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PRODUCER
!KI: I...I...I:::I l..(:31.►RY INSURANCE, INC,
380,1 I:::. FLORIDA, SUITE 100
DENVER, CO f:3`•:):':L()
ACOltn. CERTIFICATE OF INSURANCE
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
ISSUE DATE (MM/DD/YY)
COMPANY A
LETTER
GREAT E:ATTT WEST CASUALTY COMPANY
COMPANY B -S
LETTER ^...r. 7 _
INSURED -I
.'rI.LI..,L..ER B ?t. S , , INC , COMPANY �� L'") T
vi
LETTER C -I C-) ---II'
- !DENVER, CO 80229 29 COMPANY NOn
LETTER D ' V
C> � C.
COMPANY c 1 ..
LETTER .1 . ---i
..J -T7
iCOVERAGES cp v)
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR.. HE POLICY PERIOD
I 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 THE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN EDUCED BY PAID CLAIMS.
POLICIES DESCRIBED EIN IS SUBJECT TO ALL THE TERMS,
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MMIDD/YY) DATE (MM/DDIYY)
•
' CO TYPE OF INSURANCE
LTR
GENERAL LIABILITY
POLICY NUMBER
A .X COMMERCIAL GENERAL LIABILITY C L. P O .3 .I. 2 2 H
CLAIMS MADEY. OCCUR.
A OWNER'S & CONTRACTOR'S PROT.
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
X NON -OWNED AUTOS
GARAGE LIABILITY
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
11/01/95
11/01/96
C L.. I•' 0'.:3 :I 2 H 11/01/95 11/01/96
LIMITS
GENERAL AGGREGATE $ •1• , OOO , 0O(7
PRODUCTS-COMP/OP AGG. $
PERSONAL & ADV. INJURY $ 1. , (,'(,'c; , 000
EACH OCCURRENCE $1,000,000
c: 0,000
FIRE DAMAGE (Any one tire) $ -/ -• .
MED. EXPENSE (Any one Person) $ 5,0 0 0
COMBINED SINGLE
LIMIT
BODILY INJURY $
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE $
EACH OCCURRENCE $
AGGREGATE $
STATUTORY LIMITS
EACH ACCIDENT $
DISEASE -POLICY LIMIT S
DISEASE -EACH EMPLOYEE $
OTHER
ift (:;fl!""?(:)C3 L.. :I:f11'.3:l:l...T'T'Y" (;i...Pi);:3:L'':'L.I
11/01/ 95 11/01/ 96 PER AUTO
BROAD FORM
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER
1P,O,
b-1I:::I...I:) 1: OL.li�! T'Y HUMAN 1;:{::::;1:31.1F?(::I:; S
loREE11:y, op
'1>
,00(),000
1. 00 , C,) I,,'
1:3 E: u l..I c;'l I I:i l.. l: il:. 5,000
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL DAYS t) 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
C 952291
N 1990
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