HomeMy WebLinkAbout980198.tiff RESOLUTION
RE: APPROVE AGREEMENT FOR RECIPROCAL TRAINING WITH THE UNION COLONY
FIRE/RESCUE AUTHORITY AND AUTHORIZE CHAIR TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with an Agreement for Reciprocal Training
between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Ambulance Service, and the Union Colony
Fire/Rescue Authority, commencing February 2, 1998, and ending December 31, 1998, with
further terms and conditions being as stated in said agreement, and
WHEREAS, after review, the Board deems it advisable to approve said agreement, a
copy of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Weld County, Colorado, that the Agreement for Reciprocal Training between the County of
Weld, State of Colorado, by and through the Board of County Commissioners of Weld County,
on behalf of the Ambulance Service, and the Union Colony Fire/Rescue Authority be, and
hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said agreement.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 2nd day of February, A.D., 1998.
BOARD OF COUNTY COMMISSIONERS
W D COUNTY, COLORADO
ATTEST: • ir
��ii��j�� ��L�/ r��
g in
Constance L. Harbert, Chair
r 8.1
Weld Co it I'.; '�i=�y"e - - .1
%In
�� J / / W. H. ebster, ro- em
BY: • .jfi _��! ` i:A... . ' A
Deputy Clerk to e :oard
Georg . Baxter
•PR• ED “s O F•RM: EXCUSED DATE OF SIGNING (AYE)
Dal K. Hall
y Attor -Y 41 .t �1 y
arbara J. Kirkmeyer O
980198
GC: /4/4;Ge_P Ft—)it AM0010
AGREEMENT FOR RECIPROCAL TRAINING
THIS AGREEMENT is made this28n"day of d-i01diec) , 1998, by and
between the UNION COLONY FIRE/RESCUE AUTHORITY, ("UNION COLONY"), and the
Board of County Commissioners of Weld County, on behalf of the WELD COUNTY
AMBULANCE SERVICE, ("WCAS").
WHEREAS, some employees of UNION COLONY have completed education programs
in emergency medical training, and now desire field training in order to be qualified by the
physician advisor;
WHEREAS, WCAS currently has in place a field training program from which the
UNION COLONY employees could gain the field training experience;
WHEREAS, WCAS desires to obtain additional training for its employees in areas such
as hazardous materials, and incident command ("training programs");
WHEREAS, UNION COLONY has the ability to provide such training programs to
WCAS personnel;
WHEREAS, each party desires to provide reciprocal training to the personnel of the other
party;
WHEREAS, UNION COLONY and WCAS desire to reduce their agreements to writing.
NOW THEREFORE, in consideration of the promises, covenants and agreements
hereinafter set forth, the parties agree as follows:
1. Recitals. The foregoing recitals are incorporated herein, as though fully set forth.
2. Purpose. The purpose of this Agreement is to provide training for personnel of
each party to this Agreement that is available from the other party. Nothing in this Agreement
shall be construed to indicate that either party must accept any specific individual into its training
program.
3. Term. This Agreement shall be effective from the date that all parties have
signed this Agreement,through December 31, 1998, and shall automatically renew from year to
year, unless sooner terminated pursuant to the terms of this Agreement.
4. Responsibilities of UNION COLONY.
A. Selection of participants in Field Training Experience. UNION
COLONY shall select and present personnel to be accepted by WCAS and
1
980198
assigned to field training experiences. Said prospective field trainees shall have
completed all prerequisite academic and/or clinical course work, and shall be
approved by WCAS's physician advisor for the field training prior to selection for
the field training with WCAS. (Hereinafter, UNION COLONY personnel
accepted to participate in WCAS field training shall be referred to as "field
trainees.")
B. Field Trainees to adhere to WCAS rules. UNION COLONY will
ensure that field trainees adhere to the rules, regulations, procedures, and
standards of WCAS. UNION COLONY will be provided with complete
information concerning the field training experience, and the objectives and goals
for such experience. UNION COLONY may conduct on-site visits to WCAS,
upon at least 24 hours notification to WCAS of UNION COLONY's intent to
visit, and upon the condition that such visits do not interfere with the regular
operations of WCAS.
C. UNION COLONY Training for WCAS. UNION COLONY will
provide quality training to WCAS personnel on the handling of hazardous
materials, incident command, and such other topics as the parties may agree.
