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Home My WebLink About931614.tiff_ .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..E.® CERTIFICAT- OF INSURANCE ISSUE DAT (MM/DD/YY) 9/9/93 lh THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE JUNT EXECUTIVE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. .nd Moritzky Jenver, CO 80251 COMPANIES AFFORDING COVERAGE COMPANY A National Farmers Union Standard LETTER Insurance Company - Denver, CO COMPANY B LETTER INSURED Chartwell Cable of Colorado, Inc. COMPANY - - PO Box 819 LETTER C Evergreen, CO 80439-0819 COMPANY D <, LETTER rl COMPANY E . J `7 LETTER CO 8081457 ) COVERAGES -. 7 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 RESPECTTO WHIC}J,THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THEJTEAMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. C..) CO TYPE OF INSURANCE POLICY NUMBEfl POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DD/YY) DATE(MM/DO/YY) GENERAL LIABILITY GENERAL AGGREGATE $ A X COMMERCIAL GENERAL LIABILITY 2RU0152048 8/5/93 8/5/94 PRODUCTS-COMP/OP AGG. $ 1,000,000 CLAIMS MADE X OCCUR. PERSONAL&ADV.INJURY $ Included X OWNER'S 8,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 $ A X ANY AUTO 2RU0152048 8/5/93 8/5/94 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 8/5/93 8/5/94 EACH ACCIDENT $ 100,000 A DISEASE—POLICY LIMIT $ 500,000 EMPLOYERS'LIABILITY 100,000 DISEASE-EACH EMPLOYEE $ OTHER A Real & Personal Property 2RU0152048 8/5/93 8/5/94 $200,000 (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 TS AG OR RE SENTATIVES. /T n AUTHORIZED REPRESENTATIVE ACCOF(DS 5- (7/90) 93161♦ CACORD CORPORATION 1990 aeDclii NATIONAL FARMERS UN iN 10065 East Harvard Avenue STANDARD INSURANCE COMPANY I)enver, Colorado 80251 (303)337-5500 Rural Utilities Insurance Plan Declarations Customer # Policy # Policy Period FROM: 08/05/93 TO: 08/05/94 CO-8081457 2RU0152048 12:01 AM Standard Time at the address shown below. Named Insured and Address: AGENT NUMBER: SA005996 PA: 58 PREMIUM: $ 5,871 CHARTWELL CABLE OF COLORADO, INC. Insurance applies only to those coverages for which a limit of P.O. BOX 819 liability is shown and this company shall not be liable for more EVERGREEN, CO 80439 than the limit of liability specified for each coverage. PROPERTY AND RELATED COVERAGES LIMIT OF LIABILITY --- PROPERTY DEDUCTIBLES --- Real and Personal Property S 200,000 $ 1,000 Deductible Per Occurrence Automatic Increase in Insurance 3.0 Percent Personal Property of Others $ 50,000 VALUE PROTECTION GROUP S 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 S 1,000,000 Per Occurrence Products-Completed Operations Hazard $ 1,000,000 Aggregate Limit Premises Medical Coverage S 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. Auto Liability LIMIT OF LIABILITY Bodily Injury and Property Damage $ 1;000,000 Each Occurrence Uninsured/Underinsured Motorist S 100,000 Each Occurrence Auto Medical Payments $ 2,000 Each Occurrence II. Auto Physical Damage Comprehensive Actual cash value less $250 Deductible Collision Actual cash value less $500 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(1/92), RP-104(5/88), RP-154(5/88), RP-107(5/88), RP-109(5/88), CA2203(3/93), CA2150(12/90), SPEC END-1 TO SPEC END-2, CA 99 11 01 78. AUTHORIZED SIGNATURE DATE FORM RP-100(5/88) THIS ENDORSEMENT FORM 'ART 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. 8/5/93 to 8/5/94 Policy No.. 2RU0152048 E N N Named Insured. Chartwell Cable of Colorado, Inc. Additional Premium if Applicable 0 0 0 R R S S E E M ADDITIONAL INSURED ENDORSEMENT AND SCHEDULE E E E 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 Fleet Credit Corporation 1420 2nd Street, PO Box 850 Denrich Leasing Group Greeley, CO 80632 PO Box 741657 Attn: Henry Rangel - State Inspector Dallas, TX 75371 Re: Lease #9446200010001 Weld County Colorado by and through the Board of County Commissioners of Weld County PO Box 1948 Greeley, CO 80632 1st Interstate of Denver 633 17th Street Denver, CO 80270 Mr. A. Clinton Ober 4138 Timbervale Evergreen, CO 80439 Re: 1993 Nissan VIN 317420 1993 Nissan VIN 317986 Mr. Mike Burch, Risk Manager Larimer County PO Box 1190 Ft. Collins, CO 80522 RP-109 (51881 Hello