HomeMy WebLinkAbout960299.tiff NMI,. CERTIFICATE OF INSURANCE DATE(MM/DD/YY) _t
PRODUCER I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
ALL American Agency Facilities ; CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
Van Gilder Insurance Corp. LcC?
700 Broar:iway. Suite 1000 COMPANIES AFFORDING COVERAGE
Denver , CC) 802,3 I::•R COMPANY
1O3•-837•-8500 [ A - Carolina Ca w°ua l t y cs
INSURED ;COMPANY r
Weld County Youth Alternatives I-..._..— ...-- — ... -- — —" .. --
•I:nc. dha Weld County Partners 'COMPPPANY -^I --:r , o
�' � N -
:212 8th Street —.. .-- — - — n vi ':
COMPANY L',
l ,••�,�,1.4�y CO f {7G3i. I. D r.-171.
COVERAGES -;1"-'I
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AlEpVE FOreHE PC1L+8Y PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESepcT TO)WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJEQUOD ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
co7 TYPE OF INSURANCE POLICY NUMBER I POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE(MM/DDNY) DATE(MWDD/YY)
GENERALLABILJTY I GENERAL AGGREGATE IS 1000000
A X COMMERCIAL GENERAL LIABILITY NF'0760506 1/26/96 1/26/97 �PRODUCTS-COMP/OPAGG $ 1000000
1 CLAIMS MADE 5}:1OCCUR I IPERSONAL&ADV INJURY $ 1000000
OWNER'S A CONT PROT 1 , PEACH OCCURRENCE $ 1000000
FIRE DAMAGE Any one fire)_$ 50000
--' I MED EXP(Any one person) $ 5000
I i i
AUTOMOBILE LIABILITY— COMBINED SINGLE LIMIT $
_1ANY AUTO
,ALL OWNED AUTOS I ILYIWURY $
Per Person)
SCHEDULED AUTOS I "'- i- - 1
HIRED AUTOS �O DILY IN IURY
I(PerAccident) $
NON-OWNED AUTOS
- - -
--- PROPERTY DAMAGE
T-I
$
GARAGE LIABILITY UTO ONLY-EA ACCIDENT $ --a
,--,L THER THAN AUTO ONLY:
`ANY AUTO I t
EACH ACCIDENT $
I. --- AGGREGATE S
XCESS LIABILITY EACH OCCURRENCE I$_,
1 I AGGREGATE 1$ - -...
IF_. ..UMBRELLAFORM AG
jIOTHER THAN UMBRELLA FORM
RKERS COMPENSATION AND
•^" "-•�$ "-
ISTATUTORY LIMITS I
MPLOYERS'LIABILITY I EACH ACCIDENT IS
HEPROPRIETORI INCL DISEASE-POLICYUMIT $ .._......__..
�AFIC ERS/EXECUTIVE I IISEASE-EACH EMPLOYEE $
FFICERS ARE: 1 XCL 1 i
OTHER
I
I
1 I
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
The County of Weld. Co 1 o 'ado. By & Through the Board of County Commissioners o
of the County of Weld . including Officers & Employees, & the U.A. for the
19th Judicial District t4 His:, Employees are Additional Insured/Lessor of Prem.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
The County of Weld Colorado i 1 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
915 --- 10th S t . BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
Greeley, CO 806.1 l• PF ANY KIND UPON IHE.COMPANY_IS_AGFNTS GB..REPEESENIAIWES..._...._...-___--
86t . I AUTHORIZE RESENTATIVE 9,641 •-
RD 25-S 3/9 _ - __ 0 ACORD C(. 960299
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