--IENGINESE- P-UMP-Sy-- COMPRESSORS-, _FANS _ 6 - BR_OAD isi AND BLOWNERS TURBINES (EXCEPT INTERNAL COMBUSTION TYPEI file number in this column identifies the Definitions and 112 ! R LIAL appearing with said number identifies coverage peck S Provisions Section applicable to the Object described opposite said number.A word or abbreviation provisions of en Section whichS t only o said Object. (Continued on Page 2) P 124 1-3845 4-64 PhiUrc0 IN U.S.A. 667 The Travelers (Package Policies) P 124 BOILER AND MACHINERY SUPPLEMENTAL CONTRACT For Attachment to Policy No.—N-06-256402 - The Insuring Agreement, Exclusions, Conditions, Definitions and Special Provisions,and other terms of this SuppLmmntal Contract shall apply only as specified herein and none of the provisions,stipulations, and other terms of the policy to which this Supplemental Contract is attached shall apply to insurance hereunder, except the cancellation provisions applying to Section I of the policy. DECLARATIONS Named Insured I THE BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF WELD Address 911 9TH AVENUE GREELEY._ WELD COUNTY COLORADO Effective From 1 �ys�5 680 1 15 T1 12 noon standard time i e dd dress f the Name �s stated herein. Premium $ The following are made a part of this Supplemental Contract at inception date: Schedules Numbered - Endorsements Numbered_._ -. SCHEDULE No. 1 Location of Objects described below -AS--SPEC-IFI-ED_ BELW.W.. $-AS—SPECIFIED—BELOW —GREELEY _ WELD _ COLORADO __ Limit per Accident City County state Designating Description of Objects—Other Provisions Section No. Number of Object P 1 and Coverage[ • 1x10--15TH—ST. — LIMIT $500.000 :98LANKE1 BOILERS FIRED- VESSELS AND ELECTRIC . 1- BROAD STEAM GENERATORS Ya BLANKET UNFIRE.VESSELS (EXCEPT ELECTRIC - '-- 3-- BROAD. .. ...STEAM -GENERATORS EO si .S tjo o t- o p tthe number in this column identifies the Definitions and Special Provisions Section applicable to the Object described opposite sold number.A word or abbreviation appearing with said number identifies coverage provisions of such Section which apply to said Object. (Continued on Pate 2) P 124 1-3845 4-64 ru,uico in 5.5.5. 667 V5IT/ `/ Reserve or Seasonal Objects Insured THE- $OARD--OF COUNTY_COMMISSIONERS OF THE--COUNTY--OF WELD Address __.9U.-.ST$LAV.ENUE GR€ELEY.,---WELD--COUNTY-C-OLORADO Lndanement This Endorsement forms a part of Policy No. NO6256402 Office---_DERV.-_052 Date of Issue and is effective from noon of 1-/1-5/68 9/12/68 Producer HOPK-INS-LUNDY Each Object described below is insured at a reduced rate and the charge for said Object is therefore subject to Minimum Premium re- quirements, provided that such Minimum Premium requirements shall apply under the Blanket Group Plan only with respect to the addition or elimination of insurance as respects an entire group of Objects at any one Location. When the period of coverage for said Object is other than one, two or three full years, the premium for said Object, for such period, shall be the same premium that would be charged for a period equal to the next higher number of full years. Desiroating Number of Object Description of Obien Location -_BLANKET INTERNAL_coma.__ENG. - ROIL.INE- 16TH---ST. -&. 17TH_-AVE. GAS-CLOSED COOLING. WITH 297 GREELEY,---COLORADO H.P.- -(-DRIVES #2--ELECTRIC---GENERATOR) --BLANKET E-LEC.---A.-C,- GENERATOR----KA--T-O--- SAME AS ABOVE -100--K-.W.--(DRIVEN DIRECT DV #1 INT. COMB, EN9.) BLANKET STEAM TURBINE (DRIVES SAME AS ABOVE CENTR_IFUGAL_PUMP.)_-.9.E.__TURBINE, AMERICAN PUMP_ ,__155 M.P. (EXPLOSION_ QNLY).__.K.W._ -_600_ - _- HOPKINS-LUNDY INSURORS, INC. 200 1ST NAT'L BANK BLDG., 353-5536 . ,GREELEY, COLORADO(�. � -1•61Representing The Trawlers THE TT AVELERS INDEMNITY COMPANY . all1 S��J{/�Jpr Boiler and Machinery Coun signed ��i i`cl"" 1-2913 1-59 President PR fliED IN U.s.a. P 124 Page 2 Insuring Agreements In consideration of the Premium, The Travelers agrees with the Insured • the care, custody or control of the Insured for which the Insured is respecting loss from an Accident, as defined herein, occurring while this legally liable, directly damaged by such Accident(or, if The Travelers Boiler and Machinery Supplemental Contract is in effect, to an Object, so elects, to repair or replace such damaged property). as defined herein, while the Object is in use or connected ready for use at the Location specified for it in the Schedule, subject to the Declara- tions of this Supplemental Contract,to the Limit per Accident specified Coverage B—Expediting Expenses for it in the Schedule,to the Exclusions and Conditions,to other terms of To pay, to the extent of any indemnity remaining after payment of all this Supplemental Contract and to the Schedules and Endorsements loss as may be required under Coverage A for the reasonable extra cost issued to form a part thereof, as follows: of temporary repair and of expediting the repair of such damaged Coverage A—Loss on Property of Insured property of the Insured including overtime and the extra cost of express or other rapid means of transportation,provided The Travelers'liability To pay for loss on property of the Insured, and property of others in ♦ under this coverage shall not exceed $1,000. Exclusions This Supplemental Contract does not apply: � directly or indirectly