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<br />.. CERTIFICATE OF INSURANCE. <br />This certifies that l!D STATE FAeRE AND CASUALTY COMPANY', Bloomington, IlIin <br />D STATE FARM GENERAL INSURANCE COMPANY, Bioomington, lliinois <br />insures the following policyholder for the coverages indicated below: <br />LIDSTONE-ANDERSON INC <br /> <br />CORRECTED <br /> <br />PC l334-F63l <br /> <br />Name of policyholder <br /> <br />Address of policyholder <br /> <br />760 WHALERS WAY STE B-200 <br /> <br />RECEIVl:u <br />8ft: 2 l 1991 <br /> <br />FORT COLLINS CO 80525-3372 <br /> <br />Location of operations <br /> <br />COLORADO <br /> <br />Gel~...d.... hoi:lter <br />Conservation Board <br /> <br />Description of operations <br /> <br />ENGINEER <br /> <br />The pOlicies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is subject to all the terms, <br />exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid claims. <br /> <br /> TYPE OF INSURANCE POLICY PERIOD LIMITS OF LIABILITY <br />POLICY NUMBER Effective Date I Expiration Date <at beginning of policy period) <br />96-22-7668-9 Comprehensive 04/l5/97 I 04/l5/98 BODILY INJURY AND <br />;-his-i~;~r~~~ i~ci~cie-s~ - D - -~ pr~!i:n:~~~~~~ ~operatio';s- - - - - - - - J - - - - - - - - - - - - -- PROPERTY D.A.MAGE <br /> [!l Contractual Liability <br /> ~ Underground Hazard Coverage Each Occurrence $ 1,000,000 <br /> Personal Injury <br /> Advertising Injury General Aggregate $ 2,000,000 <br /> [!l Explosion Hazard Coverage <br /> [!l Collapse Hazard Coverage Products - Completed $ EXCLUDED <br /> [!l General Aggregate Umit applies to each project Operations Aggregate <br /> R <br /> POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE <br /> EXCESS LIABILITY Effective Date I ExDiration Date (Combined Single Llmtt) <br /> B Umbrella I Each Occurrence $ <br /> Other I Aggregate $ <br /> I Part 1 STATUTORY <br /> Workers' Compensation Part 2 BODILY INJURY <br /> and Employers Uability I Each Accident $ <br /> I <br /> I Disease Each Employee $ <br /> I Disease - Policy Umit $ <br /> TYPE OF INSURANCE POUCY PERIOD LIMITS OF LIABILITY ----- <br />POLICY NUMBER Effective Date Expiration Date (at beginning of policy period) <br /> : <br /> I <br /> I <br /> <br />Name and Address of Certificate Holder <br />COLORADO WATER CONSERVATION BOARD STATE <br />OF COLORADO PEPT OF NATIONAL RESOURCES <br />RM-72l STATE CONTENNIAL BLDG <br />l3l3 SHERMAN ST <br />DENVER CO 80203 <br /> <br />If any of the described policies are canceled before its <br />expiration date, State Farm will try to mail a written notice to <br />the certificate holder days before cancellation. If <br />however, we fail to l7Iail such notice, no obligation or liability <br />will be imposed f State Farm or its agents ?r representa- <br /> <br />tives. "~(9-0 d ~~L'\/ <br />Si9"'t"~of..?d R'p~Mtati,. <br />cr.c (,;1.-1'7-'71 <br />Title l Date <br /> <br />Agent's Code Stam <br /> <br /> <br />558.994 8.2 Rev. 12-91 Printed in U.S.A. <br /> <br />L. FOWLER 1334 <br />('f)UTHEAST DENVER F631 <br /> <br />ATTN: BRIAN HYDE <br />