HomeMy WebLinkAbout971745.tiffAIDIIRII® CERTIFICATE
OF INSURANCE
DATE
E(io%9�)
PRODUCER
J. W. Terrill, Inc.
1804 Borman Circle Drive
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 POLICIES BELOW.
P.O. Box 46962
COMPANIES AFFORDING COVERAGE
St. Louis, MO 63146-6962
Attn: Elaine Knobler 314/991-1730
COMPANY
AThe Hartford
INSURED
Galaxy Cablevision
co BANY
Galaxy Telecom, L.P. d/b/a
1220 North Main Street
COMPANY
C
Sikeston, MO 63801
I
COMPANY
D
COYEAAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN
BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
BY THE POL CIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY
DATE(MM/DD/YY)
EFFECTIVE
POLICY EXPIRATION
DATE(MM/DD/YY)
LIMITS
A
GENERAL LIABILITY
84UUNPJ6774
06/23/97
06/23/98
GENERAL AGGREGATE
$2, 000, 000
X
COMMERCIAL GENERAL LIABILITY
PRODUCTS-COMP/OPAGG
s2, 000, 000
CLAIMS MADE I X
OCCUR
PERSONAL &ADV INJURY
$1, 000, 000
OWNER'S &CONTRACTOR'S PROT
EACH OCCURRENCE
$1, 000, 000
FIRE DAMAGE (Any one fire)
$ 300,000
MED EXP (Any one person)
$ 10,000
A
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
84UENPJ6952
84UENPJ7336 (TX)
06/23/97
06/23/97
06/23/98
06/23/98
COMBINED SINGLE LIMIT
$1, 000, OOO
A
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
H
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
$
PROPERTY DAMAGE
GARAGE
LIABILITY
AUTO ONLY -EA ACCIDENT
$
ANY AUTO
OTHER THAN AUTO ONLY
EACH ACCIDENT
$
AGGREGATE
$
A
EXCESS LIABILITY
84RHUPJ7550
06/23/97
06/23/98
EACH OCCURRENCE
$10, 000, 000
X
UMBRELLA FORM
AGGREGATE
s10,000,000
OTHER THAN UMBRELLA FORM
$
A
WORKERS COMPENSATION AND
84WBAW2292
06/23/97
06/23/98
X
STATUTORY LIMITS
EMPLOYERS' LIABILITY
AL CO FL GA IA ID
EACH ACCIDENT
$500,000
THE PROPRIETOR/
PARTNERS/EXECUTIVE
X
INCL
IL KS KY LA MO MS
DISEASE -POLICY LIMIT
$5OOL000
OFFICERS ARE:
EXCL
NE SC SD TN TX
DISEASE -EACH EMPLOYEE
$500, 000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
Certificate holder, its officers, borads,
additional insureds on the general liability
commissions and employees are
as their interest may appear.
CERTIFICATE HOLDER
County of Weld
Attn: Office of County Attorney
P.O. Box 1948
Greeley, CO 80632
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
3.0_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
PCOd1 of 1 #880079/M79997
AUTHORIZED REPRESENTATIVERD2S-S
'MD
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971745
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