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Home My WebLink About20220329.tiffACRD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 1/11/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Arthur J. Gallagher Risk Management Services, Inc. 6300 South Syracuse Way, Suite 700 Centennial CO 80111 CONTACT NAME: Camryn Travis PHONE FAX Eat): 303-773-9999 A/C No): 303-773-9776 E-MAILDSS: Cam n Travis a .com _ INSURERS) AFFORDING COVERAGE NAIC# INSURER A : Plnnacol ASsurance Com an 41190 INSURED WELDCOU-01 INSURERS: Weld County, Colorado P.O. Box 758 INSURERC: : INSURER D: : 1150 "O" Street Greeley CO 80632 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1120002521 REVISION NUMBER: 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. INSR LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE S l RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ❑ PRO ❑ LOC JECT PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOS BODILY INJURY (Per Accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERSLIABILITY YIN 4234402 12/31/2021 12/31/2022 X STATUTE ERH ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? ❑ N/A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Self -Insurance Permit Cancellation Evidence of Coverage Only CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE State of Colorado THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Department of Labor and Employment ACCORDANCE WITH THE POLICY PROVISIONS. Division of Workers Compensation AUTHORIZED Insurance Compliance - Self -Insurance Unit 633 17th St, Ste 400 Denver CO 80202-3-3 660 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) Csmm/�cnj�I , I -2?22- The ACORD name and logo are registered marks of ACORD 2022-0329 PEo033 ,a►� �® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 1/18/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Arthur J. Gallagher Risk Management Services, Inc. 6300 South Syracuse Way, Suite 700 Centennial CO 80111 NAME: Nathan Kathol PHONE FAX Ne • 303-889-2532 A C No): ADDRESS: Nathan_Kathol@ajg.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Colorado Counties Casualty & Property Pool INSURED Weld County P.O. Box 758 INSURER B: Various (See Attached) INSURER C: INSURER D: Greeley, CO 80632 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1427138704 REVISION NUMBER: 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. INSR LTR TYPE OF INSURANCE ADDL. SUER POLICY NUMBER POLICY EFF M POLICY EXP M LIMITS A X COMMERCIAL GENERAL LIABILITY Y PER PARTICIPATION CERT 1/1/2022 1/1/2023 EACH OCCURRENCE $ 1,500,000 I X CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES lEaoccurrence $ MED EXP (Any one person) $ PERSONAL &ADV INJURY $ 1,500,000 N'LAGGREGATELIMITAPPLIESPER: GENERAL AGGREGATE $1,500,000 POLICY ❑ jRa LOC N PRODUCTS-COMP/OPAGG $1,500,000 Law Enforcemnet Liab $ 1,000,000 OTHER: Per Member A AUTOMOBILE LIABILITY PER PARTICIPATION CERT 1/1/2022 1/1/2023 COMBIidnt) GLELIMIT id Ea accent $1,500,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X HIRED I NON -OWNED AUTOS ONLY AUTOS ONLY $ X Claims Made B UMBRELLA LIAB LII OCCUR VARIOUS 1/1/2022 1/1/2023 EACH OCCURRENCE $10,000,000 AGGREGATE $ 10,000,000 X EXCESS LIAB X CLAIMS -MADE DED Ix RETENTION$i $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANYPROPRIETOR/PARTNER/EXECUTIVE PER STH STATUTE ER E.L. EACH ACCIDENT $ OFFICERIMEMBEREXCLUDED? N/A (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Prop, Mob Eq, Auto PD, XS PER PARTICIPATION CERT 1/1/2022 1/1/2023 DEDUCTIBLE $500 $150,000 B Excess Property See Attached 1/1/2022 1/1/2023 Layered See Attachment DESCRIPTION OF OPERATIONS! LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Casualty Program includes General Liability, Auto Liability, Law Enforcement Liability, & Public Officials Liability Greeley Stampede Parades is Additional Insured as respects General Liability policy pursuant to and subject to the policy's terms, definitions, conditions and exclusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Greeley Stampede Parades 600 N 14th Avenue Greeley CA 80631 AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD COLORADO COUNTIES CASUALTY AND PROPERTY POOL 1/1/2022 TO 1/1/2023 CASUALTY - LAYERED PROGRAM - POLICY NUMBERS, PARTICIPATION -. Primary GL, AL, POL Pennsylvania Mfgrs. (Old Re) 8222000951483 $500,000 $1,500,000 Excess GL, AL, POL $3M xs $2M Evanston Ins. Co. (Markel) MPEIEV0076220 $3,000,000 Law Enforcement Liability QBE Specialty Ins. Co. QSX0100800 $4,000,000 $1,000,000 Excess Layer $5M xs $5M Upland Specialty Ins. Co. USXPE007692200 $3,000,000 Texas Ins. Co. T122NPX0133401 $2,000,000 COLORADO COUNTIES CASUALTY AND PROPERTY POOL 1/1/2022 TO 1/1/2023 PROPERTY - LAYERED PROGRAM - POLICY NUMBERS, PARTICIPATION Uws at Lloyds (various) - LEAD PW0330022 & PW0330122 $4,500,000 45% Primary Layer CV Starr SLSTPTY11557422 $2,000,000 20% Westchester Surplus D38095432005 $2,000,000 20% Allied World 031216751A $1,500,000 15% Evanston (Markel) MKLV2XPR000583 $4,500,000 30% Total Excess Layer $15M xs $10M CV Starr SLSTPTY1 1557422 $3,000,000 20% UW at Lloyds (various) PW0330022 $4,500,000 30% Westchester Surplus Lines D38095432005 $3,000,000 20% Fidelis Underwriting Limited NOGW47603022 $10,000,000 40% Aspen Specialty Ins. Co. PX00K6222 $3,750,000 15% Total Excess Layer $25M xs $25M RSUI Indemnity Co. NHD915886 $1,250,000 5% Lexington Ins. Co. 6893563 $3,750,000 15% Lloyd's NOGW47604022 $2,500,000 10% Starstone TBD $3,750,000 5% Homeland Ins.Co. (OneBeacon) 795014043 $12,500,000 25% Total Excess Layer $50M xs $75M RSUI Indemnity Co. NHD915887 $15,000,000 30% i Mtsui TBD $12,500,000 25% Swiss Re TBD $10,000,000 20% Excess Automobile Physical Damage - Endurance IMU10012212604 $4,000,000 xs 100% over the Road $1,000,000 Hello