HomeMy WebLinkAbout962367.tiff CERTIFICATE OF INSURANCE ISSUE DATE (MM/DD/YY) : 12/05/1996 KKE
AGENT SA005996 I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO
RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
RAND MORITZKY EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELQW.
905 SOUTH FIELD STREET
LAKEWOOD CO 80226-4112 COMPANIES AFFORDING COVERAGE
COMPANY NATIONAL FARMERS UNION PROPERTY "ND CASWALTY COMPANY
INSURED CO-8080918 A "- _
NUNN TELEPHONE COMPANY COMPANY NATIONAL FARMERS UNION STANDARD III
9URANCE COMPANY
B
P.O. BOX 148
NUNN CO 80648-0148 COMPANY
C
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 (M4/DD/YY) DATE (MM/DD/YY)
B GENERAL LIABILITY 28O0162874 01/01/1997 01/01/1998 GENERAL AGGREGATE $
X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ 1,000,000
("CLAIMS MADE ❑X OCCURRENCE PERSONAL & ADV INJURY $ INCLUDED
X CONTRACTOR'S PROTECTIVE EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Any one fire) $ 50,000
MED EXP (Any one person) $ 1,000
B AUTOMOBILE LIABILITY 2RU0162874 01/01/1997 01/01/1998 COMBINED SINGLE LIMIT $ 1,000,000
X ANY AUTO BODILY INJURY (per person) $
ALL OWNED AUTOS BODILY INJURY (per accident) $
SCHEDULED AUTOS PROPERTY DAMAGE $
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY AUTO ONLY - EACH ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY: $
EACH ACCIDENT $
AGGREGATE $
B EXCESS LIABILITY 2CB0258132 01/01/1997 01/01/1998 EACH OCCURRENCE $ 1,000,000
xI UMBRELLA FORM AGGREGATE $ 1,000,000
OTHER THAN UMBRELLA FORM $
WORKERS' COMPENSATION AND I STATUTORY LIMITS
EMPLOYERS' LIABILITY
EACH. ACCIDENT $ 0
THE PROPRIETOR/ INCL. DISEASE - POLICY LIMIT $ 0
PARTNERS/EXECUTIVE -
OFFICERS ARE: EXCL. DISEASE - EACH EMPLOYEE $ 0
OTHER
B REAL AND PERSONAL PROPERTY 2RO0162874 01/01/1997 01/01/1998 ALL OTHER PERIL $ 966,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS:
CERTIFICATE HOLDER CANCELLATION:
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
BOARD OF COUNTY COMMISSIONERS EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30
COUNTY OF WELD 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
915 TENTH ST THE COMPANY,ITS AGENTS OR REPRESENTATIVES.
GREELEY CO 80631 1//� / G1'/
12,,,c -ire-(7"( AUTN0RIZED REPREBENTATIVE /f ohm, �. ✓cite
/ 962367
c /itnlgfr.)
Hello