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ACORD CERTIFICATE OF LIABILITY INSURANCE C$R DATE IMM DD YVI
NORTH-3 09/15/97
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Hix Insurance Associates, Inc. ALTEROLD . THIS
HE COVERAGE ATE DOESRDED BYOT THE POLICIESND, EXNDO OR
4564 Arapahoe Ave.
Boulder CO 80303 COMPANIES AFFORDING COVERAGE
Charles Hix COMPANY
A Firemen's Fund Insui'arIICe Co.
Phone No. 303-444-4666 Fax No. _
INSURED Northern Colorado Water COMPANY
Conservancy District and the B
Municipal Subdistrict of the
Northern Colorado Water COMPANY
Conservancy District C P.O. Box 679 COMPANY
Loveland CO 80537 D
COVERAGES '
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.
POUCY EFFECTIVE POUCY EXPIRATION UNITS
CO TYPE OF INSURANCE POLICY NUMBER DATE(MAR/DDMY) DATE IMM/DDNYI
LTR
GENERAL UABIUTV GENERAL AGGREGATE S 1,800,000
A X COMMERCIAL GENERAL LIABILITY 8G2MZG80631791 09/30/97 09/30/00 PRODUCTS-COMP/OPAGG $ 1,800,000
CLAIMS MADE X OCCUR PERSONAL&ADV INJURY S 600,000
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE 8 600,000
FIRE DAMAGE(Any one fire) P 50,000
MED EXP(Any one person) $ 5,000
AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT $ 600,000
A X ANY AUTO 8G2M2G80631791 09/30/97 09/30/00
ALL OWNED AUTOS BODILY INJURY $
Per person)
SCHEDULED AUTOS
A $ HIRED AUTOS BODILY INJURY $
(Per accident)
A $ NON-OWNED AUTOS
PROPERTY DAMAGE $
GARAGE UABIUTY AUTO ONLY-EA ACCIDENT S
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EXCESS UABIUTY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE S
5
OTHER THAN UMBRELLA FORM _
WORKERS COMPENSATION AND
TORY LIMITS OER
EMPLOYERS'UABIUTY EL EACH ACCIDENT S
THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT S
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL EL DISEASE EA EMPLOYEE $
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
Water Conservancy District providing the means of storage and transportation
of irrigation water for it's landowners.
CERTIFICATE HOLDER CANCELLATION
WELDCO1 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF.THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE T E CERTIFICATE H DER NAMED TO THE LEFT.
Weld County BUT FAILURE TO MAIL SUCH TI SHALL IMPOS 0 OBUGATION OR UABIUTY
Board of County Commissioners ,ITS AGENTS RREPRESENTATIVES.
P.O. Box 758 OF ANY KIND UPON THE M
Greeley CO 80632 AUTHORIZED REPRESENT V
Charles Hix
ACORD 25-5 11/95) !g 972196
,earn9 1/a/97
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