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Home My WebLink About952208.tiffACORn CERTIFICATE OF INSURANCE CSR ISSUE DATE (MM/DDYY) 10/05/95 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND THIS CERTIFICATE ALEXANDER & ALEXANDER CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. COVERAGE AFFORDED BY THE OF TEXAS, INC. DOES NOT AMEND, EXTEND OR ALTER THE 717 N. HARWOOD LOCK BOX 8 POLICIES BELOW. COMPANIES AFFORDING COVERAGE DALLAS, TX 75201 Brock D. Duckworth - - 214-880-0321 COMPANYA NATIONAL SURETY CORPORATION 0TTTTERER COMPANY B AMERICAN INSURANCE COMPANY LETTER INSURED TECOM INCORPORATED OMPANY CCOI-rER 5608 PARKCREST DRIVE C TIG INSURANCE COMPANY ` SUITE 200 _. --i AUSTIN, TX COMPANY "' D 78731 LETTER 0 L. ill '- COMPANY © LETTER F' 7 .) CJ 7 Z COVERAGES '... '. )- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE POLIO' PER�iQq7�D"`- RESPECT TO WHICH INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH IPLki TO ALL THt5ERMS,7 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LA/ CO POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR TYPE OF INSURANCE DATE(MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY KXA80337851 10/01/95 10/01/96 PRODUCTS-COMP/OPAGG. S 2,000,000 CLAIMS MADE X OCCUR. PERSONAL &ADV. INJURY 8 1,000,000 OWNER'S &CONTRACTOR'S PROT. EACH OCCURRENCE S 1,000,000 FIRE DAMAGE (Any one fir) $ 50,000 MED. EXPENSE (Any one person) S 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE 1,000,000 A X ANY AUTO KXA80154410 TX 10/01/95 10/01/96 LIMIT... A ALL OWNED AUTOS KWC80337851 0\S 10/01/95 10/01/96 BODILY INJURY (Per person) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Per accident) NON -OWNED AUTOS I GARAGE LIABILITY PROPERTY DAMAGE S EXCESS LIABILITY EACH OCCURRENCE S 5,000,000 C X UMBRELLA FORM XLB9290866 10/01/95 10/01/96 AGGREGATE $ 5,000,000 OTHER THAN UMBRELLA FORM B WORKER'S COMPENSATION KWC80685169 TX 10/01/95 10/01/96 X STATUTORY LIMITS EACH ACCIDENT $ 500,000 AND DISEASE —POLICY LIMIT' S 1,000,000 B EMPLOYERS' LIABILITY KWC80685170 0\S 10/01/95 DISEASE —EACH EMPLOYEE $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS SEE ATTACHMENT. CERTFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR WELD COUNTY AGENTS OR REPRESENTATIVES. 917 TENTH ST. LIABILITY OF ANY KIND UPON THE COMPANY, ITS GREELEY, CO 80631 AUTHORIZED REPRESENTATIVE /"�I�� f � Brock D. Duckworth �rlyV,./y ' ACORD 25-S (7/90) ACORD 852208 Attachment to Certificate of Insurance issued to Weld County and City of Greeley: Weld County and the City of Greeley are additional insureds as respects the General Liability and Automobile Liability policies, as required by written contract for the Weld County\City of Greeley Maintenance Contract. Weld County Contract No. 300320WC City of Greeley Contract No. 300321CG Hello