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Home My WebLink About972064.tiffCERTIFICATE OF INSURANCE A Stock Company federal/ed. Rac ELECTRIC R RAA THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. This is to Certify (Name and address of insured) is, at the issue dale policy(los) is spbiect or other document with POWER INC. E" .160 AVE. CO 80601- -I Company under the pollcy(ies) listed below. The insurance afforded by the listed conditions and is nut altered by any repuiromaMs, term or condition of any contract may be issued, that I UNITED 16551 I BRIGHTON of this certificate. insured by Me to as thee terms, earJusiens and respec td wh.0 tnis certificate 11875 W. 85th Street P.O Box 15147 Lenexa, KS 66285-5147 (913)541-0150 (800)356-8360 Facsimile (913)541-9004 TYPE OF INSURANCE POLICY NUMBER POLICY EXPIRATION DATE Limits of Liability in Thousands (000's) EACH OCCURRENCE AGGREGATE GENERAL LIABILITY [X] COMPREHENSIVE FORM [X] PREMISES - OPERATIONS [X] EXPLOSION AND COLLAPSE HAZARD [X] UNDERGROUND HAZARD IX] PRODUCTS/COMPLETED OPERATIONS HAZARD [X] CONTRACTUAL INSURANCE [X] BROAD FORM PROPERTY DAMAGE [X] INDEPENDENT CONTRACTORS [X] PERSONAL INJURY 05 ARB 005-97 08101/1998 BODILY INJURY AND PROPERY DAMAGE COMBINED $2,000 • �N/A " .'7 __ AUTOMOBILE LIABILITY (XI COMPREHENSIVE FORM [X] OWNED [X] HIRED [XI NON -OWNED 05 ARB 005-97 08/01/1998 BODILY INJURY AND PROPERY DAMAGE COMBINED $2,000 N/A EXCESS LIABILITY INCLUDING AUTO & GENERAL (X] UMBRELLA FORM 05 UMB 005-97 08/01/1998 BODILY INJURY AND PROPERY DAMAGE COMBINED $30,000 $30,000 WORKER and EMPLOYER'S LIABILITY 05 05 WC 005-97 01/01/1998 STATUTORY $500,000 (Each Accident) $50OO00 (Disease - Policy Limit) $50t{, 000 (Disease - Each Employee) [X] ALL RISK PROPERTY INCLUDING PHYSICAL DAMAGE ON VEHICLES 05 ARB 005-97 08/01/1998 Ueductibfes Property Limit $5,000 Property $500 Comp $500 Collision DESCRIPTION OF OPERATIONS oii' .: r,"s )+ +SQL "may' t"fv�4:..^ .kkS r .. y CANCELLATION: SHOULD ANY OF THE ABOVE BEFORE THE EXPIRATION WILL ENDEAVOR TO MAIL CERTIFICATE HOLDER, •' IMPOSE NO O GATION CO AGENTS S i : :t c¢?;'? S-_ DESCRIBED POLICIES DATE THEREOF. THE ISSUING 30 DAYS WRITTEN .t _. s•'+ G, BE CANCELLED COMPANY NOTICE TO THE NOTICE SHALL UPON THE DATE ISSUED: 07/28/1997 NAME AND ADDRESS OF CERTIFICATE HOLDER :, Weld County of Colorado " P.O. BOX 758 Greely CO 80621-0758 - BUT FAILURE TO MAIL SUCH OR LIABILITY OF ANY KINO OR REPRESENTATIVES. a AUTHORIZED REPRESENTATIVE FED -1Q0 (4.92) ©qJ/ 3!c7 972064 Hello