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/`IinnH!• 7~ <br />~7S9ftS <br />ACORDn CERTIFICATE OF LIIABILITY INSURANCE o~ <br />; <br />s°"'""'' <br /> 2 <br />, <br />Pnooucea THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />The Harry A. Koch Co. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />BOx 45279 <br />P <br />O HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />. <br />. ALTER THE COVERAGE /AFFORDED BY THE POLICIES BELOW. <br />Omaha, NE 68145-0279 <br />402 861-7000 INSURERS AFFORDING COVERAGE NAIC X <br />INSURED INSURERA• The Cincinnati Insurance Co <br />Olsson Associates ~NSUReR s: ContinenWl Casualty Co. <br />P.O. BOX S~GOB <br /> INSURER C: <br />Lincoln, NE 68501 <br /> INSURER D: <br /> INSURER E: <br />[`f1VFRA[:FQ <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TFIE INSURED NAMED ABOVE FOR THE POLICY PERIOD ~NDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CER7IFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFOROED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POUCIES. AGGREGATE LtMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAlMS. <br />LTR R TYFE OF INSURANCE POIICY NUMBER P~UCY EFFECTNE POIICY E%PIRATION ~~~~Ts <br />/~ GENERAL LU8IUTY CPP0916763 'IO/O'I/OS ~O/O'I/OS EACH OCCURRENCE S9.OOO,OOO <br /> X COMMERCUIL GENERAL LIABILITY DAMAGE TO RENTED 5900 OOO <br /> CLAIMS MADE ~ OCCUR _ MED EXP (My one person) 59O OOO <br /> PERSONAL 6 ADV INJURY S¶ OOO OOO <br /> GENERAL AGGREGATE 52 OOO OOO <br /> GENi AGGREGATE LIMIT APPLIES PER: PROOUCTS - COMP/OP AGCa SZ OOO OOO <br /> POUCY PRa LOC <br />A AUTOMOBILE LIABILITY CPP0916763 10/01/05 ~ ~~~~ ~~6 COMBINED SINGLE LIMIT <br /> X ANY AUTO (Ea accident) s~ ~OOO~OOO <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> <br />SCHEDUlEO AUTOS <br />(Per peBOn) a <br /> X HIRED AUTOS <br />BODILY INJURY <br /> <br />X <br />NON-0WNED AUTOS <br />(Per ecddent) s <br /> PROPERTYDAMAGE <br /> <br />P <br />dd s <br /> ant) <br />( <br />er ae <br /> GARAGE IIABILITY AUTO ONLY - EA ACCIDENT S <br /> ANY AUTO OTHER THAN ~ ACC S <br /> AUTO ONLY: qGG S <br />A D(CESSNMBRELLA LUBILRY CPP0916763 10/01/05 10/01/06 EACH OCCURRENCE s4 000 000 <br /> X OCCUR ~ CLAIMS MADE AGGREGATE $4 OOO OOO <br /> s <br /> DEDUCTI9LE S <br /> RETENTION S S <br />A WORKERS CONPENSATION AND WC210094301 10/01/05 ~Q/Q~/QS ~( WC STATU- OTH- <br /> EMPLOYERS' LIABIUTY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />S~JOO OOO <br /> OfFICERlMEMBER EXCLUDED7 E.L. DISEASE - EA EMPLOYEE SrJ~O OOO <br /> B yea, deacribe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE - POLICY LIMIT <br />SS~O OOO <br />g oTMER professional AEA254048268 01112/~6 01/12i07 a2,000,000 Ea.Claim $ <br /> Architects/Eng. Annual Aggregate <br /> Claims Made Basis E150,000 Ded.Ea.Cialm <br />DESCRIPTION OF OPERATIONS f LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENI)ORSEMENT I SPECWL PROVISIONS <br />RE: Bosley Wash Project <br />Certiflcate F9older and the State of Cotorado are Additional Insureds in <br />regards to the General L(ability. <br />Colorado Water Conservation Board <br />Attn: Steven Shull <br />1313 Sherman St, Ste 721 <br />Denver, CO 80203 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIE9 BE CANCELLED BEFORE TNE EJ(PIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENOEAVOR TO MAIL ~~ DAYS WRITrEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IAAPOSE NO OBLI6ATION OR LIABILITY OF ANY KIND UPON THE INSURER, RS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATiVE ~ <br />ACORD 25 (2001/OS) ~ Of 2 #M3502 <br />HANSD ~ ACORD CORPORATION 1988 <br />