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<br />1""'1 <br />ACORDTM CERTIFICA TE OF LIABILITY INSURANCE -' DATE <br />11/18/2005 <br />PRODUCER THIS CeRTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />RiskPlan Insurance ONLY A'ND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. lHlS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />f"""} 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 />HIGHLAND DITCH COMPANY INSURER B: <br />4309 HIGHWAY 66 INSURER C: <br /> INSURER D: <br />LONGMONT CO 80504- 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 PgA~~:~~~8,w:= POLICY EXPIRATION LIMITS <br />LTR DATE IMMlDDIYYI <br />A GENERAL LIABILITY CWP 2371625-23 11/01/2005 11/01/2006 EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ 100,000 <br /> -' CLAIMS MADE []D OCCUR / / / / MED EXP (Anyone person) $ 5,000 <br /> PERSONAl & ADV INJURY $ 1,000,000 <br /> / / / / GENERAL AGGREGATE $ 2,000,000 <br /> GEN'l AGGRnE LIMIT nES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 <br /> :l PRO- / / / / <br /> POLICY JECT LOC <br /> t-AUTOMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea accident) $ <br /> - / / / / <br /> - All OWNED AUTOS BODilY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> - / / / / <br /> t-- HIRED AUTOS BODilY INJURY <br /> NON-OWNED AUTOS (Per accident) $ <br /> 'r- / / / / PROPERTY DAMAGE <br /> (Per accident) $ <br /> GARAGE liABILITY AUTO ONLY - EA ACCIDENT $ <br /> R-ANYAUTO / / / / OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS LIABILITY / / / / EACH OCCURRENCE $ <br /> =:JOCCUR 0 CLAIMS MADE AGGREGATE $ <br /> $ <br /> 8 DEDUCTIBLE / / / / $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND / / / / .1 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 /> / / / / <br />IESCRJPTlON OF OPERATlONS/LOCA TlONSNEHICLESlEXClUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />IITCH <br />:ERTIFICA TE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLA TION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> ) - ( ) - 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 /> COLORADO WATER CONSERVATION BOARD 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 7.50 AUTHORIZED REPRESENTATIVE C /~-_. -~ <br /> DENVER, CO 80203- /' .-- '" <br />:ORD 25-8 (7/97) ~ @ACORDCORPORATlON 19inr-- <br /> <br />M- INS025S (9910).02 <br /> <br />ELECTRONIC LASER FORMS, INC. - (800)327-0545 <br /> <br />Page 1 of2 <br />