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~CORDTM CERTIFICATE OF LIABILITY INSURANCE o2;02;09°'""""' <br />PROCiUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Willis of Colorado Inc <br />` South Colorado Boulevard 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 />e 600N <br />_enver, CO 80246 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURER A: TIl@ Efl'IF1I0~/@~5' Fire Insurance Compan 20648 <br />The Consolidated Mutual Water Company ,NSURER e: Pinnacol Assurance 41190 <br />12700 West 27th Ave.; P.O. Box 150068 INSURER C: <br />Lakewood, Ci0 $~2~ rJ INSURER D: <br /> INSURER E: <br />COVERAGES <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 <br />LTR DD' <br />NSR TypE OF INSURANCE POLICY NUMBER POLICY EFFEGTIVE POLICY EXPIRATION <br />DATE MM DD LIMITS <br />A GENERAL LIABILITY 7530204730001 02/01/09 02/01/10 EACH OCCURRENCE $~ Q00 000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $rjOO OOO <br /> CLAIMS MADE ~ OCCUR MED EXP (Any one person) $rj ~~0 <br /> AI#VCG2050205 PERSONAL & ADV INJURY $'I OOO OOO <br /> GENERAL AGGREGATE $2 OOO OOO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $Z OOO OOO <br /> POLICY PRO- <br />T X LOC <br />A AUT OMOBILELIABILITY 7530204730001 ~2~0~~09 02/01/10 COMBINEDSINGLELIMIT , <br /> <br />X <br />ANY AUTO <br />(Ea accident) $ <br />~,000,000 <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) $ <br /> X HIRED AUTOS <br />BODILY INJURY <br /> <br />X <br />NON-OWNED AUTOS <br />(Per accident) $ <br /> PROPERTY DAMAGE <br /> <br />(Per accident) $ <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: qGG $ <br /> FJ(CESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION $ 5 <br />B WORKERSCOMPENSATIONAND 114652 ~4~~~~~$ 04/01/09 X WCSTATU- OTH- <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $'I OOO OOO <br /> ANY PROPRIETORlPARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />E.L. DISEASE - EA EMPLOYEE <br />$~ OOO~OOO <br /> If yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$~ OOO,OOO <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADOED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Project Description: Construction of a new raw water reservoir <br />Project Number: C150011 <br />The following are Additional Insureds as respects General Liabifity <br />(See Attached Descriptions) <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />Colorado Water Conservation Board DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *~n DAYS WRITTEN <br />Room 721 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFf, BUT FAILURE TO DO SO SHALL <br />I 1313 Sherman Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Denver, CO 80203 REPRESENTATIVES. <br />ACORD 25 (2001/08) 1 of 3 #M621542 <br />AUTHORIZED REPRESENTA <br />.~~~ I <br />8NPER O ACORD CORPORATION 1988 <br />