by, contributed to or aggravated by an (1) to loss front an Accident caused directly or indirectly by: Accident; (a) hostile or warlike action, including action in hindering, combat- nor shall The Travelers be liable for any loss covered in whole or big or defending against an actual, impending or expected in part by any contract of insurance, carried by the Insured which attack, by: also covers any hazard or peril of nuclear reaction or nuclear radia- tion; (i) any government or sovereign power (de jure or de facto) or any authority maintaining or using military, naval or (3) under Coverage A to loss: air forces, (a) from fire concomitant with or following an Accident or from the (ii) military, naval or air forces, or use of water or other means to extinguish fire, (iii) au agent of any such government, power, authority or (b) from an Accident caused directly or indirectly by fire or from forces; the use of water or other means to extinguish fire, (b) insurrection, rebellion, revolution, civil war or usurped power, (c) from explosion of any fired or unfired vessel or piping, other including any action in hindering, combating or defending than a steam boiler or steam piping, against such an occurrence, or by confiscation by order of any (d) from a combustion explosion outside the Object concomitant government or public authority; with or following an Accident, (2) to loss, whether it be direct or indirect, proximate or remote, (e) from flood unless an Accident ensues and The Travelers shall (a) from an Accident caused directly or indirectly by nuclear re- then be liable only for loss from such ensuing Accident, action, nuclear radiation or radioactive contamination, all (f) from delay or interruption of business or manufacturing or whether controlled or uncontrolled; or process, (b) from nuclear reaction, nuclear radiation or radioactive con- (g) from lack of power, light, heat, steam or refrigeration, and tamination, all whether controlled or uncontrolled, caused ♦ (h) from any other indirect result of an Accident. Conditions 1. Notice of Accident and Proof of Loss. When an Accident occurs, • are in use or connected ready for use prior to the end of such written notice shall be given by or on behalf of the Insured to The policy year or as respects such Objects withdrawn, during such Travelers or any of its authorized agents as soon as practicable. policy year, from such Group Plan using the rates in effect at The Insured shall give like notice of any claim made on account of the time the applicable insurance was made effective as though such Accident.The Travelers shall have reasonable time and oppor- such changes and such insurance had been specifically effected tmnity to examine the property and the premises of the Insured or terminated at the end of the first six months of the policy before repairs are undertaken or physical evidence of the Accident year, except that if, as respects a described group of Objects, is removed, except for protection or salvage. Proof of loss shall be insurance under the Blanket Group Plan is in effect for only a made by the Insured in such form as The Travelers may require. part of a policy year,such adjustments shall be computed as of The Insured upon request of The Travelers shall render every the mid-date of such part of the policy year. The term "policy assistance facilitating the investigation and adjustment of any claim, year" shall be understood to mean a period of one year from submitting to examination and interrogation by any representative the effective date of the policy to which this Supplemental of The Travelers. Contract is attached or any anniversary thereof. The Insured shall not voluntarily assume any liability or incur any 3. Limit Per Accident. The Travelers' total liability for loss from expense, other than at the Insured's own cost, without the consent of The Travelers previously given in writing, except as otherwise any One Accident shall not exceed the amount specified as Limit per expressly permitted in this Supplemental Contract. Accident in the Schedule applicable to the Object to which the Acci- dent occurs. The term "One Accident" shall be taken as including 2. Blanket Group Plan. With respect to a described group of Objects all resultant or concomitant Accidents whether to one Object or to opposite which the word "Blanket" is entered in the column cap- part of an Object. tioned "Designating )Cumber of Object"of any Schedule forming a The inclusion herein of more than one Insured shall not operate to part of this Supplemental Contract, each Object, of such group of increase the limits of The Travelers' liability. Objects, shall be considered as being designated and described in such Schedule; however, unless specifically included in any group 4. Property Valuation. The limit of The Travelers' liability for loss description, any Object not owned by, leased by or operated under on the property of the Insured shall not exceed the actual cash value the control of the Insured is not included for insurance hereunder. thereof at the time of Accident. If,as respects the damaged property The premiums for all kinds of insurance afforded by this Supple- of the Insured, the repair or replacement of any part or parts of the Object is involved, The Travelers shall