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7-i'a. J I fi JAT it M1DOTY )illi la 1 ISMPRODUCER rHE I E RTII G TE IS IS SUE V ONLY AND CONFERS
40 II BITS 91 N'TIE C ER' I 1TE DOES NOT AMEND,
PENC0 EXTE IL OR Al fER THE CC ICIES BELOW.
PO Box 3651117 ---- — — ----
C DINIPhN I i ERAGE
Nashville, TN .`f-51E' —— — — — ——--
C DNP„F i A 0 RTFFi'r
LE"TEI
8 - ----(C MP 11 V
I E MTE R _
INSURED Colorado Intergovernmental —--- -- — ----
Risk Sharing Agency ICIRSAI ( CMPV V C
IrTER
958 South Cherry Street, 18011 _ _ — -- — ----
Denver, CO 80222 ' CMPAI V G
TEL: 13831 757-5475 FAX. 3011 -57-89! __ ___ - .
CITY OF BR00MFIELD 'C'MFAIV E
E TTE F
COVERAGES ; a In;..I I•I I. I M•M a`
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LIE D F ELI I I IA VIE DI:E I SS1 EC WINE NSI I I ICY I L THIS ERIO PERIOD
ATED.
MAY
NOTWITHSTANDING ANY REQUIREMENT,TME MSURAN-IE AFF OR )ENT I 0 I)EF i IE SCF BI 3 HI iREI V' I (CLUSIONS,AND BE ISSUED OR MAY PERTAIN,
CONDI-
TIONS OF SUCH POLICIES.
UL Y IF EC➢\E Y LIMITS IN THOUSANDS
CO TYPE OF INSURANCE FOLI NI MB 1 )A1 (MM WY') 1 EACH AGGREGATE
LTR _ — __- _ _- - —-- - OCCURRENCE
__
GEr RIL LIABILITY %El AO I [PP/1938 I $ $
COMPREHENSIVE FORM
PREMISES/OPERATIONS $ $
UNDERGROUND
EXPLOSION &COLLAPSE HAZARD
PRODUCTS/COMPLETED OPERATIONS I I
$ $
CONTRACTUAL
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE $
VAL INJURY
PERSONAL INJURY
AUyiIAABILE LIABILITY AE100( 1/Oll1(98 ,)
$
ANY AUTO
ALL OWNED AUTOS(PRIV. PASS.) ) $
ALL OWNED AUTOS(OTHER PTHAN)
PRIV ASS
HIRED AUTOS 1
$
NON-OWNED AUTOS
GARAGE LIABILITY I
I $
EXCESS LIABILITY
UMBRELLA FORM $ $
OTHER THAN UMBRELLA FORM _-- _—_ _ _ __— - -
RV
WORKERS'COMPENSATION •
(EACH ACCIDENT)
AND (DISEASE-POLICY LIMIT)
EMPLOYERS' LIABILITY - (DISEASE-EACH EMPLOY
OTHER -�_— '
g— ,I—p —rp -_--- -
DESCRIPTKpe p AFAT5 IMIRB IOr gEttrCEanoPL;Chla S—_—__ — --- -
Ass respects snow removal, sanding & cine, Eing on +sohalt
road within incor.orated area of Ctt of Broomfie.li on Welc t RLI 7, N from WI 'ti Rd 2fSt r,c i trio? 1/2 mile.
CERTIFICATE HOLDER CANCELLATION
Additonal Insured: Certificate No: -21 SHOULD ANY OF THE ABOVE DESCRIBED PCI it L 5E CANCELLED BEFORE THE E)
Weld County PIRATIOM DATE THEREOF, THE ISSUIN", JMEANY WILL ENDEAVOR Ti
MAIL DAYS WRITTEN NOTICE F0 THE CFPT>FICATE HOLDER NAMED TO TH-
LEFT,BUT I AILURE TO MAiL SUCH NOTICE SHALL IIs+'OSF"^^e,vaArvw OR LIABM-fT
OF ANY KIND UPON THE OMPANY 'S AGE.N` ,..
AUTHORIZED RE ESSEN / :E. 98O658
L _, ' • ' / , . 1
ACORD 25 (8184) IIR/ACORD CORPORATION 1 I
COLORADO PROPERTY/CASUALTY
INTERGOVERNMENTAL
RISK SHARING AGENCY
DESCRIPTION OF COVERAGE
* to $150K per person/$600K per occurrence for liability claims subject
to Governmental Immunity Act; $1.5M claim/occurrence other
automobile claims; $5M claim/occurrence other liability claims. All
coverages subject to aggregate and other limits.
> > > > >
SCHEDULE OF EXCESS LIABILITY CARRIERS
1998
$4,000,000 EXCESS OF $1,000,000
NORTHFIELD INSURANCE COMPANY
POLICY NUMBER AE100031
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