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ACORDN CERTIFICATE OF LIABILITY INSURANCE 0DATE 8/(30/99
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4821 Wheaton Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P O Box 270370
Fort Collins, CO 80527 INSURERS AFFORDING COVERAGE -
INSURED INSURER A:ST PAUL FIRE & MAR: E INSURANCE CC
Fisher Mechanical INSURERB:RELIANCE CYBERCOM�Fii '' n
2305 W. 9th Street
INSURER C:
Greeley, CO 80634-5913
INSURER O:
INSURER E:
COVERAGES r`+3
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NRPJVITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MALE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND coraornoNs OF SUCH
POLICIES. AGGREGATE LIMBS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR ATE(MMh /YYI DATE IMM/DO/YYl LIMITS
A GENERAL LIABILITY 0D000BFS378664 08/25/99 08/25/00 EACH OCCURRENCE $500, 000
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one lire) $50, 000
CLAIMSMADEI X I OCCUR MEDEXP(Any one person) $5, 000
PERSONAL SADV INJURY $500, 000
GENERAL AGGREGATE $1, 000, 000_
GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $1, 000 , 000
POLICY jE CT I LOC
A AUTOMOBILE LIABILITY 00000BFA378665 08/25/99 08/25/00 COMBINED SINGLE LIMIT $500, 000
X ANY AUTO
(Ea accident)
r
ALL OWNED AUTOS BODILY INJURY
(Per person) $
SCHEDULED AUTOS
X HIRED AUTOS BODILY INJURY
(Per accident)
X NON-OWNED AUTOS $PROPERTY DAMAGE
(Per accident)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $_
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGO $
A EXCESS LIABILITY 00000BFS378664 08/25/99 08/25/00 EACH OCCURRENCE $1, 000, 000
L% OCCUR CLAIMS MADE AGGREGATE $1, 000, 000
DEDUCTIBLE
XI RETENTION $10000 I $
B WORKERS COMPENSATION AND NWX6013614 08/25/99 08/25/00 XjTORYIIMniW V:-
EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $100, 000
E.LAISEASE-EA EMPLOYEE $100, 000
E.L.DISEASE-POLICY LIMIT $500, 000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER I ADDITIONAL INSURED;INSURER LETTER CANCELLATION
SHOULD ANYOFTHE ABOVE DESCRIBEDPOLICESBE CANCELLED BF-FORE THE ETFIRATON
Weld County, Colorado DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL3_0__DAYSWRITTEN
NORCETOTFE CERTFICATE HOLDERNAMEDTOTFE LEFT,BUTFAILURE TO DOSOSHALL
c/o Board of County IMPOSE NO OBLIGATION OR LIABILITY OF ANYNINO UPON THE INSURER,ITS AGENTS OR
Commissioners P.O. Box 758 REPRESENTATIVES.
Greeley, CO 80632 AUTHORIZED REPRESENTATIVE
Rood 4- Pefuson InSt aanJ -�na-
ACORD25-S(7/B7)1 of 2 44M136503 JAS
992290
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