not be liable for the cost of mental Contract applicable thereto shall he adjusted as follows: such repair or replacement in excess of the actual cash value of said (a) any premium applicable to such group or groups of Objects part or parts or in excess of the actual cash value of the Object, shall be adjusted,as of the effective(late such insurance applies, whichever value is less. Actual cash value in all cases shall be as- on the basis of the information obtained at the time of The certained with proper deductions for depreciation, however caused. Travelers' survey of such Objects that are in use or connected ready for use as of such effective date, • 5. Other Insurance. In the event of a loss to which both this insur- (b) the premium, including revisions of premium due to changes ance and other insurance carried by the Insured apply, in the rating of Objects under the Blanket Group Plan,shall be (a) The Travelers shall be liable under this Supplemental Contract subject to pro rata adjustment at the end of each policy year only for the proportion of the said joint loss that the amount on the basis of the information obtained by The Travelers, which would have been payable under this Supplemental Con- either as respects such Objects added to such Group Plan that tract on account of said joint loss,had no other insurance existed, (Continued on Page 3) P 124 I-3845 P 124 Page 3 bears to the combined total of the said amount and the amount cancellation of this Supplemental Contract shall be subject to the which would have been payable under all other insurance on Premium Gradation Rules set forth in The Travelers Manual of account of said joint loss,had there been no insurance under this Rules and Rates applicable. Supplemental Contract, but (b) in case the policy or policies affording such other insurance do 12. Assignment. Assignment of interest under this Supplemental Con- not contain a clause similar to Clause (a), The Travelers shall tract shall not bind The Travelers until its consent is endorsed be liable under this Supplemental Contract only for the pro- hereon; if, however, the Insured shall die or be adjudged bankrupt portion of said joint loss that the amount insured under this or insolvent, while this Supplemental Contract is in effect, this Supplemental Contract, applicable to said joint loss, bears to Supplemental Contract, unless canceled, shall, if written notice be the whole amount of insurance, applicable to said joint loss. given to The Travelers within 60 days after the date of such death or adjudication, cover the Insured's legal representative as the In- 6. Subrogation. In the event of any payment under this Supplemental sured. Contract, The Travelers shall be subrogated to the Insured's rights of recovery therefor against any person or organization and the 13. Schedules and Endorsements. The insurance afforded hereunder Insured shall execute and deliver instruments and papers and do shall apply only to loss from an Accident to an Object designated whatever else is necessary to secure such rights. The Insured shall and described in a Schedule or Endorsement forming a part hereof, do nothing after the Accident to prejudice such rights. bearing the signature of the President of The Travelers and con- taining the description of such Object, the definition thereof, the 7. Inspection and Suspension. The Travelers shall be permitted at all definition of Accident and other provisions as applicable to the said reasonable times while this Supplemental Contract is in effect to Object. inspect any Object and the premises where said Object is located. It is agreed t with Supplemental tom any rle or Endorsement issued Upon the discovery tofo i dangerous condition with respect to any to form a part of this Supplemental Contract: Object, any representative of The Travelers may immediately sus- pend the insurance with respect to an Accident to said Object by (a) Any reference to "Policy" shall be changed to read "Supple- written notice mailed or delivered to the Insured at the address of mental Contract". the Insured, as specified in the Declarations of this Supplemental (b) Any reference to Coverage C of the Insuring Agreement shall be Contract, or the location of the Object, as specified for it in the changed to read Coverage B. Schedule. Insurance so suspended may be reinstated by The Trav- elers,but only by Endorsement issued to form a part of this Supple- (c) Any reference to"Exclusions 1,2,3(a),3(b),3(c)or 3(d)" shall mental Contract and signed by an officer of The Travelers. The be changed to read "Exclusions I, 2, 3(a), 3(b), 3(c), 3(d) or Insured shall be allowed the unearned portion of the premium paid 3(e)". for such suspended insurance, pro rata, for the period of suspension. 