HomeMy WebLinkAbout980988.tiff ACORD�e CERTIFICATE. OF LIABILITY ; INSURANcE DATE(MM DDIYY)
PRobuDER - 5/22/98
1„ I T? nt.' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Acordla of Colorado 26491 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P 0 Box 39117 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
5755 Mark 0abling Blvd Ste 300r. " COMPANIES AFFORDING COVERAGE
Colorado Springs CO 80949-9117 COMPANY
(7191 592-1177
INSURED _ A Colorado Compensation
COMPANY
North Weld Co Water District B
5633247 Hwy 85
COMPANY
POBox56 `.
Lucerne, CO 80646
COMPANY
C0YERAt 5
D
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED,NOT W ITHSTANDING ANYREOUIREMENT,TERMOR CONDITIONOFANYCONTRACT OROTHERDOCUMENT W ITHRESPECTTO WHICHTHIS
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
LTR POLICY EFFECTIVE POLICY EXPIRATION
TYPE OF INSURANCE POLICY NUMBER
DATE(MM/DDIYY) DATE(MM/DDIYY) LIMITS
GENERAL LIABILITY
GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY
PRODUCTS-COMP/OP AGG $
CLAIMS MADE OCCUR PERSONAL 8 ADV INJURY $
OWNER'S&CONTRACTOR'S PROT
EACH OCCURRENCE $
FIRE DAMAGE(Any one fire) $
MED EXP (Any one person) $
AUTOMOBILE LIABILITY
ANY AUTO COMBINED SINGLE LIMIT $
ALL OWNED AUTOS
SCHEDULED AUTOS BODILY INJURY
(Per person)
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 $
EXCESS LIABILITY AGGREGATE $
EACH OCCURRENCE $
UMBRELLA FORM
AGGREGATE $
OTHER THAN UMBRELLA FORM
A 'WORKERS COMPENSATION NANC 0034315 1/01/98 WC STATU- OTH EMPLOYERS'LIABILITY
1/01/99 X (TORY LIMITSI ER
THE PROPRIETOR/ INCL EL EACH ACCIDENT $ 100,000
PARTNERS/EXECUTIVE EL DISEASE-POLICY LIMIT $ 500,000
OFFICERS ARE: EXCL
EL DISEASE-EA EMPLOYEE $ 100,000
OTHER
DESCRIPTION OF OPERATIONSLOCATIONSIVEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
( Weld County EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAL
_11..{/ P.O. Box 756 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
! 1 is) Greeley, CO 80632 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
1(Lpr'(,n�,'UV,r( �q OF ANY KIN UPON THE COMPAN AGENTS OR REPRESENTATIVES.
\� AUTHORIZE RESENTATTIIV
AC0RD95 S(119y�: Jolene Vermeer 117180
ACORD CORPofATIUM 19fl
980988 CERTIFICATE: 006/001/ 00002
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