Such training shall be scheduled at such times as the parties may agree, with the
first training session to occur on or about February, 1998. UNION COLONY
shall provide such training throughout the term of this Agreement in an hourly
amount that equals the hourly amount used by UNION COLONY personnel for
field training with WCAS. UNION COLONY shall provide an agenda or other
materials which support the training to be offered to WCAS by UNION
COLONY.
D. UNION COLONY Designated Representative. UNION COLONY will
designate in writing a representative with whom WCAS may consult, or work, in
order to accomplish the objectives of this Agreement.
5. Responsibilities of WCAS.
A. Patient Care. WCAS has ultimate responsibility for the quality of care
given to patients. WCAS will provide all necessary equipment or supplies, or
both, which may be used in the course of the field training.
B. WCAS Policies and Procedures. WCAS staff shall provide orientation
for field trainees to pertinent WCAS policies and protocols, particularly where
special rules and regulations are necessary. WCAS shall provide to field trainees
relevant written materials to enable field trainees to function appropriately at
WCAS. Field trainees shall follow WCAS protocols for health and safety, as well
as necessary emergency medical services, and confidentiality requirements.
2
980198
C. Removal of individuals From Certain Areas. WCAS shall retain the
right, in its sole discretion, to request the removal of any individual from the
premises where services are being provided, or from the WCAS premises. The
said removal may be a result of a temporary situation of any kind at the premises,
or it may be a permanent withdrawal from the premises, and result in a
withdrawal from the field training program. Field trainees shall promptly and
without protest leave an area whenever they are requested to do so by an
authorized WCAS representative. WCAS shall notify UNION COLONY of its
request as soon as practical.
D. Evaluation of Performance. WCAS will provide for such supervision as
would be provided for field training experiences for WCAS employees. WCAS
supervisors will provide evaluation statements midway and upon completion of
the field training, to UNION COLONY and to the physician advisor concerning
performance of each field trainee. WCAS shall not be responsible for maintaining
any records concerning UNION COLONY field trainees at WCAS facilities after
the field training experience is completed, although WCAS is not prohibited from
maintaining such records. Copies of all documents concerning any UNION
COLONY field trainee shall be forwarded to UNION COLONY upon the field
trainee's completion of the field training.
E. Unsatisfactory Performance of Field Trainee. WCAS shall provide a
written report to the designated UNION COLONY representative concerning any
serious deficiency in any field trainee's performance or other problem that might
arise due to the performance of any UNION COLONY field trainee. WCAS,
UNION COLONY, and the field trainee will then jointly devise a corrective
action plan by which the field trainee may be assisted towards successful
completion of the field training experience.
F. Field Trainees Are Not Employees. Field Trainees will not be used by
WCAS to replace WCAS employees, nor to provide any kind of service to WCAS
patients, other than as part of the field trainee's supervised field training. Field
trainees are not considered to be, nor are they to be treated as, employees or
agents of WCAS for any purpose.
G. Designated Representative. WCAS will designate in writing a
representative ("the WCAS designated representative") with whom the UNION
COLONY designated representative may consult, or work, in order to accomplish
the objectives set forth in this Agreement. WCAS will designate in writing an
individual who may or may not be the designated representative who shall oversee
the field training experience with the field trainees, and who will be available to
respond to any questions or concerns which the field trainees' appointed
supervisor is unable to respond to("the WCAS field training manager").
3
980198
6. Mutual Responsibilities of WCAS and UNION COLONY.
A. Periodic Meetings. and General Cooperation. During the term of this
Agreement, the designated representatives of the parties will work together to
select topics for presentation by UNION COLONY, and to schedule training
sessions for the benefit of WCAS. Arrangements shall be made for periodic
meetings between representatives of UNION COLONY and WCAS to promote
understanding of, and adjustments to, any operation or activity involved herein.
The parties will advise participants in the other party's training programs of their
responsibilities for complying with the policies, rules, and protocols of the other
party.
B. Non-Discrimination. Neither party will discriminate against any person
because of race, color, creed, religion, age handicap, sex, ancestry, veteran status,
or national origin.
C. Involvement in Any Reported Incident. WCAS shall timely notify
UNION COLONY when any UNION COLONY field trainee has been involved
in a reported incident, and UNION COLONY shall have the opportunity to
participate in any ongoing investigation and shall have access to any oral or
written reports or any other documentation related to the reported incident.
