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Home My WebLink About911796.tiff Alt111:11® CERTIFICA. ut OF INSURANCE ISSUE DATE(MM/DO/YV) 8/5/91 lh 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 ACCOUNT EXECUTIVE POLICIES BELOW. Bill Sands COMPANIES AFFORDING COVERAGE Denver, CO 80251 COMPANY National Farmers Union Standard LETTER A Insurance Company - Denver, CO COMPANY B LETTER INSURED Chartwell Cable of Colorado, Inc. COMPANY 940 N Wadsworth Blvd. , Suite 305 C LETTER I Lakewood, CO 80215 COMPANY LETTER D CO-808145] COMPANY E Amended LETTER 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/YY) DATE(MWDD/YY) vi GENERAL LIABILITY GENERAL AGGREGATE $ A X COMMERCIAL GENERAL LIABILITY 2RU0152048 8/5/91 8/5/92 PRODUCTS-COMP/OPAGG. $1,000,000 CLAIMS MADE X OCCUR. PERSONAL&ADV.INJURY $jnClllded X OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $1,000,000 FIRE DAMAGE(Any one fire) $ 50,000 I MED.EXPENSE(Any one person) $ 1,000 AUTOMOBILE LIABILITY COMBINED SINGLE A X ANY AUTO 2RU0152048 8/5/91 8/5/92 LIMIT $1,000,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS � GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ �I OTHER THAN UMBRELLA FORM __—.) STATUTORY LIMITS WORKER'S COMPENSATION 2WC0152049 8/5/91 8/5/92 EACH ACCIDENT $ 100,000 A AND DISEASE—POLICY LIMIT $ 500,000 l EMPLOYERS'LIABILITY DISEASE-EACH EMPLOYEE $ 100,000 ___.1 OTHER I � A Real & Personal 2RU0152048 8/5/91 8/5/92 Property $106,000 (Blanket) — DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Weld County Colorado by and through the Board of County Commissioners of Weld County is an i additional insured. 1 CERTIFICATE HOLDER CANCELLATION - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO Weld County MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE PO BOX 1948 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR ! Greeley, CO 80632 LIAQILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. i AUTH RILED REPRESENTATIVE _1 ( 911796 a��.l �J1 �� ©ACORD CORPORATTOAT49D A 0 D ------ -. .. ✓-. INSURANCE IS PROVIDED BY THE COMPANY DESIGNA. .AN` -- TIRTIOTIRL FRRTTIERS union 10065 East Harvard Avenue 14.34 PROPERTY nno CRSURLTY COMPRRY Denver,Colorado 80251 nnTionni. FRRRIERS union (303) 337-5500 STRnoaao insuaanCE COmPArlY RURAL UTILITIES INSURANCE PLAN : DECLARATIONS Customer # Policy # Policy Period FROM: 08/05/91 T0: 08/05/92 CD-8081457 2RU0152048 12:01 AM Standard Time at the address shown below. Named Insured and Address AGENT NUMBER: SA005997 PA: 58 PREMIUM: $ 3,453 CHARTWELL CABLE OF COLORADO, INC. Insurance applies only to those coverages for which a limit of 940 N WADSWORTH BLVD, STE 305 liability is shown and this company shall not be liable for more LAKEWOOD, CO 80215 than the limit of liability specified for each coverage. - PROPERTY/RELATED COVERAGES LIMIT OF LIABILITY --- PROPERTY DEDUCTIBLES --- Real and Personal Property $ 106,000 $ 500 Deductible Per Occurrence Automatic Increase in Insurance 3.0 Percent Personal Property of Others $ 50,000 VALUE PROTECTION GROUP $ 250,000 AGGREGATE LIMIT APPLIES TO ALL OF FOLLOWING: Loss of Use Newly Acquired Property Accounts Receivable Property Off Premises Valuable Papers & Records.. Electronic Data Processing IF AN AMOUNT IS SHOWN AFTER A SPECIFIC COVERAGE, THAT AMOUNT WILL BE IN ADDITION TO THE VALUE PROTECTION GROUP AGGREGATE AMOUNT FOR THAT SPECIFIC COVERAGE. LIABILITY AND RELATED COVERAGES LIMIT OF LIABILITY Bodily Injury, Property Damage, Personal Injury, and Advertising Injury $ 1,000,000 Per Occurrence Products-Completed Operations Hazard $ 1,000,000 Aggregate Limit Premises Medical Coverage $ 1,000 Each Person/$10,000 Each Occurrence Fire Legal Liability - Real Property $ 50,000 Each Occurrence RP-103(5/88) Broadcasters Liability $1,000,000 Aggregate Limit AUTO COVERAGES I. Auto Liability LIMIT OF LIABILITY Bodily Injury and Property Damage $ 1,000,000 Each Occurrence Uninsured/Underinsured Motorist $ 50,000 Each Occurrence Auto Medical Payments $ 2,000 Each Occurrence II. Auto Physical Damage Comprehensive Actual cash value less $100 Deductible Collision Actual cash value less $250 Deductible CRIME COVERAGES No premium paid and no coverages provided for crime. POLICY FORMS/ENDORSEMENTS ATTACHED AT INCEPTION: SP-500(4/90), RP-101(5/88), RP-116(5/88), RP-103(5/88), RP-104(5/88), RP-154(5/88) RP-107(5/88), RP-109(5/88), CA2203(12/90), CA2150(12/90), SPEC END-1 TO SPEC END-2.C1L9911(1/78) . AUTHORIZED SIGNATURE DATE S a v THIS ENDORSEMENT FORMS A PART OF THE POLICY TO WHICH ATTACHED. POLICY NO. 2RU0152048 EFFECTIVE DATE 8/5/91 to 8/5/92 E E N It is hereby agreed RP109(5/88) , Additional Insured Endorsement and N D Schedule, is amended to include the following: D O O R Weld County Colorado by and through the Board p S of County Commissioners of Weld County $ E PO Box 1948 E Greeley, CO 80632 M M E All other conditions remain the same. E N N T Chartwell Cable of Colorado, Inc. T 940 N Wadsworth Blvd. , Suite 305 Lakewood, CO 80215 8/5/91 lh PG-309(1/88) Hello