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RTIFI
FI
CATE OF I
FLAN
CE
DATE (MM/DD/YY)
08/02/95
PRODUCER
J. W. Terrill, Inc.
701 Emerson Road, 5th Floor
P.O. Box 419092
St. Louis, MO 63141-9092
Attn: Elaine Knobler 314/991-1730
INSURED
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
AHartford Fire Insurance Co.
Galaxy Telecom, L.P.
d/b/a Galaxy Cablevision
1220 North Main Street
Sikeston, MO 63801
COMPANY
B
COMPANY
C
COMPANY
DREVISED
QWRAf#
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 POL CIES 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
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MM/DD/YY)
06/23/95
POLICY EXPIRATION
DATE(MM/DD/YY)
06/23/96
LIMITS
A
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
I CLAIMS MADE X OCCUR
OWNER'S & CONTRACTOR'S PROT
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
X
X
X
84UUNPJ7170
84UENPJ6952
84UENPJ7336 (TX)
06/23/95 06/23/96
06/23/95 06/23/96
GENERAL AGGREGATE $2,000,000
PRODUCTS-COMP/OPAGG s2,000,000
PERSONAL &ADV INJURY $1,000,000
EACH OCCURRENCE
$1,000,000
FIRE DAMAGE (Any one fire) $
MED EXP (Any one person) $
50,000
10,000
COMBINED SINGLE LIMIT $1,000,000
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
GARAGE LIABILITY
ANY AUTO
AUTO ONLY -EA ACCIDENT $
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
A
EXCESS LIABILITY
X UM BR EL LA FORM
OTHER THAN UMBRELLA FORM
84RHUPJ7550
06/23/95
06/23/96
EACH OCCURRENCE
AGGREGATE
$10,000,000
$10,000,000
$
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR/
PARTNERS/EXECUTIVE
OFFICERS ARE:
OTHER
X
INCL
EXCL
84WBAW2292
AL CO FL GA IA ID
IL KY LA MO MS NE
SD TX
06/23/95 06/23/96
X
STATUTORY LIMITS
EACH ACCIDENT
DISEASE -POLICY LIMIT $500, 000
DISEASE -EACH EMPLOYEE $500,000
$500,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
Certificate holder, its officers, borads, commissions and employees are
additional insureds on the general liability as their interest may appear.
CERTIFICATE HOLDER ..
County of Weld
Attn: Office of County Attorney
P.O. Box 1948
Greeley, CO 80632
$4400254.0 A41: T$f 1 #556214/M54850
SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
BUT FAIL 0 IL IL SUCH NOTICE SHALL IMPbSE N OBLIGATION OR LIABILITY
OF ANY K • y: y) THE .••MPANY. G , S •y REPRESENTATIVES.
952670
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