HomeMy WebLinkAbout971762.tiffFirst Financial Insurance Company
CERTIFICATE OF INSURANCE
THIS CERTIFICATE OF INSURANCE IS ISSUED ONLY FOR INFORMATIONAL PURPOSES. IT DOES NOT CONFER ON'_THETERTL!F11CAQE 21j
HOLDER ANY RIGHTS OR COVERAGES OR REQUIRE OF THE CERTIFICATE HOLDER ANY DUTIES OUTSIDE OF THE POLICY. THE ENTIRE '
POLICY MUST BE READ CAREFULLY TO DETERMINE RIGHTS, DUTIES, AND WHAT IS AND WHAT IS NOT COVERED. CLrrvtr
AUTHORIZED REPRESENTATIVE:
HERITAGE GENERAL AGENCY, INC.
3989 E. ARAPAHOE RD., SUITE 200
LITTLETON, COLORADO 80121
INSURED:
HIGHLAND DAY CARE CENTER
P. 0. BOX 327
AULT, CO 80610-0327
POLICY NUMBER:
F 0251G410321
COVERAGES:
POLICY EFFECTIVE DATE: POLICY EXPIRATION DATE:
08/09/97 08/10/97
THIS IS TO CERTIFY THAT THE POLICY OF INSURANCE LISTED BELOW HAS BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE
POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH
RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICY DESCRIBED
HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICY.
TYPE OF INSURANCE (INDICATED BY X)
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
OTHER
GENERAL AGGREGATE
PRODUCTS-COMP/OPS AGGREGATE
PERSONAL & ADVERTISING INJURY
EACH OCCURRENCE
FIRE DAMAGE (Any one fire)
MEDICAL EXPENSE (Any one person)
DESCRIPTION OF OPERATIONS/LOCATIONS/SPECIAL ITEMS:
RUNATHON/WALKATHON - FUND RAISER IN AULT, COLORADO, AND ENVIRONS
CERTIFICATE HOLDER IS NAMES AS ADDITIONAL INSURED.
CERTIFICATE HOLDER:
WELD COUNTY BY AND THROUGH THE BOARD OF COUNTY
COMMISSIONERS OF WELD COUNTY, THE WELD COUNTY
SHERIFF AND THEIR EMPLOYEES
915 10TH AVENUE
GREELEY, CO 80631
DATE CERTIFICATE ISSUED: 06/23/97
BG-C-09 993
7
LIMITS OF INSURANCE
8 2,000,000.00
$ EXCLUDED
S EXCLUDED
8 1,000,000.00
$ EXCLUDED
S EXCLUDED
CANCELLATION:
SHOULD THE ABOVE DESCRIBED POLICY BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR
TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER
NAMED ABOVE, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE
NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,
ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
SIGNED
' 217"Y
971762
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