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HomeMy WebLinkAbout962395.tiff CERTIFICATE OF INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND,EXTEND,OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. i (IeIca1te(L This is to Certify that (Name and r United Power, Inc. RURAL address of P 0 Box 92 amp 9 hialfRAACE insured) P.O. Box 1514) L Brighton CO 80601 0929 J Lenexa, KS 66285-5147 1-800-356-8360 ,at the issue data or this certificate,insured by the Company under the palicrliW listed below.The insurance afforded by the listed ilies) is s and n a subject o all their terms,exclusion conditions is not altered by any requirements,term a condition of any contract or other document with respect to which this certificate may be issued. POLICY Limits of Liability in Thousands (000's) TYPE OF INSURANCE POLICY NUMBER EXPIRATION EACH . ' `ti^,w,,D"` DATE OCCURRENCE AGGREGATE GENERAL LIABILITY O COMPREHENSIVE FORM ® PREMISES -OPERATIONS O EXPLOSION AND COLLAPSE BODILY INJURY AND HAZARD 0 UNDERGROUND HAZARD PROPERTY DAMAGE $1,000 PRODUCTS/COMPLETED 05 ARB 005 8/1/97 COMBINED OPERATIONS HAZARD ® CONTRACTUAL INSURANCE ® BROAD FORM PROPERTY DAMAGE 0 INDEPENDENT CONTRACTORS O PERSONAL INJURY AUTOMOBILE LIABILITY BODILY AND O COMPREHENSIVE FORM 05 ARB 005 8/1/97 PROPERTY ILYINJURYDAMAGE $1,000 ® IRED COMBINED ® HIRED ® NON-OWNED EXCESS LIABILITY INCLUDING BODILY INJURY AND AUTO&GENERAL 05 UP1B 005 8/1/97 PROPERTY DAMAGE $30,000 $30,000 0 UMBRELLA FORM COMBINED STATUTORY $500 (EACH ACCIDENT) WORKERS'COMPENSATION 05 WC 016-97 8/1/97 $500 (DISEASE- POLICY LIMIT) and EMPLOYER'S LIABILITY $500 (DISEASE-EACH EMPLOYEE) ® ALL RISK PROPERTY INCL. PHYS. DAMAGE ON VEHICLES DESCRIPTION OF OPERATIONS •. ••I -:, l DATE ISSUED: 12/9/96 jb CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED NAME AND ADDRESS OF CERTIFICATE HOLDER BEFORE THE EXPIRATION DATE THEREOF.THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER, BUT FAILURE TO MAIL SUCH NOTICE Weld County Colorado SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON P 0 Box 758 THE COMPANY. ITS AGENTS OR REPRESENTATIVES. Greeley CO 80621 0758 aliellAU RIZED REPRESENTATI FED-1000�j(4-92) f \jj© 962395 Hello