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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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921550.tiff
Acomie cER RCA1 Qi INSURANCE ISSUE DATE(MM/DD/VV) 12-18-91 ER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND D`ES`POT 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 POLICIES BELOW. 5251 DTC PARKWAY, SUITE 415 ENGLEWOOD, CO 80111 COMPANIES AFFORDING COVERAGE COMPANY A INSURANCE CO. OF NORTH AMERICA LETTER • COMPANY B ROYAL INDEMNITY INSURANCE CO. LETTER SaHWEST CABLEVISION LTD -GREELEY COMPANY PACIFIC EMPLOYERS INSURANCE CO & UNITED ARTISTS ENTERTAINMENT CO. LETTER C 3737 WEST 10TH STREET GREELEY, CO 80634 LETTER D 11002 LETTER E COVERAGES 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 LIMITS LTR DATE(MM/DD/VV) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ A X COMMERCIAL GENERAL LIABILITY OGL G1 501728-4 01-01-92 01-01-93 PRODUCTS-COMP/OP AGO. 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 fire) $ 50,000 MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY COMBINED I SINGLE 11000, 000 A X ANY AUTO CAL 755624 01-01-92 01-01-93 IT ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY $ (Per accident) X NON-OWNED AUTOS GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE 5, 000,000 B X UMBRELLA FORM RHN 004405 01-01-92 01-01-93 AGGREGATE 5,000,000 OTHER THAN UMBRELLA FORM • STATUTORY LIMITS WORKER'S COMPENSATION CCS CCS C3 7876926 01-G1-92 01-01-93 EACH ACCIDENT 1, 000, 000 AND WLR C3 7856964 DISEASE-POLICY LIMIT 1,000,000 EMPLOYERS'LIABILITY DISEASE-EACH EMPLOYEE 1, 000, 000 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 3 0 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 T E COMPANY,�M44� ITS AGENTS OR REPRESENTATIVES. ATTN. : M. A. GUERSTEIN AUTHORIZED REPRESENTATIVE `1'j4410a e In J. MICHAEL O'C NNELL - VICE PRE: 921550 ACORD 25-S(7/90) ©ACORE
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