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<br />Client#: 29012 <br /> <br />LTWAT <br /> <br />ACORDTM CERTIFICATE OF LIABILITY INSURANCE <br /> <br />DATE (MM/DDIYYYY) <br />10/11/04 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> <br />PRODUCER <br />Flood & Peterson Insurance Inc <br />9351 Grant Street, Suite 600 <br />Thornton, CO 80229 <br />720977-7110 <br /> <br />Little Thompson Water District <br />Drawer G <br />835 E. Highway 56 <br />Berthoud, CO 80513 <br /> <br />INSURERS AFFORDING COVERAGE <br />INSURER A: EMC Insurance Company <br />INSURER B: Pinnacol Assurance <br />INSURER c: <br />INSURER D: <br />INSURER E: <br /> <br />NAIC# <br /> <br />INSURED <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 />INSR ~~~~ TYPE OF INSURANCE POLICY NUMBER P.?A~~~ri~~~8~E p~~fJ(~~~~N LIMITS <br />LTR <br />A ~NERAL LIABILITY 1047111 05/01/04 05/01/05 EACH OCCURRENCE $1 000000 <br /> X- 3MERCIAL GENERAL LIABILITY DAMAGE TO RENTED $100000 <br /> - CLAIMS MADE [Xl OCCUR MED EXP (Anyone person) $5 000 <br /> PERSONAL & ADV INJURY $1,000000 <br /> - <br /> GENERAL AGGREGATE $2,000 000 <br /> - <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COM PlOP AGG $2,000 000 <br /> Xl POLICY n ~~g: nLOC <br />A AUTOMOBILE LIABILITY 1 E47111 05/01104 05/01/05 COMBINED SINGLE LIMIT <br /> - $1,000,000 <br /> X- ANY AUTO (Ea accident) <br /> - ALL OWNED AUTOS BODILY INJURY <br /> (Per person) $ <br /> - SCHEDULED AUTOS <br /> X- HIRED AUTOS BODILY INJURY <br /> $ <br /> X- NON-OWNED AUTOS (Per accident) <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 />A ~ESS/UMBRELLA LIABILITY 1J47111 05/01104 05/01/05 EACH OCCURRENCE $5.000 000 <br /> X OCCUR D CLAIMS MADE AGGREGATE $5 000 000 <br /> $ <br /> ~ DEDUCTIBLE $ <br /> X RETENTION $10000 $ <br />B WORKERS COMPENSATION AND 4030914 07/01104 07/01/05 I T~gJT ~~~" I X I OJ~- <br /> EMPLOYERS' LIABILITY $1.000,000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $1,000,000 <br /> If yes, describe under $1,000,000 <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />Colorado Water Conservation <br />Board <br />1580 Logan St Ste 750 <br />Denver, CO 80203 <br />Attn: Jan IlIian <br />Fax: 303-894-2578 <br />ACORD 25 (2001/08)1 of 2 #S297235/M285924 <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEll BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -30.- DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> <br />REPRESENTATIVES, <br />AUTHORIZED REPRESENTATIVE <br />F/o.ocJ.. 'r' ;~S.OAJ <br /> <br />MXB <br /> <br />r wi vr ~c..A i:r;..J c. <br />@ ACORD CORPORATION 1988 <br />