HomeMy WebLinkAbout961882.tiff ACORD CERTIFICATE OF LIABILIT DATE(MM/DOIYYI
Y INSURANCE NORTH-3 09/23/96
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Hix Insurance Associates, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Bou4 Arapahoe Ave. COMPANIES AFFORDING COVERAGE
Boulder CO 80303 -
COMPANY
Charles Hix A Fireman's Fund Insurance Co.
PHone No. 303-444-4666 Fm No.
INSURED Northern Colorado Water COMPANY
Conservancy District and the B
Municipal Subdistrict of the COMPANY
Northern Colorado Water C -
Conservancy District ; --.,
P.O. Box 679 COMPANY
Loveland CO 80537 D
COVERAGES ? I.
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
ECERTIFICATE MAY BE ISSUED OR XCLUSIONS AND CONDITIONS OF^AY PERTAIN, THE SUCH POLICIES. LIMITS RANCE AFFORDED BY THE SHOWN MAY HAVE BEEN RELICIES DUCED D BY PAIDED CLAIMS HEREIN IS SUBJECT TO ALL THE.TERMS,
POLICY EFFECTIVE POLICY EXPIRATION LIMITS
CO TYPE OF INSURANCE POLICY NUMBER DATE IMM/DDNYI DATE IMM/DD/VYI
LTR
GENERAL AGGREGATE $ 1,800,000
GENERAL RCIAY
A X COMMMEERCIAL GENERAL LIABILITY SG2MZG80631791 09/30/96 09/30/97 PRODUCTS-COMP/OP AGG 01,800,000
PERSONAL&ADV INJURY S 600,000
CLAIMS MADE X OCCUR
EACH OCCURRENCE 5 600,OOO
OWNER'S&CONTRACTOR'S PLOT
FIRE DAMAGE(Any one fire) 5 50,000
MED EXP(Any one person) S 5,000
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 01,000,000
ANY AUTO 8G2MZG80631791 09/30/96 09/30/97
ALL OWNED AUTOS BODILY INJURY 3
(Per person)
SCHEDULED AUTOS
BODILY INJURY 3
A ][ HIRED AUTOS Per accident)
A X NON-OWNED AUTOS
PROPERTY DAMAGE 5
AUTO ONLY-EA ACCIDENT S
GARAGE LIABILITY
OTHER THAN AUTO ONLY:
ANY AUTO EACH ACCIDENT $
AGGREGATE 5
EACH OCCURRENCE 5
UMBRRELELL EXCESS LIABILITY AGGREGATE $
LA FORM 5
OTHER THAN UMBRELLA FORM X TORY LAM TS I WORKERSWORKERS COMPENSATION AND EL EACH ACCIDENT $ 100,000
EMPLOYERS'LIABILITY
A THE PROPRIETOR/ INCL MZP06411450 09/30/96 09/30/97 EL DISEASE POLICY LIMIT $ 500,000
PARTNERS/EXECUTIVE EL DISEASE-EA EMPLOYEE 5100,000
OFFICERS ARE: EXCL
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
Water Conservancy District providing the means of storage and transportation
of irrigation water for it's landowners.
CERTIFICATE HOLDER CANCELLATION
WELDCO1 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 T THE CERTIFICATE HO ER NAMED TO THE LEFT,
Weld County BUT FAILURE TO MAIL SUCH CE SHALL IMPOSE N OBLIGATION OR LIABILITY
Board of County Commissioners OF ANY KIND UPON THE O P NV,ITS AGENTS O EPRESENTATIVES.
P.O. BOX 758 AUTHORIZED REPRESENT IV
Greeley CO 80632 /t--t
Charles Hi
ACORD 25 s (1 95) 961882
Hello