C150230 Letter of Substaintial Completion

• Contract/PO #: C150230
• Contractor Name: Lincoln Park Crooked Ditch Company
• Contract Type: Loan
• Water District: 12
• County: Fremont
• Loan Projects - Doc Type: Project Completion Letter

ACOBQM

CERTIFICATE OF LIABILITY INSURANCE
FAX [phone]
of Colorado, Inc.

DATE (MM/DD/YYYY)
11/07/2007

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.

PRODUCER [phone]
Sunflower Insurance Group
611 Greenwood
Ci ty, CO 81212

Lincoln Park Crooked Ditch Co
PO Box 756
Canon City, CO 81215-4545

INSURERS AFFORDING COVERAGE
INSURER A Colorado Casualty Insu ranee CO
INSURER B:
INSURER C:
INSURER D:
INSURER E:

NAIC#
41785

COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I~~: ~~'i~ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
GENERAL LIABILITY CPP053339807 01/02/2008 01/02/2009 EACH OCCURRENCE $ 1,000,00(]
-
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,00(]
I CLAIMS MADE 00 OCCUR MED EXP (Anyone person) $ 5,00(]
A PERSONAL & ADV INJURY $ 1.000.00(]
- 2 ,000 , OO(]
GENERAL AGGREGATE $
- 2,000,00(]
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $
Xl .n PRO- nLOC
POLICY JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $
ANY AUTO (Ee accident)
-
ALL OWNED AUTOS BODILY INJURY
- $
SCHEDULED AUTOS (Per person)
-
HIRED AUTOS BODILY INJURY
- $
NON-OWNED AUTOS (Per eccident)
-
.- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
=1 ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
:=J OCCUR o CLAIMS MADE AGGREGATE $
$
=1 DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I WC STATU- I IOJ~-
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE EL. EACH ACCiDENT :;
OFFICERlMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
~~~M~sP~'OV~S~ONS below E.L DISEASE - POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS

C

.

State of Colorado Water Conservation Board
Attn: Construction Fund Section
Vaughn McWilliams
1313 Sherman St, Room 721
Denver, CO 80203

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUT R REPRESENTATIVE

ACORD 25 (2001/0S) FAX: [phone]

@ACORD CORPORATION 19sr