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!•AAooItIk \llPERTIFIQATE O , ar7 U11'� *1/!!IN i; .,.,DAK�MMIDIf1YV)
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THIS CERTIHfcA1k IS ISSUED AS A MAT1tR OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Acordi ■ of Colorado HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P 0 Box 39117 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
5755 Mark Dabl ing Blvd Ste 300 COMPANIES AFFORDING COVERAGE
Colorado Springs , CO 80949 COMPANY - ,
719-592-1177 A Colorado Compensation
BFBURED COMPANY 1 _-'
North Weld Co. Water District B JI
P. 0. Box 56 COMPANY -.- I—
C '- I ' l�
33247 Hwy 85 n;- �J i
Lucerne, CO 80646 COMPANY %�
I D
THISISTOCERTIFY THAT THE POLICIESOFINSURANCE LIST EDBELOWHAVEBEENISSUED TOT HE INSURED NAMED ABOVEFORT HE P V PERIOD
INDICATED.NOTWITHSTANDINGANYREOUIREMENT,TERM ORCONDITIONOFANYCONT PACT OROTHERDOCUMENT W ITHRESPECT T HICHT HIS
CERTIFICATE MAY BE ISSUED OR MAY PERT AIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL HE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS.
00 TYPEO►PIS11N11NOE POLICY MAW POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTa DATE(MMMDDIM DATE(HMICIRYY)
DENERAL LIABILITY GENERAL AGGREGATE $
COMMERCIALGENERALLIABILITY PRGnCTS-COI/CP AGG
CLAIMS MALE OCCUR PERSONAL & ADV INJURY $
OWNER'S B.CONTRACTCR'S PROT EACH OCCURRENCE $
FIRE DAMAGE(Any one lire) $
IED EXP(Any one person) S
AUTOMOBLE LIABLITY COMBINED SINGLE LIMIT $
ANY AUTO
ALL OWIED AUTOS BODILY INJWY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY t
— NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY • EA ACCIDENT $
...................
1 ANY AUTO OTTER THAN AUTO OILY
EACH ACCICENI 1 ..
AGGREGATE $
EXOEUULIABLITY EACH OCCURRENCE 1
—
UMBRELLA FORM AGGREGATE $
OIFER THAN UMBRELLA FORM 1
WORKERS COMPENSATION MID x STATUTORY LIMITS
EMPLOYERt'LIASLITY EACH ACCIDENT $
A WE PROPRIETOR/ — 0034315 1/01/96 1/01/97 100000
CL
PARTIERS/EXECUTIVE IN DISEASE POLICY LIMIT $ 500000
OFFICERS ARE: EXCL DISEASE'EACH EMPLOYEE S 100000
OTHER
DISURPTION OF OPERATIONSLOOATIONSNEHMLISISPEOIAL ITEMS
aRTIPIGATEHOLDER z: CAL 14411 N,? .,.,. j'
WORLD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
We I d County 10 DAYS WRITTEN NOTICE TO THE CERTFICATE HOLDER NAMED TO THE LEFT,
P.O. Box 758 BUT FALURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
Greeley, CO 80632 OF ANY K WON TH COWAN I AGENTS OR REPRESENTATIVES.
ACTH/ SENTATry / 117180000
A 1(#b26I (Sfil( g -/RD CORPOIIATION I �B:
S I'Yli 960424
03/i (UP
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