14. Automatic Coverage. Any Object (except any Object of the port- 8. Action Against The Travelers. No action shall lie against The able type moved from place to place so that its operation custom- Travelers unless,as a condition precedent thereto, the Insured shall arily would not be restricted to one Location)within the Continental have fully complied with all the terms of this Supplemental Con- United States (except Alaska) similar to any Object designated tract, nor unless commenced within 14 months from the date of the and described in any Schedule forming a part of this Supplemental .Accident. If this limitation of time is shorter than that prescribed Contract by any statute controlling the construction of this Supplemental (a) hereafter installed by the Insured at any Location specified in Contract, the shortest permissible statutory limitation in time shall any of the Schedules or Endorsements of this Supplemental govern and shall supersede the time limitation herein stated. Contract shall be considered as added to this Supplemental 9. Malicious Mischief. Subject to Exclusion(1)of this Supplemental Contract as of the time said Object is first placed in operation Contract any Accident, as defined in any Schedule or Endorsement by the Insured, subject to the Limit per Accident specified for forming a part hereof, arising out of strike, riot, civil commotion, the Location where the Object is installed, and subject to the acts of sabotage, vandalism or malicious mischief, shall be con- insurance (excluding Outage Insurance) applicable to another sidered "accidental" within the terms of said definition. similar Object at the Location where the Object is installed, except that if there are no other similar Objects at said Location, 10. Changes. By accepting this Supplemental Contract, the Insured such Object hereafter installed shall be subject to the insurance agrees that it embodies all agreements existing between the Insured (excluding Use and Occupancy,Outage,Consequential Damage, and 'File Travelers or any of its- agents relating to this insurance. and any other indirect insurance)applicable to another similar Notice to any agent or knowledge possessed by any agent or by any Object at any Location, or other person shall not effect a waiver or a change in any part of this (b) hereafter installed by the Insured at any Location owned or Supplemental Contract or estop The Travelers from asserting any leased by the Insured and not specified in any Schedule or En- rights under this Supplemental Contract;nor shall the terms of this dorsement of this Supplemental Contract or existing in any Supplemental Contract be waived or changed, except by Endorse- property hereafter acquired by the Insured shall be considered nient issued to form a part of this Supplemental Contract,signed br as added to this Supplemental Contract as of the time said the President,a Vice President,a Secretary or an Assistant Secretary Object is first placed in operation by the Insured,subject to the of The Travelers, provided, however, changes may be made in the insurance (excluding Use and Occupancy, Outage, Conse- tvpewrittcn portions of this Supplemental Contract by a Manager, quential Damage and any other indirect insurance) applicable Assistant Manager or General Agent of The Travelers when to any similar Object insured under this Supplemental Contract initialed by such Manager, Assistant Manager or General Agent. and all subject to the highest Limit per Accident applicable to The additional or return premium for any such Endorsement shall any similar Object at any specified Location, be computed in accordance with The Travelers Manual of Rules and Rates applicable to such change. provided that the Insured notifies The Travelers in writing within 90 days after said date of first operation, but not otherwise, and 11. Premium Gradation. If the premium for this Supplemental agrees to pay the required additional premium for insurance on said Contract has been determined by applying any discount in accord- Object in accordance with The Travelers Manual of Rules and Rates ance with the Premium Gradation Plan, the determination of the in force on the date said Object is first placed in operation by the additional or return premium for any subsequent change or for • Insured. Definitions and Special Provisions SECTION 1-BOILERS,FIRED VESSELS AND ELECTRIC STEAM • (d) any piping leading to or from such vessel; GENERATORS—BROAD COVERAGE (e) any cylinder containing a movable plunger or piston; nor Definition of Object. "Object" shall mean any complete vessel desig- (f) any vessel,radiator,inductor,convector or coil connected to or used nated and described in the Schedule and shall also include. with a refrigerating system or an air conditioning system. 1. any steel economizer used solely with such vessel, 2. any indirect water heater used for hot water supply service which is Definition of Accident. Sanie as in Section 1. directly in the water circulating system of such vessel and which does not form a part of a water storage tank,and Special Provisions. 