UNION COLONY shall cooperate in any investigation of a potential liability-
inducing incident.
7. Financial Provisions: The parties agree to the following financial provisions:
A. Compensation. UNION COLONY and WCAS agree that no monies will
be paid by either party to the other under the terms and conditions of this
Agreement and that the mutual benefits contained herein accruing constitute
sufficient consideration therefor.
B. Parties' Relations. The parties to this Agreement intend that the
relationship between them contemplated by this Agreement is that of independent
entities working in mutual cooperation. UNION COLONY personnel are not be
considered WCAS employees for any purpose, and said persons may not hold
themselves out as employees or agents of WCAS or otherwise make any
representation or commitment on behalf of WCAS. Likewise, WCAS personnel
are not to be considered to be employees of UNION COLONY for any purpose
and said persons may not hold themselves out as employees or agents of UNION
COLONY, or otherwise make any representation or commitment on behalf of
UNION COLONY. Neither party shall be in any way required to provide any
pecuniary benefits, salaries, wages, or fringe benefits to employees of the other
party.
4
980198
8. Insurance. The parties agree to the following insurance provisions:
A. Liability Insurance. UNION COLONY shalt maintain liability insurance
coverage or financial responsibility acceptable to WCAS as assurance of its
accountability for any such losses, claims, liabilities, or expenses on request.
WCAS shall maintain liability insurance coverage or financial responsibility as
assurance of its accountability for any such losses, claims, liabilities, or expenses
on request.
B. Health Insurance. Participating field trainees shall carry health insurance
coverage for themselves. Field trainees participating in any training experience
with WCAS shall be responsible for payment of all medical bills for injuries or
illness which may occur during, or as a result of the field training experience,
which are not covered by any other UNION COLONY provided insurance.
C. Worker's Compensation. Each party shall maintain Worker's
Compensation Insurance coverage, to the extent such coverage is required, for
each of its employees involved in the training programs which are the subject of
this Agreement.
D. Information Regarding Insurance. Each party shall provide to the other
party information regarding relevant insurance and/or financial responsibility
pursuant to this Agreement. In the event that the insurance coverage for that party
is canceled in whole or in part, or is no longer available, either party may elect to
immediately terminate this Agreement, in whole or in part. If this Agreement is
so terminated, the terminating party must give notice to the other party as
hereinafter set forth, within three days.
9. Limitations -Liabilities - Indemnification.
To the extent permitted by law, each party agrees to defend, hold harmless, and
indemnify the other party and its affiliates, directors, officers, agents, and
employees from and against all claims, demands, suits,judgments, expenses, and
costs of any and all kinds arising as a result of damages or injuries arising out of,
or incident to, the performance or failure of performance of this Agreement by
such indemnifying party or its agents, of its duties, obligations, or rights
hereunder.
In the event that negligence or malpractice of a field trainee shall subject WCAS
to potential or actual liability, or in the event that negligence or malpractice of
WCAS shall subject UNION COLONY or a field trainee to potential or actual
5
980198
liability, the negligent party shall hold the other party harmless from all monetary
loss resulting from such liability, to the extent permitted by law. This obligation
to hold harmless shall, in addition to any other obligations commonly associated
with it, obligate the negligent party to pay all reasonable attorney fees, costs,
expenses, and damages incurred as a result of such liability.
The indemnities and assumptions of liabilities and obligations herein provided for
shall continue in full force and effect notwithstanding the expiration or
termination of this Agreement. Notwithstanding any provision herein to the
contrary, nothing in this Agreement shall be interpreted to waive either party's
right to claim immunity under the Governmental Immunity Act.
9. Default-Waiver- Termination.
A. Default. Except in situations when termination is the appropriate action
pursuant to paragraph 9.0 herein, each party shall promptly notify the other party
of actions that have caused, in the notifying party's opinion, a default or breach of
any term or provision of this Agreement. If such default or breach is not cured
within 30 days after the delivery of such notice, the notifying party may, at its
election, declare this Agreement null and void and proceed to seek any remedies
to which it may be entitled under the law.
B. Waiver. Any waiver by either party of any term or provision of this
Agreement at any one time shall not constitute a waiver of any other or all
provisions. Any waiver of any part or provision of this Agreement at any one
time shall not constitute a waiver for all times.
