HomeMy WebLinkAbout000165.tiff WELD COUNTY GENERAL HOSPITAL
GREELEY, COLORADO
INSURANCE COVERAGES IN EFFECT AT DECEMBER 28, 1965
A. Insurance Company of North America, Carrier
Flood and Peterson Insurance Agency, Inc., Agent
Policy Number NMI 35 53
Policy Period: September 28, 1965 to September 28, 1966 (Renewable Annually)
Fire, Extended Coverage and Vandalism and
Malicious Mischief Damage to Real and
Personal Property (See attached schedule) $ 4,664,075 Aggregate
Loss of Income Nil
•
Additional Expense $ 5,000
Personal Injury and Property Damage Liability $ 100,000 Each Occurrence
Professional Liability $ 50,000 Each Claim
$ 150,000 Aggregate
B. Western Casualty and Surety Company, Carrier
Keys Agency, Agent
Policy Number AGC 86745
Policy Period: January 1, 1965 to January 1, 1966 (Renewable Annually)
(Fleet policy with Board of County Commissioners, Weld County, Colorado
Bodily Injury Liability $ 100,000 Eaoh Person
$ 300,000 Each Occurrence
Property Damage Liability $ 25,000 Each Occurrence
C. The Industrial Commission of Colorado, administering the
State Compensation Insurance Fund
"Standard Workmen's Compensation and employers' Liability Policy"
Policy Number P 2705 5
Policy Period: January 1, 1965 to January 1, 1966 (Renewable Annually)
Workmen's Compensation and Employers' Liability Coverages, as
specified by the Industrial Commission of Colorado ($ 25,000 limit,/
each accident)
D. The Ohio Casualty Insurance Company, Carrier
Field Insurance Agency, Agent
Bond Number 1142140-3
Bond Period: January 18, 1964 to January 18, 1967
Public Employees Blanket Bond Various (Nil to $ 5,000)
Additional Indemnity Rider Various ($20,000 to $45,000
E. The Hartford Steam Boiler Inspection and Insurance Company, Carrier
E.E. Sears Insurance Agency, Agent
Policy Number 93-2745
Policy Periods August 10, 1964 to August 10, 1967
(Policy with Board of County Commissioners, Weld County, Colorado)
Boiler Casualty $ 100,000 Each Accident
// '. 165
WELD COUNTY GENERAL HOSPITA'
GREELET, COLORADO
SCHEDULE OF COVERAGES "A" AND "B"
INSURANCE COMPANY OF NORTH AMERICA POLICY NUMBER HMI 35 53
1. Building and contents located at 16th St. and 18th Ave.,
Greeley, Colorado, occupied no a Hospital $ 4,292,975
2. Building located at 16th St. and 18th Ave. , Greeley,
Colorado, occupied as a Garage 25,900
3. Building end contents located at 15th St. and 20th Ave. ,
Greeley, Colorado, occupied as Nurses Quarters 216,000
4. Building and contents located at 1700 19th Ave. ,
Greeley, Colorado, occupied as Nurses Quarters 71,900
5. Building and contents located at 1716-18 19th Ave. ,Greeley, Colorado, occupied as Nurses Duplex 23,600
6. Building and contents located et 1712-14 19th Ave. , 200
Greeley, Colorado, occupied as Nurses Duplex 23,200
7. Carports located at rear of 1712-18 19th Ave. ,Greeley, Colorado 4,500
$ 4,664,075
NoteZ
Coverages "A" and "B" are defined to cover fire, vandalism, malicious
mischief and such other damage covered by "extended coverage," for real
and personal property, respectively.
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