3. any piping on the premises of the Insured, or between parts of said I. The Travelers shall not be liable for loss from an Accident to any premises, with valves, fittings, traps and separators thereon, which Object designated and described in the Schedule while said Object contains steam or condensate thereof, generated in whole or in part is undergoing a hydrostatic, pneumatic or gas pressure test. in such vessel,and any feed water piping between such vessel and its 2. Any Object designated and described in the Schedule which is used feed pump or injector; for the storage of gas or liquid and which is periodically filled,moved, emptied and refilled in the course of its normal service, shall be con- but Object shall not include: sidered as"connected ready for use" within the terms of this Supple- (a) any part of such vessel or piping which does not contain water or mental Contract. steam; (b) any reciprocating or rotating machine; SECTION 4-SYSTEMS OF REFRIGERATING AND AIR CON- (c) any electrical apparatus; DITIONING VESSELS AND PIPING (d) any piping not on the premises of the Insured, used to supply any Definition of Object. "Object" shall mean any system designated and premises not owned by, leased by or operated under the control of described in the Schedule consisting of: the Insured; nor 1. all interconnected vessels,coils and piping which contain refrigerant, (e) any other piping, any radiator, convector,coil, vessel or apparatus except as included in clauses 1, 2 and 3 above. 2. all vessels which contain coils within which such refrigerant is circu- lated, Definition of Accident. "Accid€nt"shall mean a sudden and accidental 3. all valves and fittings on such vessels, coils and piping, breakdown of the Object,or a part thereof,which manifests itself at the and as respects any and described in the Schedule for time of its occurrence by physical damage to the Object that necessitates which "AVP" (the systemabbr designated and d "Additional i nt Vessels hed and notrepair mean:replacement of the Object or part thereof; but Accident shall Piping„) is inserted in the column captioned "Section No. and Cover- (a) age", but not otherwise, Object shalt also include: (a) depletion, deterioration,corrosion, or erosion of material; 4. all vessels, radiators, inductors, convectors, and coils together with (b) wear and tear; valves and fittings thereon, which are connected to or used with the (c) leakage at any valve, fitting,shaft seal,gland packing,joint or coil- system and within which steam, water, brine or other solution is nection; circulated for cooling, humidifying or space heating; and all piping (d) the breakdown of any vacuum tube, gas tube or brush; containing water,brine or other solution interconnecting such vessels, (e) the breakdown of any structure or foundation supporting the Object radiators, inductors, convectors and coils, together with valves and or any part thereof; nor fittings on such piping; (f) the functioning of any safety device or protective device. but Object shall not include: (a) any steam boiler, steam piping or hot water boiler; Furnace Explosion Exclusion. As respects any Object designated and (b) any reciprocating or rotating machine or apparatus; described in the Schedule,The Travelers shall not be liable for loss from an explosion of accumulated gases or unconsumed fuel within the firebox (c) any electrical apparatus; (or the combustion chamber)of the Object or within the flues or passages (d) any apparatus mounted on or forming a part of a truck or other which conduct the gases of combustion therefrom to the atmosphere. vehicle, or any hose, flexible device or non-metallic pipe connected to such apparatus; nor Special Provisions. (e) any vessel, cooling tower, reservoir or other source of supply of 1. As respects any vessel designated and described in the Schedule cooling water for any condenser or compressor together with any which uses a heat transfer medium other than water, such heat water piping leading to or from such source of supply. transfer medium and its vapor shall be considered as substituted for Definition of Accident. Same as in Section 1. the words"water"and"steam",wherever such words are used in the Definition of Object and the Definition of Accident. Ammonia Contamination Limit. The Travelers' liability for loss, in- 2. The Travelers shall not be liable for loss from an Accident to any eluding salvage expense, with respect to damage by ammonia contact- Object designated and described in the Schedule while said Object is ing or permeating property under refrigeration or in process requiring undergoing a hydrostatic pressure test. refrigeration, resulting from an Accident to an Object designated and described in the Schedule, shall not exceed $1,000, or shall not exceed Minimum Premium Requirements. Each Object designated and de- the amount,if any,specified as the Ammonia Contamination Limit with scribed in the Schedule for which the description includes the words the description of said Object in the Schedule,provided that in the event "Class 1"or"Class H"is subject to Minimum Premium Requirements. One Accident occurs to more than one Object,the Ammonia Contamina- When coverage for said Object terminates other than as of an anniver- tion Limit for said One Accident shall be the highest Ammonia Con- sary of the effective date of this Supplemental Contract, the premium tamination Limit specified for any one of the said Objects, any such for said Object shall be the same premium that would have been charged Ammonia Contamination Limit being a part of and not in addition to if such coverage terminated on the next anniversary date. the Limit per Accident. Water Damage Limit. The Travelers' liability for loss, including SECTION ORS-LEAS, D FIRED VESSELS AND ELECTRIC STEAM salvage expense, on property damaged by water, resulting from an GENERATORS—LIMITED COVERAGE Accident to an Object designated and described in the Schedule, shall Definition of Object. Same as in