Laserfiche WebLink
<br />ACORDm CERTIFICATE OF LIABILITY INSURANCE OPID S~ DATE (MM/DDIYYYY) <br />COLOR-4 OS/24/06 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Hix Insurance Associates, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />4440 Arapahoe Ave. , Ste 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Boulder CO 80303 <br />Phone: 303-444-4666 Fax:303-444-8481 INSURERS AFFORDING COVERAGE NAlC# <br />INSURED INSURER A: American ~ternative Insurance <br /> INSURER B: <br /> The Colorado Canal Company INSURER C: <br /> Shirley Muth <br /> P.O. Box 8 INSURER D: <br /> Ordway CO 81063 <br /> 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 <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY .PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - <br />LTR NSRi TYPE OF INSURANCE POLICY NUMBER ~~';!~lri~rJJ=~E P~k!fll~~1hRD~~N LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $1,000,000 <br /> - <br />A X COMMERCIAL GENERAL LIABILITY SDISSK91003152 06/01/06 06/01/07 PREMISES (Ea occurence) $1,000,000 <br /> I CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $10,000 <br /> PERSONAL & ADV INJURY $1,000,000 <br /> - <br /> X D&O & EPLI GENERAL AGGREGATE $ 3,000,000 <br /> - <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COM~OPAGG $ 3,000,000 <br /> I nPRO- n Emp Ben. 1,000,000 <br /> POLICY JECT LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 <br /> - <br />A X ANY AUTO SDSA9001792 06/01/06 06/01/07 (Ea accident) <br /> f-- <br /> ALL OWNED AUTOS BODILY INJURY <br /> f-- $ <br /> SCHEDULED AUTOS (Per person) <br /> f-- <br /> HIRED AUTOS BODILY INJURY <br /> f-- $ <br /> NON-OWNED AUTOS (Per accident) <br /> f-- <br /> PROPERTY DAMAGE $ <br /> (Per accident) .. <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ~ ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> o OCCUR 0 CLAIMS MADE AGGREGATE $ <br /> $ <br /> R DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND I. WGSIAIU- I IUJ~- <br /> TORY LIMITS <br /> EMPLOYERS' LIABILITY $ <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT <br /> OFFICER/MEMBER EXCLUDED? E.L DISEASE - EA EMPLOYEE $ <br /> If yes, describe under E.L DISEASE - POLICY LIMIT $ <br /> SPECIAL PROVISIONS below <br /> OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />l.o..K e. fY\ e., e d H'~ Resef\JDlr Co ~pttlV~ <br />LcU<e He~~ ~ Q~eru 0 l\ Co fY\ ~Q f\J 'd <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />COL0013 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> <br />Colorado Water Conservation <br />Board <br />Attn: Jan Illian <br />1313 Sherman Street <br />Denver CO 80203 <br /> <br /> <br />@ACORDCORPORATION 1988 <br /> <br />ACORD 25 (2001/08) <br />