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LPPD000240
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LPPD000240
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Last modified
3/7/2013 4:22:48 PM
Creation date
3/26/2007 10:12:23 PM
Metadata
Fields
Template:
Loan Projects
Contract/PO #
C150177
Contractor Name
Smart Brothers, Inc.
Contract Type
Loan
Water District
64
County
Logan
Loan Projects - Doc Type
Contract Documents
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<br />Dec-13-04 02:48P Carruthers State Farm Ins 970 522 6664 <br /> <br />P.Ol <br /> <br />CERTIFICATE OF INSURANCE <br /> <br />T . 0 STATE FARM FIRE AND CASUALlY COMPANY, Bloomington, Illinois <br />STATE FAU\ 0 STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois <br />.A... 0 STATE FARM FIRE AND CASUALlY COMPANY, Scarborough, Ontario <br />.,.. 0 STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida <br />INSURANCE 0 STATE FARM LLOYDS, Dallas, Texas <br />owing policyholder for the coverages indicated below: <br /> <br />Name of policyholder SMART BROTHERS INC <br /> <br />Address of policyholder 15114 CTY ROAD 310 ATWOOD, CO B0722 <br /> <br />location of operations 15114 CTY ROAD 310 ATWOOD, CO B0722 <br />Description of operations FARM/RANCH <br />The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is <br />subject to all the terms exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid claims. <br /> <br /> <br /> POLICY PERIOD LIMITS OF LIABILITY <br />POLICY NUMBER TYPE OF INSURANCE Effective Date : Expiration Date (at beginning of policy period) <br /> Comprehensive BODILY INJURY AND <br />96-BM-9106-4F Business liability . OB-29-04 : OB-29-05 PROPERlY DAMAGE <br />~---------------------------- - r:fProduds -.- Comp;etec.- OpEli-atiOns -- - - - u - - --- -- -- - - -- - - --- - - <br />This insurance includes: <br /> o Contractual liability <br /> o Underground Hazard Coverage Each Occurrence $100,000 <br /> o Personal Injury <br /> o Advertising Injury General Aggregate $ 200,000 <br /> o Explosion Hazard Coverage <br /> o Collapse Hazard Coverage Products - Completed $ 200, 000 <br /> ~ GENERAL FARM LIABILITY Operations Aggregate <br /> 0 <br /> POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE <br /> EXCESS L1ABILllY Effective Date ExpiIation Date (Combined Single limit) <br />B6-4B-647B-9F ~ Umbrella 01-01-05 01-01-06 Each Occurrence $ 1,000,000 <br /> o Other Aggregate $ 2,000,000 <br /> Part 1 STATUTORY <br /> Part 2 BODIL Y INJURY <br /> Workers' Compensation <br /> and Employers Liability Each Accident $ <br /> Disease Each Employee $ <br /> Disease. Policy Limit $ <br /> POLICY PERIOD LIMITS OF LIABILITY <br />POLICY NUMBER TYPE OF INSURANCE Effective Date ': Expiration Date (at beginning of policy period) <br />B6-48-647B-9F LIAB. UMBRELLA 01-01-04 , 01-01-05 1,000,000 EACH OCCURRENCE <br />, <br /> . <br /> 2,000,000 AGGREGATE <br /> . <br /> , <br /> <br />THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY <br />AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. <br />If any of the described policies are canceled before <br />its expiration date, State Farm will try to mail a written <br />notice to the certificate holder 30 days before <br />cancellation. If however, we fail to mail such notice, <br />no obligation or liability will imposed on State <br />or i age or represent es. <br /> <br />Name and Address of Certificate Holder <br /> <br />R.E. LOAN CONTRACTi C150177 <br /> <br /> <br />COLORADO WATER CONSERVATION BOARD <br />WATER SUPPLY PLANNING AND FINANCE SECTION <br />15BO LOGAN ST. SOITE 750 <br />DENVER, CO 80203 <br /> <br />ATTN: CHAD HENDERSON <br /> <br />.......~... <br /> <br />558-994 a.3 04-1999 Printed in U.S.A. <br /> <br />AFO Code, i- ~;'i>/~' .~.~ ":i~:~:r <br />'t R. CARRUF :. - <. .... <br />'~ORT~~ 0 <br /> <br />1828 J <br />F625\ <br />~",,,,, . <br />
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