HomeMy WebLinkAbout951472.tiffDATE (MM:C DIYY)
6-16-95
AICOItI CERTIFICATE OF INSURANCE
PRODUCER
HERITAGE GENERAL AGENCY,INC
3989 E. ARAPAHOE RD #200
LITTLETON, COLO 80121
INSURED
HIGHLANDS DAY CARE CENTER
PO BOX 327
AULT, COLO 80610
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
A GENERAL ACTS. INS. CO. OF AMERICA
COMPANY
B
COMPANY
C
COMPANY
D
COVERAGES -�
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 POUCY EFFECTIVE POLICY EXPIRATION LIMITS
LTR ' TYPE OF INSURANCE POLICY NUMBER DATE (MM/DO/YY) DATE (MM/DD/YY)
GENERAL LIABILITY
A X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X OCCUR
'.. OWNER'S 8 CONT PROT
AUTOMOBILE UABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
I NON -OWNED AUTOS
GARAGE LIABILITY
ANY AUTO
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR/
PARTNERS/EXECUTIVE
OFFICERS ARE:
OTHEE R
INCL
EXCL
GPP612241
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER ADDITIONAL INSURED
WELD COUNTY BY AND THROUGH THE BOARD OF
COUNTY COMMISSIONERS OF WELD COUNTY,
THE WELD COUNTY SHERIFF AND THEIR EMPLOYEES
915 - 10TH AVE
GREELEY, COLO 80631
93)
8-12-95 8-12-95
GENERAL AGGREGATE I$
PRODUCTS-COMP/OP AGG , $
PERSONAL &ADV INJURY I $
EACH OCCURRENCE $
FIRE DAMAGE (My one fire) $
MED EXP (Any one person) I $
COMBINED SINGLE LIMIT I $
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE $
2 ,000,000
AUTO ONLY - EA ACCIDENT $
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE :$
EACH OCCURRENCE $
AGGREGATE '.$
STATUTORY LIMITS
EACH ACCIDENT $
DISEASE - POLICY LIMIT $
DISEASE - EACH EMPLOYEE $
1,000,000
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
1 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.
AUTHORIZED REPRESENTATIVE
I� ACOP^ CnaonaennN 1993
951472
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