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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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990859
DATE IMM/DOWY) CERTIFICATE OF LIABILITY INSURANCE PROM UC ER TIIIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION GOODSON INS AGENCY ONLY AND CONFERS NO RIGHTS UPON TILE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTENDOR ALTER THE COVERAGE AFFORDED BY TILE POLICIESIELOW. 5600 SO QUEBEC #200C COMPANIES AFFORDING COVERAGE GREENWOOD VILLAGE CO 80111 COMPANY A AMERICAN STATES INSURANCE INSURED --- COMPANY JONES PLUMBING B HARTFORD INSURANCE THOMAS C JONES COMPANY 619 4TH ST c TIG INSURANCE COMPANY BERTHOUD CO 80513 COMPANY D THIS IS TO CIiRTIFY THAT THE POLICIES OF INSURANCE LISTIiI)BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOIWI HSIANDING ANY REQUIREMENT, "PERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RISPIiCT TO WHICH THIS CERIIEICAI'E MAY BL ISSUIiD OR MAY PERTAIN, THE INSURANCE Al FORDED BY 1HE POLICIES DESCRIBED HEREIN IS SUBJECT TO All.THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POIICIIS. IJMI'IS SHOWN MAY HAVE BERN REDUCED BY PAID CLAIMS. CO 'I'\1kOF'INSURANCE POLICY NIIDIRER POLICY EF'FE(TIY'E POLICY RXPIRAT'ION I,IMI'1'S LTR DATE.IMNINDM') DAM(MM/DD/W) A GI:NIRAI,LIABHaTY 01CC273603-0 4/01/99 4/01/00 GENERALAGOREGATE $2 , 000 000 X I COMMERCIAL GENERAL I IAIIILHY PRODUCTS (OMP/OI'AGG S2 , 000, 000 HCLAIMS MADE Xl OCCUR PERSONA! &ADVINJURY a, 000, 000_ OWNER'S&CON IRACIOR'SPRO! I EACH OCCURRENCE 31, 000, 000 FIREDAMAGI((Any olAfiml $ 200, 000 ME P(A) p(non) $ 10, 000 E B AIIOMOBILLIMIII.IIY 34UECFX6107 4/01/99 4/01/00 1, 000, 00000 DBINF:D SIN GIE LIMB $ ANY AirlD Al),OWNED AUOS BODILY IN111k Y S X NCH'DUI Alf1O.s leer le.rcoN X IIIRLI)AUTOS BODILY INJURY S X NON-OWN ED Al(lOs (Peraccidcnhi -__-- - -- jI PRO PI DAM AGE GARAGE LIARII.I'I'Y i`AUIO ONI Y FA AC('I MI NI $ I ANY ALPO OIIIERTIIAN AU'O ONI Y LACII AC('IDIINT $ - _. -... AG(i RIiGA1li $ EX(RSS LIABILITY I ACII OCCURICENC I! -.I$ L.S1BRELLA FARM '� AGGKEGAI'B r3 _ I O1'111J('IHAN UMBRI I I FORM S C I II ORKN KS(OMIRNSA'IION AND BINDER 4/01/99 4/01/00 X roRYLIM[ISi r,1,1 I IM PI Llnuu.rry I I.HIGH AC(IDINI $ 100, 000_. I IROPRII 1OR/ INcI. . 11 IBM FA.M POI UY11511 ' t 500, 000 Ol IKI RS/NEC OFFICERS AR F : EX('1. _ 11 UISI ASF I A E MPL 100 000OY!!, S / OITIER DI SCRIM ION OF OPERA'I'IONS/LOCAIIONS/V EIIICL ES/SI'ISCI AI.III NIS CERTIFICATE IIOLDER CANCELLATION SHOULD ANY OF THE ABOVE DES(RIRHID POLICIES BE GANCKLLED REBORN PILE WELD COUNTY PUBLIC WORKS DEPT. EXPIRATION DATE 'IHEREOF', THE ISSUING COMPANY Will RNDEAVOR RMAJI, 10 DAYS WRITTEN NOIICNI'ED'I'Ilk:CERIIHICAl l(1101.1))1t NAND!) II) I'III+ , 933 N. 11TH AVE. IVlrl I'M LURE to MAIL SUCH NOT ICE SHALL IMPOSE NO OBI.Ic6TION(MIAMI In GREELEY, CO 80631 0 _NY KIND UP N T'l1E COMPANY. CI'S AGENTS OR REPRESENTATIVES. L1 l Grant Goodson CH A ACORI) 25-9 (1195) ©ACORI) CORPORATION 1958 CLtfl OLrt ( y2/14 t- 64//9/9 9 990859
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