HomeMy WebLinkAbout970855.tiffWELD COUNTY AMBULANCE SERVICE
PHONE (970) 353-5700, EXT. 3200
FAX: (970) 353-5700, EXT. 3215
1121 M STREET
GREELEY, COLORADO 80631
COLORADO
April21, 1997
To: Clerk to the Board
From: Gary McCabe, Director
RE: Certificate of Insurance
Attached is a copy of a Certificate of Insurance from AIMS Community College. AIMS
will be providing an EMS driving course for our employees and will be using one of our
vehicles in this program. Please let me know if you need any other information.
970855
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GO TYPE OF INSURANCE.
LTA
PRODUCER ...
Flood & Peterson Ins. Inc.
P. O. Box 578
4687 W. 18th Street
Greeley, CO 80632
DATE (MMIDD/YY)
04/02/97
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.
COMPANIES AFFORDING COVERAGE
COMPANY
ASt. Paul Ins. Co.
INSURED
Aims Community College
P.O. Box 69
Greeley, CO 80632
COMPANY
e
COMPANY
C
COMPANY
D
.,w THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT
THE OINSURED DOCUMENT
IT ..,. WHICH
ED ABOVE FOR THE POLICY PERIOD
T OR D OTHER DOCUMENT WITH RESPECT TO THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRBED HEREIN IS SUBJECT TO AU. THE TERMS,
EXCLUSIONS AND CONDRIONS OF SUCH POLICES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLICY EFFECTIVE POLICY EX IRATI O
.. ._. .. POUQY NUMBER .... DATE(MWDDITI) DATE(MM/DDPR) .
LIMITS
A
GENERAL LASILT
COMMERCIAL GENERAL LIABILITY
[CLAIMS MADE n OCCUR
OWNER'S L CONTRACTORS PROT
AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
MIRED AUTOS
NON •OWNED AUTOS
CK08306608
10/01/96
10/01/97
GENERAL AGGREGATE
S
PRODUCTS• COMP/OP AGO
S
PERSONAL L ADV INJURY
$
EACH OCCURRENCE
FIRE DAMAGE (Any ono Neal
MED EXP (Any one person)
S
COMBINED SINGLE LIMIT
t
'500,000
BODILY INJURY
(Per PMaon)
BODILY oltlenijar
S
S
S
PROPERTY DAMAGE
GARAGE LIABILITY
ANY AUTO
EXCESS LIABIUT!
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS LIABILITY
THE PROPNIETOR/ INCL
PARTNEIISIEXECUTIVE
OFFICERS ARE: EXCL
OTHER
AUTO ONLY.EA ACC DENT
OTHER THAN AUTO ONLY;
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
AGGREGATE
S
F
L
S
S
$
STATUTORY LIMITS
EACH ACCIDENT
DISEASE -POLICY LIMIT
DISEASE -EACH EMPLOYEE
E
S
S
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
Re: 1996 Ambulance, value $120,000. $100 comprehensive deductible and
$500 deductible collision.
rlFil:ailh3':li`'
Weld County Ambulance Service
1121 M Street
Greeley, CO 80631
822
tANCELLAY 011 ''` .
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATETHEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
ya_ DATE WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LIFT.
B FAILURE TO MAILWCH NOTICE I •SAT NO OBLIGATION OR LIABILITY
OF ANY D THE CGM- L: TAG- �- I i :Lyy_ TATNES,
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