HomeMy WebLinkAbout950300.tiffDATE (MM/DD/YY)
2/01/95
AflORD CERTIFICATE OF INSURANCE
PRODUCER
ALL American Agency Facilities
Van Gilder Insurance Corp.
700 Broadway, Suite 1000
Denver, CO 80203
303-837-8500
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY
A
Carolina Casualty
INSURED
WeLd County Youth Alternatives
Inc. dba Weld County Partners
1212 8th Street
Greeley CO 80631
I COMPANY
B Union Insuranc 'Co -
COMPANY
C
''. COMPANY
D
COVERAGES ..
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOWTHE 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 POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTRi
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION !,
DATE (MM/DDNY) DATE (MM/DDNY)
,GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY *HP0760435
CLAIMS MADE (X OCCUR
OWNER'S & CONT PROT
1/'26/95
LIMITS
GENERAL AGGREGATE I $ 1000000'.
1/26/96PRODUCTS-COMP/OPAGG $ 1.000000
-- --
PERSONAL&ADV INJURY $
FIRE DAMAGE (Any one fire) 'I $
I MED EXP (Any one person) I $ 50250
10000021'.
EACH OCCURRENCE $ 1000000
502100'
AUTOMOBILE LIABILITY
A X ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
r
NON -OWNED AUTOS
HP0760435
1/26/95
1/26/96 COMBINED SINGLE LIMIT
11
BODILY INJURY
(Per Person)
BODILY INJURY
li (Per Accident)
PROPERTY DAMAGE
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EAACCIDENT $
OTHER THAN AUTO ONLY:
EACH ACCIDENT $ •AGGREGATE!, $
1000000
EXCESS LIABILITY
A UMBRELLA FORM
! OTHER THAN UMBRELLA FORM
A4872107
EACH OCCURRENCE
1/26/95 1/26/96 AGGREGATE
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR/
PARTNERS/EXECUTIVE
OFFICERS ARE:
INCL
EXCL,
I STATUTORY LIMITS
-5000000'
3000000
EACH ACCIDENT $
IDISEASE-POLICY LIMIT IT ! $
DISEASE -EACH EMPLOYEE, $
OTHER
A IProfessinnal
Liability
HP0760435
1/26/95
1/26/961$1,000,000 Each Clot
1$1,000,000 Aggrgate
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
The County of
of the County
19th Judicial
Weld,
of We
Distr
Colorado, By
Id, including
ict & His Emp
& Through the Board of County Commissioners o
Officers & Employees, & the D.A. for the
loyees are Additional Insured/Lessor of Prem.
CERTIFICATE HOLDER
The County of Weld CoLorado
915 - 10th St.
Greeley, CO 80631
IN,
u ACORD_ 25- 3)
oai3/CIO
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THEEXPIRATIONEXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MiiAK
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
ir LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
1 AUTHORIZED ESE TATIVE iI
r ` AAp,3 071627009
AL9AC - 119931
950300
DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
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