HomeMy WebLinkAbout931631.tiff Acorn. CERTIFICA OF INSURANCE ISSUE DATE(MM/DD/VV) •
•
- - _ 12,-29-92
PRODUCER • THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
DESPOT NELSON & COMPANY CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
INSURANCE BROKERS, INC. DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
5251 DTC PARKWAY, SUITE 415 POLICIES BELOW.
ENGLEWOOD, CO 80111 COMPANIES AFFORDING COVERAGE
COMPANY INSURANCE CO OF NORTH AMERICA
LETTER A
INSURED COMPANYETTER B AGRICULTURAL INSURANCE COMPANY
SOUTHWEST CABLEVISION LTD -GREELEY PACIFIC EMPLOYERS INSURANCE CO
& UNITED ARTISTS ENTERTAINMENT CO. LETTNY ER `.
3737 WEST 10TH STREET
OMNY
GREELEY, CO 80634 LEETTER D
#84141 COMPANY E
LETTER
TDOVERAGES --._ ..-. _ _.... _..._.__._._..._.._.. . . _
THIS IS TO CERTIFY THAT THE 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 CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
LTR DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS
GENERAL LIABILITY GENERAL AGGREGATE $
A X COMMERCIAL GENERAL LIABILITY OGL Gl 501777-6 01-01-93 01-01-94PRODUCTS-COMP/OPAGG. $2, 000,000
CLAIMS MADE X OCCUR. PERSONAL&ADV.INJURY $ 1, 000, 000
OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ 1, 000, 000
FIRE DAMAGE(Any one tire) $ 50, 000
MED.EXPENSE(Any one person) $
AUTOMOBILE LIABILITY COMBINED SINGLE $ 1, 000, 000
A XANY AUTO CAL HO 609214-7 01-01-93 01-01-94UMIT
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS (Per person)
X HIRED AUTOS BODILY INJURY
X NON-OWNED AUTOS (Per accident) $
GARAGE LIABILITY
PROPERTY DAMAGE $
EXCESS LIABILITY EACH OCCURRENCE $ 5, 000, 000
B XUMBRELLA FORM UMB 7946965 01-01-93 01-01-94AGGREGATE $ 5, 000, 000
OTHER THAN UMBRELLA FORM
STATUTORY LIMITS
WORKER'S COMPENSATION
C AND WLR C3 766347-5 04-01-92 04-01-93EACH ACCIDENT S1, 000,000
EMPLOYERS'LIABILITY DISEASE-POLICY LIMIT S1, 000, 000
DISEASE-EACH EMPLOYEE $ 1Z °°° 0°°
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED ON THE GENERAL LIAB.
POLICY ABOVE, IF REQUIRED BY WRITTEN CONTRACT.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
WELD COUNTY BOARD OF COMMISSIONERS EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
915 10TH STREET MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
P.O. BOX 459 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
GREELEY, CO 80631 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
ATTN. : M. A. GUERSTEIN AUTHORIZED REPRESENTATIVE .
J. MICHAEL O'COj�IrLL �VIC3vPRF.SIDEN
(' AfOR,D,,,2�JS (7/90) C 931 6 31 N 79
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