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PRODUCER
TIM CERTIFICATE IS ISSUED ABA MATTER OF INFORMATION ONLY AND CONFERS
J&H Marsh & McLennan PA,Inc. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN
SIX PPG PLACE THE POLICY. THIS CERTIFICATE DORS NOT AMEND,EXTEND OR ALTER THE
Suite 300 COVERAGE AFFORDED SY THE POLICIES LISTED HEREIN.
Pittsburgh, PA 15222 COMPANIES AFFORDING COVERAGE
LYNNE M FLETCHER
LETTER at)A PACIFIC EMPLOYERS INS CO cs
MMIIAED OWANY B CIGNA INSURANCE CO. ---f
COMCAST SCH HOLDINGS, INC �Rr= r O
1500 MARKET STREET - -
PHIDADELPHIA, PA 19102-2148 LETTER C AMERICAN GUAR & LIA$ ' (-)
COArANY D %: CFI -
LETTER '.,1
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THIS IS TO CERTIFY THAT POLICIES OF INSURANCE USTED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY
BE ISSUED OR MAY PERTMN,THE INSURANCE AFFORDED BY THE POLICIES LISTED HEREIN IS SUBJECT TO ALL THE TERMS,CONDITIONS AND EXCLUSIONS
OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POKY EFfECTNE POLICY IPIRATION
LTR TOME OF NSURANCE PQICY NUMBER K(A EI
DATE LMO/r0 DATE(MI/DD/Y0 LAWS
A GEERALLIAMITY OGL 619660928 12/01/98 12/01/00 OENERALAOORFGATE $ 1000000
X CO IL ERCBLL GENERAL LIABILITY PRODUCTS-COMP/OP AGO $ 1000000
CLAMS MADE In.•. R. PERSONAL&ADV INJURY $ 1000000
OWNER'S CONTRACTOR'S PROT. EACH OCCURRENCE $ 1000000
FIRE fAMAGF(Any one Sr.) $ 100000
MED.IDQENSE(Any one person) $ 5000
B AUTOMOBILE WLSLTY HO 7570430 12/01/98 12/01/00
COMBINED SINGLE OMIT $ 1000000
$ ANY AUTO
ALL OWNED AUTOS BODILY INJURY(Per person) $
SCHEDULED AUTOS
BODILY INJURY(Per accident) $
HIRED AUTOS
NON-OWNED AUTOS PROPERTY rMMAOc $
CAROM LIAREDY AUTO ONLY-EA ACCIDENT $
ANY AUTO . ::., .....
3:5'r
OTHER THAN AUTO ONLY . . . .e..........EM
....
EACH ACCflFNT $
AGGREGATE $
c ECU.LIARILITY AUO 8384714-04 12/01/98 12/01/99 EACH OCCURRENCE $ s000000
K UMBRELLA FORM AGGREGATE $ 5000000
OTHER THAN UMBRELLA FORM
A woman.C0IMBMATIN4MID WLR C4 2467339 12/01/98 12/01/00 sTATUTORYUMITs X `s`s>tsa
EMPLOYEW LAAEEIry EACH ACCIDENT $ 500000
DISEASE-POLICY LIMIT $ 500000
DISEASE-EACH EMPLOYEE $ 500000
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DESORPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
COUNTY OF WELD COLORADO IS NAMED AS ADDITIONAL INSURED ONLY UNDER
GENERAL LIABILITY AND ONLY AS RESPECTS THE TERMS OF THE FRANCHISE AGREEMENT
DATED AROUND MARCH 1996.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE POLICIES LISTED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE
WELD COUNTY THEREOF,THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
BOARD OF COUNTY COMMISSIONERS NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN,'BUTFARI t61"TO MAIL SUCH NOTICE
S 8 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER AFFORDING
P.O. BO
CAVERAr AGENTS ORREN5,OR TF THIS CERTIFICATE.
GREELEY, CO 80632
J&H ! ! ! ATFFD
BY:
MM I (A/a5) VAL W AS On 12/09/98
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