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DATE(MMIDDIYYYY) <br /> ACRD CERTIFICATE OF LIABILITY INSURANCE 4/24/2018 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> NAME: <br /> F&W Insurance PHONE �1 303-444-4666 FAX No);303-444-8481 <br /> 3005 Center Green Drive Suite 120 ��' �' <br /> Boulder CO 80301 AIMnRIF9,S: <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> _ <br /> INSURER A:American Alternative Insurance Corp 19720 <br /> INSURED ROUGAND-01 INSURER B: <br /> Rough and Ready Irrigating Ditch Company INSURER C: <br /> PO Box 119 INSURER D <br /> Longmont CO 80502 <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 1545714687 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY.HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP WLIMITS <br /> LTR INSD VD POLICY NUMBER (MM/DDIYYYY) (MM/DD/YYYY) <br /> A x COMMERCIAL GENERAL LIABILITY GPPA-PF-605577104000 1/30/2018 1/30/2019 EACH OCCURRENCE $1,000,000 <br /> DAMAGE TO <br /> CLAIMS-MADE X OCCUR PREMISES(EaENTED occurrence) $1,000,000 <br /> MED EXP(Any one person) $10,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 <br /> X POLICY L PRO- LOC PRODUCTS-COMP/OP AGG $3,000,000 <br /> JECT <br /> • OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> (Ea accident) <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ <br /> - HIRED - NON-OWNED -PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY (Per accident) <br /> A UMBRELLA LIAB OCCUR GPPA-PF-605577104000 1/30/2018 1/30/2019 EACH OCCURRENCE $1,000,000 <br /> X EXCESS LIAB X CLAIMS-MADE AGGREGATE $1,000,000 <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY STATUTE ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N N/A E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> I <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Colorado Water Conservation Board THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> 1313 Sherman St,Ste 718 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Denver CO 80203 <br /> AUTHORIZED REPRESENTATIVEPR ) <br /> /��l�L <br /> „ itze is•/O+oft <br /> U ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />