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Home My WebLink About921530.tiff alali.n� CERTIFICAI OF INSURANCE ISSUE DATE(MM/DD/VY) 8/3/92 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 "COUNT EXECUTIVE POLICIES BELOW.• ill Sands COMPANIES AFFORDING COVERAGE Denver, CO 80251 COMPANY National Farmers Union Standard LETTER A Insurance Company - Denver, CO COMPANY B INSURED LETTER Chartwell Cable of Colorado, Inc. COMPANY LETTER C 940 N Wadsworth Blvd. , STE 305 Lakewood, CO 80215 COMPANY LETTER D COMPANY E CO-8081457 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/VV) DATE(MM/DD/YV) GENERAL LIABILITY GENERAL AGGREGATE $ A X COMMERCIAL GENERAL LIABILITY 2RU0152048 8/5/92 8/5/93 PRODUCTS-COMP/OPAGG. $ 1,000,000 CLAIMS MADE X OCCUR. PERSONAL&ADV.INJURY $ Included X OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE(Any one fire) $ 50,000 MED.EXPENSE(Any one person) $ 1,000 AUTOMOBILE LIABILITY COMBINED SINGLE X ANY AUTO 2RU0152048 8/5/92 8/5/93 LIMIT $ 1,000,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM STATUTORY LIMITS WORKER'S COMPENSATION A AND 2WC0152049 8/5/92 8/5/93 EACH ACCIDENT $ loo 000 DISEASE—POLICY LIMIT $ 500,000 EMPLOYERS'LIABILITY DISEASE—EACH EMPLOYEE $ 100,000 OTHER A Real & Personal 2RU0152048 8/5/92 8/5/93 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 additional insured. 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 N TIC HALL IMPOSE NO OBLIGATION OR Greeley, CO 80632 LIABILITY OF ANY KIND UPON THE COM AN , ITS AGEN OR REP ESENTATIVES AUTHORIZED REPRESENTATIVE ACORD 25-S (7/90) 921 53O ©ACORD CORPORATION 1990 THIS ENDORSEMENT FORMS..PART OF THE POLICY TO WHICH ATTACHED. THE FOLLOWING INFORMATION IS REQUIRED ONLY WHEN THIS ENDORSEMENT IS EFFECTIVE AFTER THE EFFECTIVE DATE OF THE POLICY E Endorsement Effective: 8/5/92 to 8/5/93 Policy No: 2RU0152048 E D Named Insured: Chartwell Cable of Colorado, Inc. Additional Premium of Applicable:0 D 0 R R S S E E M ADDITIONAL INSURED ENDORSEMENT AND SCHEDULE N N T Nothing herein shall vary, waive or extend any of the terms of this policy, other than as herein stated. T You and we agree that any entity listed in the schedule below is added as an additional insured under this policy. Adding any entity as an additional insured does not serve to increase our Limit of Liability as specified in the Declarations of this policy. ADDITIONAL INSURED SCHEDULE Name and Address State of Colorado Mr. Mike Burch, Risk Manager 1420 2nd Street, PO Box 850 Larimer County Greeley, CO 80632 PO Box 1190 Attn: Henry Rangel - State Inspector Ft. Collins, CO 80522 Weld County Colorado by and Ford Motor Credit Company through the Board of County Insurance Service Center Commissioners of Weld County PO Box 749023 PO Box 1948 Dept. MC Greeley, CO 80632 Dallas, TX 75374-9023 Ford Motor Credit Corp. Re: 1989 FoLd Truck #08324 PO Box 1367 1989 Ford PU #29978 Cheyenne, WY 82003 Re: 1989 Ford F150 #29978 1989 Ford F150 #08324 RP-109 (5/88) • NATIONAL FARMERS UNAtiN 10065 East Harvard Avenue STANDARD INSURANCE COMPANY Denver, Colorado 80251 (303) 337-5500 Rural Utilities Insurance Plan Declarations Customer # Policy # Policy Period FROM: 08/05/92 TO: 08/05/93 CO-8081457 2RU0152048 12:01 AM Standard Time at the address shown below.I Named Insured and Address: AGENT NUMBER: SA005997 I PA: 58 PREMIUM: $ 3,705 CHARTWELL CABLE OF COLORADO, INC. Insurance applies only tto 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 AND 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 8 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 Broadcasters Liability $ 1,000,000 Aggregate Limit AUTO COVERAGES I _ I. Auto Liability LIMIT OF LIABILITY Bodily Injury and Property Damage S 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: 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(4/92), CA2150(12/90), SPEC END-1 TO SPEC END-2, CA 99 11 01 78. AUTHORIZED SIGNATURE DATE FORM RP-100(5/88) Hello