C. Termination. Either party may terminate this Agreement for cause upon
10 days written notice and for any reason so long as 90 days written notice of its
intent to so terminate is given to the other party.
10. General Provisions.
A. Notices. Any notice provided for in this Agreement shall be in writing
and shall be served by personal delivery or by certified mail, return receipt
requested, postage prepaid at the addresses set forth in this Agreement until such
time as written notice of a change is received from the party wishing to make a
change of address. Any notice so mailed and any notice served by personal
delivery shall be deemed delivered and effective upon receipt or upon attempted
delivery. This method of notification will be used in all instances, except for
emergency situations when immediate notification to the parties is required.
UNION COLONY: Union Colony Fire/Rescue Authority
6
980198
919 7th Street
Greeley, Colorado 80631
Attn: Training Division
WCAS: Weld County Ambulance Service
1121 M Street
Greeley, Colorado 80631
Attn: Gary McCabe
B. No Assignment. This Agreement may not be assigned without first
obtaining the consent of the non-assigning party.
C. Modification. This Agreement constitutes the entire agreement between
the parties and supersedes all prior written and oral agreements. Any
changes, modifications, supplementations, or amendments to this
Agreement must be reduced to writing and signed by the parties to this
Agreement.
D. Severability. If any term or condition of this Agreement shall be held to
be invalid, illegal, or unenforceable, this Agreement shall be construed and
enforced without such a provision, to the extent this Agreement is capable
of execution within the original intent of the parties.
E. Budget Constraints. Nothing in this Agreement shall be construed to
require the Board of County Commissioners for Weld County to provide
funding not already budgeted.
F. No Third Party Beneficiary Enforcement. It is expressly understood
and agreed that enforcement of the terms and conditions of this
Agreement, and all rights of action relating to such enforcement, shall be
strictly reserved to the undersigned parties, and nothing contained in this
Agreement shall give or allow any claim or right of claim whatsoever by
any other person not included in this Agreement. It is the express
intention of the undersigned parties that any entity, other than the
undersigned parties, receiving services or benefits under this Agreement
shall be deemed an incidental beneficiary only.
IN WITNESS WHEREOF, the parties have hereunto set their hands and seals on the day
above set forth.
BOARD OF COUNTY COMMISSIONERS UNION COLONY
FOR WELD COUNTY, COLORADO FIRE/RESC AUTHORITY
By: OVW°
Constance L. Harbert, Chair Chair
(02/02/98)
7
980198
vs
ATTEST: t$fft(1Peef / ATTEST:
sii .r '� ..
Weld County i*Mb ��Q �
i
f>o/ By By: i 1�A te4t la 44 �i ele ecretar412a4
asurer
Deputy )to T r
`_rio—
Ap e s rm. Asp oved as to Content:
W County A orney ary McCab• Director
t d County A' bulance Service
8 980198
OFFICE OF THE CITY MANAGER
City of 1000 10TH STREET,GREELEY,COLORADO 80631 (970)350-9770 `
Greeley
December 9, 1997
TO WHOM IT MAY CONCERN:
This is to certify that the City of Greeley, by Ordinance No. 18, 4.18.010, 1986, is self-
insured. In accordance with applicable State Statutes, the City's Self-Insurance plan has been
and remains in force for any and all liability issues arising from regular and normal Municipal
Government activities.
While Section 24-10-114, CRS (as amended) limits our liability to $150,000/$600,000 in
accordance with Ordinance No. 18, 1986, a $1 million dollar letter of credit provides for any
unforseen and documented judgments against the City of Greeley.
If you have any questions, please call me at (970) 350-9750.
Sincerely,
Leonard A. Wiest
Assistant City Manager
mll
980198
ACORQ. CERTIFICATE:OF INSURANCE.-: ISSUE DATE(MM/DDn7)
MAY 3-96 . .�
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND -
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
Heritage General Agency, Inc )DES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
OLICIES BELOW.
3989 E. Arapahoe Road, No . 200
Littleton, CO 80121 COMPANIES AFFORDING COVERAGE
:OMPANY
A FIRST FINANCIAL INSURANCE CO. .
