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LTR
A
PISDUCER
del TNFN A' R
All American Agency Facilities
Van Gilder Insurance Corp.
700 Broadway, Suite 1000
Denver, CO 80203 PR
303-837-8500
INSURED
Weld County Youth Alternatives
Inc. dha Weld County Partners
1212 8th Street
Greeley
CO 80631
RANC
DATE (MMRIDIYY)
1/17/97
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
A Carolina Casualty
COMPANY
B
COMPANY
C
COMPANY
D
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THEF OLICY PERIOD
INDICATED,NOTWITHSTANDINGANYREOUIREMENT,TERMORCONDIT ONOFANYCONTRACTOROTHERDOCUMENTWITHRESPECT TOWHICHTHIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THEM4SURANCE 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
X
POLICY NUMBER
POLICY EFFECTIVE
DATE (MINDO/Y1')
POLICY EXPIRATION
DATE (MMIDDIYY)
LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE )( OCCUR
OWNER'S & CONTRACTOR'S PROT
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
NP0760588
1/26/97
1/26/98
GARAGE LIABILITY
ANY AUTO
GENERAL AGGREGATE
PRODUCTS-COMP/OP AGO $
PERSONAL & ADV INJURY $
EACH OCCURRENCE
FIRE DAMAGE (Any one lire) $
MED EXP (Any one person) $
COMBINED SINGLE LIMIT $
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
1000000
1000000
1000000
1000000
50000
5000
EXCESS LIABILITY
AUTO ONLY • EA ACCIDENT $
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR/
PARTNERS/EXECUTIVE
OFFICERS ARE:
OTHER
AGGREGATE $
EACH OCCURRENCE
AGGREGATE $
INCL
EXCL
STATUTORY LIMITS
$
EACH ACCIDENT $
DISEASE • POLICY LIMIT
DISEASE • EACH EMPLOYEE $
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESISPECIAL ITEMS
Weld, Colorado, By & Through the Board of County Commissioners o
of Weld, including Officers & Employees, & the D.A, for the
District & His Employees are Additional Insured/Lessor of Prem.
CERTIFICATE HOLDER
The County of
of the County
19th Judicial
The County of Weld Colorado
915 — 10th St.
Greeley, CO 80631
I ,
cta5.8 (3/93)
9d-2721-9- °/49 /07
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WI,L ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
AUTHORIZED RE
071627009
970412
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