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<br />ACORDTM CERTIFICA TE OF LIABILITY INSURANCE I DATE <br />08/11/2004 <br />PRODUCER ( THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS. UPON THE CERTIFICATE <br />RiskPlan Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />659 4th Ave ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> INSURERS AFFORDING COVERAGE <br />Longmont CO 80501- <br />INSURED INSURER A: CONTINENTAL WESTERN GROUP <br />LOWER ARKANSAS WATER MGMT ASSOCIATION INSURER B: <br />PO BOX 1161 INSURER C: <br /> INSURER 0: . <br />LAMAR , CO 81052- INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR TYPE OF INSURANCE POLICY NUMBER P~k{.~~:~~gg~~ POLICY EXPIRATION LIMITS <br />LTR DATE/MM/DDNYI <br />A GENERAL LIABILITY CWP 2324073 07/07/2004 07/07/2005 EACH OCCURRENCE $ 1,000,000 <br /> - <br /> X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ 100,000 <br /> I CLAIMS MADE ~ OCCUR / / / / MED EXP (Any one person) $ 5,000 <br /> PERSONAL & ADV INJURY $ 1,000,000 <br /> / / / / GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 <br /> I POLICY n ~r8-r n LOC / / ~ / / <br />A --A.UTOMOBILE LIABILITY CWP 2324073 07/07/2004 07/07/2005 COMBINED SINGLE LIMIT <br /> - ANY AUTO (Ea accident) $ 1,000,000 <br /> - ALL OWNED AUTOS / / / / BODILY INJURY <br /> - SCHEDULED AUTOS (Per person) $ <br /> X HIRED AUTOS / / / / BODILY INJURY <br /> - <br /> ..!.. NON-OWNED AUTOS (Per accidertt) $ <br /> - / / / / PROPERTY DAMAGE <br /> (Per accident) $ <br /> ~RAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO / / / / OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> " <br /> EXCESS LIABILITY / / / / EACH OCCURRENCE $ <br /> ::::rOCCUR D CLAIMS MADE AGGREGATE $ <br /> $ <br /> =i DEDUCTIBLE / / / / $ <br /> . $ <br /> RETENTION $ <br /> WORKERS COMPENSATION AND / / / / I we STATU- I 10TH- <br /> EMPLOYERS' LIABILITY TORY LIMITS ER <br /> E.L. EACH ACCIDENT $ <br /> / / / / E.L. DISEASE - EA EMPLOYEE $ <br /> E.L. DISEASE - POLICY LIMIT $ <br /> OTHER <br /> / / / / i\ <br />DESCRIPTION OF OPERATlONS/LOCATlONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />IRRIGATION WORKS OPERATIONS <br />CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />( ) - (303) 894-2578 FAX EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br /> - <br /> CWCB WATER SUPPLY PLANNING & FINANCE SEC FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br /> ATTN: STEVE BIONDO INSURER, ITS AGENTS OR RePRESENTATIVES;>--""-.....,..,.-..,.-...... <br /> 1580 LOGAN STREET, SUITE 750 AUTHORIZED REPRESENTiTl~ y___ ~.~ <br /> DENVER, CO 80203- <br />ACORD 25-S 7/97 ----- --@-AC.ORDJ TOfH988 <br /> <br />( ) <br />ftTM- INS025S (9910).02 <br /> <br />ELECTRONIC LASER FORMS, INC. - (800)327-0545 <br /> <br />Page 1 012 <br />