Section 1. not exceed $1,000, or shall not exceed the amount, if any, specified as the Water Damage Limit with the description of said Object in the Definition of Accident. "Accident"shall mean a sudden and accidental Schedule, provided that in the event One Accident occurs to more than tearing asunder of the Object, or a part thereof, caused by the pressure one Object, the Water Damage Limit for said One Accident shall be of water or steam therein, but cracking shall not constitute a sudden the highest Water Damage Limit specified for any one of the said and accidental tearing asunder, nor shall Accident mean: Objects, any such Water Damage Limit being a part of and not in (a) depletion, deterioration, corrosion, or erosion of material; addition to the Limit per Accident. (b) wear and tear; Special Provision. The Travelers shall not be liable for loss from an (c) leakage at any valve, fitting, joint or connection; nor Accident to any Object designated and described in the Schedule while (d) the functioning of any safety device or protective device. said Object is undergoing a hydrostatic, pneumatic or gas pressure test. Furnace Explosion. Same as in Section 1. SECTION 5-AUXILIARY PIPING Special Provisions. Same as in Section 1. Definition of Object. "Object" shall mean any piping designated and Minimum Premium Requirements. Same as in Section 1. described in the Schedule,including any valve, fitting,trap or separator thereon; but Object shall not include any radiator, convector, coil or other vessel or apparatus connected to such piping. SECTION 3-UNFIRED VESSELS (EXCEPT ELECTRIC STEAM Definition of Accident. Same as in Section 1. GENERATORS) Special Provision. Same as in Section 4. Definition of Object. "Object" shall mean any complete vessel desig- nated and described in the Schedule;but shall not include: ON 6—ENGINES, PUMPS, COMPRESSORS, FANS AND (a) any part of such vessel which is not under pressure of contents BLOWERS therein or which is not under vacuum therein; (b) any reciprocating or rotating apparatus within or forming a part of Definition of Object. "Object" shall mean any complete machine such vessel; designated and described in the Schedule and, as respects any such (c) any electrical apparatus within or forming a part of such vessel; machine which is a reciprocating pump or a reciprocating compressor (Continued on Page 4) P 124 P 124 Page 4 and which forms an integral part of a steam engine or ail internal con- (b) wear and tear; nor bustion engine or which is connected to such an engine by a coupling, clutch or gear set, the complete machine shall mean the said pump or (c) the part then of any structure or foundation supporting the Object or compressor and its driving engine and the interconnecting coupling, any part thereof. clutch or gear set; but Object shall not include: Special Provisions. Same as in Section 9. (a) any air tank, mechanism or other appliance connected to such machine; SECTION 12-TURBINES (EXCEPT INTERNAL COMBUSTION (b) any electrical apparatus, other than a governor motor; TYPE GAS TURBINES)-EXPLOSION COVERAGE (e) any condenser or its adapter; Definition of Object. Saute as n Section 9. (d) any piping or duct leading to or from such machine; nor (e) any well casing. Definition of Accident. "Accident"shall mean: 1. A sudden and accidental breaking of the casing of the driving turbine Definition of Accident. Same as in Section I. of the Object, into two or more separate parts, but not the breaking of any gasket, rupture disc, shaft seal or diaphragm;or 2. A sudden and accidental brrtking of ally spindle, rotor or shaft of the SECTION 7-WHEELS AND SHAFTING (EXCEPT GEAR WHEELS) Object, into two or mare separate parts, but not the braking of w:u blade, bucket or vane, or of any shroud ring or other fastening, or of Definition of Object. any gear or coupling,nor the loosening of any assembled parts,nor the breaking or loosening of any electrical conductor or its insulation, or 1. As respects any wheel, pulley, disc or coupling designated and of any band wire, retaining ring, wedge, or their fastenings; described in the Schedule, "Object" shall mean only the rotating part or parts of such apparatus; but shall not include: but Accident shall not mean: (a) any shaft upon which the apparatus is mounted, or the bearings (a) depletion, deterioration, corrosion, or erosion of material; for such shaft; nor (b) wear and tear; nor (b) any cutting blade. (c) the breaking of any structure or foundation supporting the Object or 2. As respects any shaft designated and described in the Schedule, any part thereof. "Object" shall mean only the rotating shaft with its couplings and Special Provisions. Same as in Section 10, bearings. Definition of Accident. Same as in Section 1. SECTION 13-ROTATING ELECTRICAL MACHINES, TRANS- FORMERS AND INDUCTION FEEDER REGULATORS Definition of Object. "Object" shall mean Inny complete rotating SECTION 8-MISCELLANEOUS MACHINES, GEAR WHEELS AND ENCLOSED GEAR SETS electrical machine, transformer or induction feeder regulator designated and described in the Schedule, and as respects any rotating electrical Definition of Object. "Object" shall mean any complete machine machine, Object shall also include: designated and described in the Schedule; but shall not include 