HomeMy WebLinkAbout951665.tiffscore,. C
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DATE (MM/DD/YY)
02/03/95
PRODUCER
HUMAN SERVICES INSURANCE
954 N. FOOTHILL BLVD NA
UPLAND CA 91786
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.
COMPANY
A
INSURED
ALTERNATIVE HOMES FOR YOUTH
3000 YOUNGFIELD STREET, SUITE #157
LAKEWOOD CO 80215-
CO
LTR
COMPANY
B
COMPANY
C
COMPANY
D
COMPANIES AFFORDING COVERAGE
Continental Insurance
#cRAGESi ��y _._..
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PVLICY 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.
TYPE OF INSURANCE
GENERAL LIABILITY
COMMERCIAL GENERAL UABILITY
CLAIMS MADE A OCCUR
OWNERS & CONTRACTOR'S PROT
Professional Liab
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
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:
OTHER
INCL
EXCL
POLICY NUMBER
CDP6 175875
CBP6175875
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
RE: 1709 7th. Avenue, Greeley, CO
Certificate holder is named as additional insured
County of Weld, State of Colorado By and Through the
m�L
01(iijg5 1551 N. 17th. Avenue
Greeley, CO 80631
:.Agonol„,co(444Fiw
Board of Commissioners of Weld County
As Their Interests May Appear
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDIYYI DATE (MM/DD/YY)
07/01/95
07/01/95
09/01/95
09/01/95
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
PERSONAL & ADV INJURY
EACH OCCURRENCE
FIRE DAMAGE (Any one fire)
MED EXP (Any one person)
COMBINED SINGLE OMIT
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
AUTO ONLY - EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT
DISEASE - POUCY LIMIT
DISEASE - EACH EMPLOYEE
$ 2,000,000
$ 2,000,000
$ 1,000,000
$ 1,000,000
50,000
$ 1,000,000
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF -Y KIND UPON THE COMPANY, ITS AGENTS O^
D REPRESENTATIVE
coLooh
C, CORD CORPORATION i993
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