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Home My WebLink About952508.tiffCERTIFICATE OF INSURANCE THIS CERTIFICATE IS THE CERTIFICATE THIS CERTIFICATE IS I NOTE AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER D AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS PTHE COON YOU RAGE AFFORDED BYO THE POLICIES LISTED BELOW. This is to Certify that (Name end Morgan County Rural Electric Assn. address of P 0 Box 738 insured) Lit. Morgan, CO 80701 J e. -et the issue due of this certificate, insured by the Company under the policy lies) listed below. The insurance afforded by the listed policylieal is subject to all their terms, exclusions and conditions and is not altered by any requirements, term or condition of my contract or other document with respect to which this certificate may be issued_ I,ideiraled . ELECTRC MAIM P.O. Box 15147 Copp Lenexa, KS 66285-5147 1-800-356-8360 TYPE OF INSURANCE POLICY NUMBER POLICY wmHs of ueomny n, . e,..,.ao,...= ,....— .., EXPIRATION EACH OCCURRENCE AGGREGATE GENERAL LIABILITY ® COMPREHENSIVE FORM ® PREMISES - OPERATIONS ® EXPLOSION AND COLLAPSE HAZARD ® UNDERGROUND HAZARD ® PRODUCTS/COMPLETED OPERATIONS HAZARD ® CONTRACTUAL INSURANCE ® BROAD FORM PROPERTY DAMAGE ® INDEPENDENT CONTRACTORS ® PERSONAL INJURY 05 ARB 022 1/1/97 BODILY INJURY AND PROPERTY DAMAGE COMBINED $1,000 AUTOMOBILE LIABILITY ® COMPREHENSIVE FORM ® OWNED ® HIRED RED ® NON -OWNED 05 ARB 022 1/1/97 BODILY INJURY AND PROPERTY DAMAGE COMBINED $1,000 EXCESS LIABILITY INCLUDING AUTO & GENERAL ® UMBRELLA FORM BODILY INJURY AND PROPERTY DAMAGE COMBINED WORKERS' COMPENSATION and EMPLOYER'S LIABILITY 05 WC 018-96 1/1/97 STATUTORY 1 00,, 7o00 r labl Lunn I 1� t o'�" $500 (EACH ACCIDENT) $500 (DISEASE - POLICY LIMIT) $500 (DISEASE - EACH EMPLOYEE) '-- - ': l ® ALL RISK PROPERTY INCL. PHYS. DAMAGE ON VEHICLES 05 ARB 022 1/1/97 I 1t ,- 1 DESCRIPTION OF OPERATIONS DATE ISSUED: 11/16/95jb NAME AND ADDRESS OF CERTIFICATE HOLDER Weld County c/o Board of County Commissioners 915 10th St. Greeley, CO 80631 FED -100 (4-92) /// %/± - r TTI CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 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 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AU 'sRIZED REPRESENTATI g525O Hello