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<br />ACORDm CERTIFICATE OF LIABILITY INSURANCE OP 10 D~ DATE (MM/DDNYVY) <br />LOWER-2 09/18/07 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONL Y 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 AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Boulder CO 80303 <br />Phone: 303-444-4666 Fax: 303-444-8481 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: American Alternative Insurance <br /> INSURER B: <br /> The Lower Latham Ditch Company INSURER C <br /> Lower Latham Reservoir Company <br /> P.O. Box 398 INSURER D: <br /> Kersey CO 80644 <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. NOlWlTHSTANDING <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 />ilt~R ~~ii TYPE OF INSURANCE POLICY NUMBER DATE (MM/DDIYY) ~gkt(i,v{MMlDDIYY) LIMITS <br /> GENERAL LIABILI1Y EACH OCCURRENCE $1,000,000 <br /> - <br />A X COMMERCIAL GENERAL LIABILITY SDISSP9151208 03/01/07 03/01/08 ~~~~~s (Ea occurence) $1,000,000 <br /> I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $10,000 <br /> - I----' <br /> PERSONAL & ADV INJURY $1,000,000 <br /> - <br /> ~ D&O/EPLI/EBL GENERAL AGGREGATE $3,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $3,000,000 <br /> I n PRO- nLOC Emp Ben. INCLUDED <br /> POLICY JECT <br /> AUTOMOBILE LIABILI1Y COMBINED SINGLE LIMIT <br /> - $ <br /> ANY AUTO (Ea accidenl) <br /> - <br /> ALL OWNED AUTOS BODIL Y INJURY <br /> - $ <br /> SCHEDULED AUTOS (Per person) <br /> - <br /> HIRED AUTOS BODIL Y INJURY <br /> - $ <br /> NON-OWNED AUTOS (Per accident) <br /> - <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONL Y - EA ACCIDENT $ <br /> R ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> tJ OCCUR D CLAIMS MADE AGGREGATE $ <br /> $ <br /> R DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND ITb~'y t:~;'T~ I IU~;t <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 <br /> SPECIAL PROVISIONS below E,L. DISEASE - POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br /> <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br /> <br />COL0R20 <br /> <br />SHOULD ANY DF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFDRE THE EXPIRATIDN <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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 />REPRESENTATIVES, <br />AUTHORIZE RE RE ENTATIVE <br /> <br /> <br />CORD CORPORATION 1988 <br /> <br />Colorado Water <br />Conservation Board <br />Attn: Vaughn McWilliams <br />1580 Logan st., suite 750 <br />Denver CO 80203 <br /> <br />ACORD 25 (2001/08) <br />