•
INSURED COMPANY
C.T.L.CO.,INC. B
COMPANY
15880 EAST 11TH AVENUE 1 C
AURORA, CO 80014 1 COMPANY
D
COV.RAG.S.—:• __
NOS IS TO NOTWITHSTANDING
THAT THE POUCIREQUIRSEMENT,
T RMINSURANCECON USTED BELOW HAVE BEEN OR OTHER
HER DOCUMENT
INSURED NAMED RESPECT TO
FOR THE POUCY PERIODAT (MAY BE S.
PE THIN, TINSU ANY AFFORDED TERMORCIES SN OF ANY CONTRACTJEOTTOR THE TERM.E EXCLUSIONS
AWHICHTHIS CERTIFICATEMAC ISSUEDE ORS MAY
SHOWN
THE INSURANCE AFFPRDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AU.THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
COTYPE OF INSURANCE POLICY NUMBER POUCY EFFECTIVE POLICY EXPIRATION I LIMITS
LTR DATE(MMIODM') DATE(MMIOD/YY)
'GENERAL LIABILITY I GENERAL AGGREGATE :S 1,000,0001
X COMMERCIAL GENERAL LNBIUTY F0251 G410002 JAN 18 96 JAN 18 97 I PROOUCTS-COMPIOP AGG, I S 1,000,0001.'
CLAIMS MADE —', OCCUR I PERSONAL&AOV INJURY S 1,000,0001 '
Al OWNER'S&CONTRACTOR'S PROT.
I EACH OCCURRENCE IS 1,000,0001A
• FIRE DAMAGEIMy One Fie) I S 50,000)
MED.EXPENSE(Any One PenangS 1,000L2
I
'AUTOMOBILE LIABILITY i
COMBINED SINGLE LIMIT •S
I ANY AUTOI
ALL OWNED AUTOS BODILY INJURY I
• SCHEDULED AUTOS 11 EC,E V E D (Pe Person) S
I HIRED AUTOS
NON-OOWNED AUTOS A'( S 1p(1C BODILYA�INeJrsURY i S
- 1 JLl 1
'I 'i •
P. PROPERTY DAMAGE S�,a LL....._. .
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT •S
ANY AUTO OTHER THAN AUTO ONLY: I �'a' ;`
CH ACCIDENT S
� 'EACH<.AGGREGATE I S
EXCESS LIABILITY EACH OCCURRENCE
nI r.
UMBRELLA FORM s
AGGREGATE I I-
I (OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND STATUTORY LIMITS ,yvy a p,w,.-.. :i!
EMPLOYERS'LIABILITY EACH ACCIDENT I
I= THE PROPRIETOR/ INCL DISEASE-POLICY UMIT IS
PARTNERS/EXECUTIVE
OFFICERS ARE I E(CL DISEASE EACH EMPLOYEE I S
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESISPECIAL ITEMS f
ITe
¢ERTIFICATEHOLDER - :- - 1. CANCELLATIONU.. - _ ,.,.- .,
GREELEY FIRE DEPT. • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
1 EXPIRATION DATE THEREOF.THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
919-7TH ST. 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. _
GREELEY,CO 80631 - BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY.ITS AGENTS OR REPRESENTATIVES.
A. 0 I HUHILEDD HEPHLBEN I AI NE
Attention: DEAN
✓ // (jj,,_ .„� r':��--
ACORD Like,ER. TIFiCIATE:OF LIABILITY CEREME;ff DATE(MM/OD/YY)
PRODUCER (303)692-9001 FAX (303)692-9320 I HIS LERIIFICATE ISISSULU AS A MA I I EKUFINFUKMAIIUN
:IS/INSURERS OF COLORADO, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
1873 S. BELLAIRE ST. , S#1225 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
DENVER, CO 80222 COMPANIES AFFORDING COVERAGE
COMPANY CO Compensation Ins. Authority
Attn: Ext: A
INSURED COMPANY
CTL Company, Inc. B
15880 East llth Avenue
Aurora, CO 80011 COMPANY
C
COMPANY
D
OV.ERAO
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POUCY EXPIRATION LIMITS
LTR DATE(MMIDDIW) DATE(MM/DONY)
GENERAL LIABILITY GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $
AR CLAIMS MADE OCCUR PERSONAL 8 ADV INJURY $
OWNER'S S CONTRACTOR'S PROT EACH OCCURRENCE I S
FIRE DAMAGE(My one fire) $
MED EXP(My one person) S
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $
ANY AUTO
ALL OWNED AUTOS
BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY $
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
.........................................