1. any exciter which is mechanically connected to such machine;mud is (a) any ntechanisu or appliance connected to such machine; used solely for the excitation of such machine, (b) any shaft on which any machine described as a "Gear Wheel" is 2. any shaft of such machine and any gear, wheel or magnetic brake mounted, or the bearings for such shaft; mechanisms on such shaft or on the frame of such machine, if such (c) any electrical apparatus; shaft does not also form an integral part of any other machine, (d) any felt, screen, die, extrusion plate, swing- hammer, grinding- disc 3. any continuous shaft which forms an integral part of such machine or cutting blade; norand which also forms an integral part of another rotating electrical (e) any piping or duct leading to or from such machine. machine,including ally gear,tcheel,or magnetic brake mechanism on such shaft or on the frame of such machine, Definition of Accident. Same as in Section 1' 4. any shaft coupled to such machine, i ieludin}, the h couplings and Object Limit. "'he liability of The Travelers velers for loss on any Object suc sgs thereon, if there is uo mechanism other than a coupling on designated and described in the Schedule, if such loss is caused by an such shaft, .-Accident to said Object, shall not exceed the anomrt specified as the S. one gear sat, with its bearings:Indshafts, built into the fr<une of any ich • such machine designated tad described in the Schedule as a motor or Object Limit with the description of said Object in the Schedule, wh amount is a part of and not in addition to the Limit per Accident, built into a u.umg integral with such motor, and (a any uunrotatiag equipment used solely to start, stop or control any such machine designated and described in the Schedule as a motor SECTION 9-TURBINES (EXCEPT INTERNAL COMBUSTION tad all electrical conductors connecting such equipment with the said TYPE GAS TURBINES)—BREAKDOWN COVERAGE motor, provided that such control equipment is physically separate Definition of Object "Object"shall mean:illy turbine unit designated from, and does not form a part of, a switchboard, cubicle or bus structure used for the control of any electrical machine other than the and described in the Schedule and shall include: said motor; I. any complete driving turbine and its governing mechanism, but Object shall not include ally other electrical conductors nor any 2. any electric generator, pump, compressor, fan, blower, wheel or gear Piping leading to or from such rotating electrical machine, transformer on the shaft of the driving turbine or turbines or on a shaft which is or induction feeder regulator. connected to any of said turbines by any coupling, clutch or gear set, 3. any auxiliary apparatus mounted on the frame or bed of the unit, Definition of Accident. Same as in Section I. 4. any oil pump, or any pump for circulating a coolant for any electric Special Provisions. Same as in Section 9. generator, if used solely for the unit, together with any machine driving any such pump, SECTION 14-MISCELLANEOUS ELECTRICAL APPARATUS 5. any auxiliary electric motor used to rotate the unit solely for mainte- nanu purposes, Definition of Object. "Object shall mean the electrical apparatus 6. any shaft which forms a part of the unit or which connects parts of the designated and described in the Schedule; but shall not include unit, together with any coupling, (a) any partrotating chelectrical machine other than one used solely to operate g p )„ dutch, bearing,gear or gear set on said shaft, and any part of such apparatus; 7, the interconnecting wiring and n nn� (b) any power transformer; piping between parts of the unit; (c) any conduit; nor but Object shall not include (d) any electrical conductors or piping leading to or from such apparatus. (a) any other machine or apparatus, Definition of Accident. Santee as in Section 1. (b) any wiring or piping leading to or from the unit; (c) any condenser, its connecting pipe or adapter; nor Object Limit. Same as in Section S. (d) any penstock or draft tube. ISpecial Provisions. Same as in Section 9. Definition of Accident. Same as in Section 1. SECTION 15-DEEP WELL PUMP UNITS Special Provisions. Definition of Object. "Object"shall mean the complete unit designated I. The Travelers shall not be liable for loss from an Accident to any and described in the Schedule, including any nonrotating equipment Object designated and described in the Schedule while said Object is used solely to start,stop or control the driving electric motor of said unit, undergoing an insulation breakdown test, or is being dried out. and all electrical conductors connecting such equipment with the said 2. Exclusion 3(a) of this Supplemental Contract is changed to read motor; but Object shall not include: "(a) loss outside the Object from fire concomitant with or following (a) any other electrical conductor or any piping leading to or from the an Accident or from the use of water or other means to extinguish unit; lire". (b) any mechanism, appliance or shaft connected to the unit; nor (c) any well casing. SECTION 10-TURBINES (EXCEPT INTERNAL COMBUSTION Definition of Accident. Same as in Section 1. TYPE GAS TURBINES)-LIMITED COVERAGE Special Provisions. Same as in Section 9. Definition of