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Home My WebLink About950577.tiffAI:IIItIL CERTIFICATE OF INSURANCE ISSUE DATE` MM' DD/YY 02/27/95 PRODUCER Flood & Peterson Insurance Inc P . O . BOX 578 THIS CERTIFICATE IS CONFERS NO RIGHTS DOES NOT AMEND, EXTEND POLICIES BELOW. ISSUED AS A MATTER OF INFORMATION ONLY AND UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE OR ALTER THE COVERAGE AFFORDED BY THE Greeley, CO 80632 COMPANIES AFFORDING COVERAGE °EMERNY A Aetna Casualty & Surety Compa#iy' - - COMPANY INSURED LETTER B Weld Adolescent Resources COMPANY Jesse Quinby dba LETTER C 3412 Lupton Avenue COMPANY D Evans, CO 80620 LETTER COMPANY E LETTER COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MM/OD/YY) POLICY EXPIRATION LIMITS DATE(MM/OD/YY) A GENERAL LIABILITY ACM2451787 02/01/95 02/01/96 GENERAL AGGREGATE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPAGG. $ 2, 000, 000 iCLAIMSMADE X OCCUR. PERSONAL &ADV. INJURY $ 1,000,000 _OWNER'S& CONTRACTOR'S PROT. EACH OCCURRENCE $ 1,000,000 'FIRE DAMAGE(Any one fire) $ 50,000 MED.IXPENSE (Anyone person) $ 5,000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIREDAUTOS BODILY INJURY $ NON -OWNED AUTOS ', (Per accident) GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM B WORKER'S COMPENSATION 3121780 X STATUTORY LIMITS AND EACH ACCIDENT $100,000 EMPLOYERS' LIABILITY DISEASE -POLICY LIMIT $500,000 DISEASE -EACH EMPLOYEE $100, 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER Weld County CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 915 10th Avenue Greeley, CO 80631 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILfTY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE �r ACORD26517/90) Tot 1 sl #17957 \ ( NJG ©ACORr--'--- o' Os77 Hello