.......................................
.........................................
_.ANY AUTO OTHER THAN AUTO ONLY.
EACH ACCIDENT $
AGGREGATE'. S
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORMVVLblAILI-
$
WORKERS COMPENSATION AND X T RV LIMBS: ER _.._..........Si:............._..::. $
EMPLOYERS'LIABILITY EL EACH ACCIDENT $
A 3316719 04/01/1996 04/01/1997 100,000
THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT $ 500,000
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE E$ 100,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
Greeley Fire Dept. 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
Attn: Dean
Fax: (970)971-9525 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
919 - 7th Street O NY KIND UPON THE CO ANY ITS AGENTS OR REPRESENTATIVES.
Greeley, CO 80631 / • IZEDREPRESENTA E
ACOR025$t'1/95) _ S'" ...4QCQ t N1985
A„,__ � ^`1 .1r`1bt,X�1 , 1.fs IF)/\i,cici G� -t< i :_ .lead-s t.> ISSU '° T Pu DftAJij
� PRODUCER -�,_ <._._ ... _ •- .. � �- `h
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE '
INSURANCE&BONDING ASSOC.OF COLO,INC. DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE !%
r;
;, ENGLEWOOD,CO 80112
PHONE 303-7904222 "'-!
FAX 303-790-2490 COMPANIES AFFORDING COVERAGE .i
COMPANY - — -A FIRST FINANCIAL INSURANCE CO.
INSURED COMPANY - - ,:.
' C.T.L.CO.,INC. B GREAT AMERICAN INSURANCE COS.
f.
•
COMPANY — —
15880 EAST 11TH AVENUE C ! '.
AURORA,CO 80014 COMPANY - - - - - -
D
'O
THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE
INDICATED,
CAED`,�
NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH ESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN,THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. LIMITS SHOWN :.
MAY NAVE BEEN REDUCED BY PAID CLAIMS. #`�'
s TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
T DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS
GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,001
COMMERCIAL GENERAL LIABILITY F0251G410002 JAN 18 96 JAN 18 97
LLAIMS MADE X OCCUR. 8 PRODUCTS-COMP/OP AGG. $ 1,000,000(:-
A
p
PERSONAL ADV INJURY ?:
OWNER'S&CONTRACTOR'S PROT. $ 1,000,000 p!.
1
EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE(Any One Fire) $ 50,000"
MED.EXPENSE(Any One Person$ 1,000 ::!
UTOMOBILE LIABILITY
ANY AUTO COMBINED SINGLE LIMIT $ ("
11
ALL OWNED AUTOS ?
fBODILY INJURY i .
SCHEDULED AUTOS (Per Person) $
.HIRED AUTOS (
III NON-OWNEDAUTOS BODILY INJURY $
(Per Acegent) ;.5
'PROPERTY DAMAGE $ 4.
GARAGE LIABILITY r'.
ANY AUTO AUTO ONLY-EA ACCIDENT $
OTHER THAN AUTO ONLY s.3r.,ys p I 'I<,
`# .e
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABIL!I Y it
UMBRELLA FORM EACH OCCURRENCE $ ;;i
1
OTHER THAN UMBRELLA FORM
AGGREGATE $ "I
WORKER'S COMPENSATION AND STATUTORY LIMBS ^EMPLOYERS LIABILITY EACH ACCIDENT `
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE DISEASE-POLICY LIMIT $
OFFICERS ARE. EXCL DISEASE-EACH EMPLOYEE $
OTHER ,
- _ a
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS �''
. ,LC ER p.'-:.u0'DE13,::'e"°F ,r�':>^ .'"a ,n,,�^t n.'^',� ''~rv.+'s'' ,:.... CECLAT!ONh1" F' `*. "r� +'�vW . -t y < m,YY,:
w!FePt=r./ao;..!. .s. a' :IES .y,{ED BEFORE
dam`'::
GREELEY FIRE DEPT. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
919-7TH ST. 'T EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
GREELEY,CO 80631 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY ;S
OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. "`�
U I HOHIGEU HEPHLSEN MINE
Attention: DEAN , JCtj�/ " �
aria �/ 80198 A.
/
Hello