Object. Same as in Section 9. Definition of Accident. "Accident"shall mean a sudden and accidental SECTION 16-SMALL COMPRESSING AND REFRIGERATING breakdown of the Object,or a part thereof,which manifests itself at the UNITS (NOT EXCEEDING 15 HP) time of its occurrence by physical damage to the Object that necessitates repair or replacement of the Object or a part thereof;but Accident shall Definition of Object. "Object" shall mean the complete unit desig- not mean: nated and described in the Schedule; but shall not include: (a) the breakdown of any electrical conductor or its insulation,or of any (a) any wiring or piping leading to or from the unit; band wire, retaining ring, wedge or their fastenings; (b) any belt; nor (b) depletion, deterioration, corrosion or erosion of material; (c) any truck or other vehicle, cabinet or compartment on or within (c) wear and tear; which the unit, or any part thereof, is installed. (d) leakage at ally valve, fitting, shaft seal, gland packing,joint or con- Definition of Accident. Same as in Section 1. nection; (e) the breakdown of any vacuum tube, gas tube or brush; Special Provisions. Same as in Section 9. (f) the breakdown of any structure or foundation supporting the Object or any part thereof; nor SECTION 17-AIR CONDITIONING UNITS, (NOT EXCEEDING (g) the functioning of any safety device or protective device. 600,000 BTU/HR) Special Provisions. Definition of Object. "Object" shall mean any unit designated and 1. The Travelers shall not be liable for loss from an Accident to any described in the Schedule, consisting of: Object designated and described in the Schedule while said Object is undergoing an insulation breakdown test, or is being dried out. 1. all interconnected vessels,coils and piping which contain refrigerant, or within which refrigerant is circulated, together with valves and 2. The Travelers shall not be liable under this Section, on said Object, fittings on such vessels, coils and piping; for the repair or replacement of any electrical conductor or its in- sulation,or of ally band wire,retaining ring,wedge or their fastenings, 2. all compressors, pumps, fans and blowers used solely with such unit, if such repair or replacement is made necessary as a result of an together with their driving electric motors; Accident to the said Object. 3. all control equipment used solely with the unit;and 4. all vessels, radiators, inductors, convectors, and coils, together with SECTION 11-TURBINES (EXCEPT INTERNAL COMBUSTION valves and fittings thereon, which are connected to the unit and TYPE GAS TURBINES)-COMBINED COVERAGE within which water, brine or other solution is circulated during ally portion of the year for cooling purposes; and all piping containing Definition of Object. Same as in Section 9. water, brine or other solution interconnecting such vessels,radiators, inductors, convectors and coils, together with valves and fittings on Definition of Accident. "Accident" shall mean: such piping; 1. A sudden and accidental breaking of the casing of the driving turbine but Object shall not include: of the Object,into two or more separate parts,but not the breaking of (a) any steam boiler, steam piping or hot water boiler; any gasket, rupture disc, shaft seal or diaphragm; (b) any vessel, cooling tower, reservoir or other source of supply of 2. A sudden and accidental breaking of any generator,or a part thereof, cooling water for any condenser or compressor, together with any forming a part of the Object, or of any spindle, rotor or shaft of the water piping leading to or from such source of supply; Object, into two or more separate parts, but not the breaking of any (c) any wiring or piping leading to or from the unit; blade,bucket or vane,of any shroud ring or other fastening,or of any gasket, gear, coupling, fuse, brush or insulation, nor the loosening of (d) any belt; nor any assembled part; or (e) ally truck or other vehicle, cabinet or compartment on or within which the unit, or any part thereof, is installed. 3. A sudden and accidental burning out of ally electrical conductor or its insulation, or of any band wire, retaining ring or wedge of any Definition of Accident. Same as in Section ]. generator of the Object,but not the burning out of any fuse or brush; Water Damage Limit. Same as in Section 4. but Accident shall not mean: (a) depletion, deterioration, corrosion or erosion of material; Special Provisions. Same as in Section 9. THE TRAVELERS INDEMNITY COMPANY President P 124 1-3845 4-64 PRINTED IN U.S.A. HAROLD W. ANDERSON, CHAIRMAN JOHNSTOWN Et ©.UNT, /,.' EDWARD L. DUNBAR. CHAIRMAN PRO-TEM it 1229 29RD AVENUE ET..GREELEY { 0 LORADO MARSHALL H. ANDERSON, MEMBER 2412 13TH AVENUE,GREELEY OFFICE OF THE BOARD OF COUNTY COMMISSIONERS SAMUEL S. TELEP /!_ COUNTY ATTORNEY G EELIEY COLD. ANN SPOMER, COUNTY CLERK AND CLERK OF BOARD PHONE 353.2212 EXT.21 LHR 175 RECEIVED THIS 29th DAY OF JANUARY, 1968, THE FOLLOWING LISTED INSURANCE POLICY: Fire and Lightning, Extended Coverage, Vandalism and M. M. ; Transamerica Insurance Company (Pacific National Insurance Company) , 1 #52021311, in the amount of $2,156,800.00; Agent-Hopkins and Lundy, expiration date May 1, 1968. THE ABOVE POLICY NOW CONSOLIDATED INTO POLICY 46256402, THE TRAVELERS INDEMNITY COMPANY. SEE LHR 115 Hello