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<br />PRODUCER <br /> <br />ERTIFICA E OF INSURANCE <br /> <br />::I=-_..l;......I.!~_.lI...'-,:!.l~'#:" _ <br />ISSUE DATE (MM/DD/YV) <br />09/2l/92 <br /> <br />\.i -OTO@ <br /> <br />PENCO <br />PC B~x 3051v7 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br />EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br />COMPANIES AFFORDING COVERAGE <br /> <br />Nashvi!Ie, TN 37230-5i07 <br /> <br />INSURED . <br />~olorado Interqovernaenta: <br />Ris~ Sha:inS ?sency (CIRSAI <br />950 S~cth Cherry Street, v80D <br />Denver, :D 80222 <br />ToL: (303~ 757-5475 FAX: (303) 75/-8950 <br />TOLN OF IGNilCIO <br /> <br />COMPANY A Underwriters at Lloyd's of London <br />LETTER <br />COMPANY B <br />LETTER <br />COMPANY C <br />LETTER <br />COMPANY D <br />LETTER <br />COMPANY E <br />LETTER <br /> <br />OVERAGES <br /> <br />THIS IS TO CEATIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN rSSUEDTOTHE INSURED NAMED ABOVE FOR THE POLlCY PERIOD INDICATED. <br />NDTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY <br />BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI- <br />TIONS OF SUCH POLICIES. <br /> <br /> CO TYPE OF INSURANce POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIABILITY LIMITS IN THOUSANDS <br /> LTR DATE (MMlDD/YY) DATE (MM/ODNYl EACH <br /> OCCURRENCE A.GGREGATE <br /> GENERAL LIABILITY 101200100 BODilY <br /> ~: I--'- 01/01m 01 01/93 INJURY $ $ <br /> I- COMPREHENSIVE FORM <br />~ >- PREMISES/OPERATIONS PROPERTY <br /> UNDERGROUND DAMAGE $ $ <br /> I- EXPLOSION & COLLAPSE HAZARD <br /> PRODUCTs/COMPLETED OPERATIONS <br /> >- 81 & PO $* $* <br /> I- CONTRACTUAL COMBINED <br /> - INDEPENDENT CONTRACTORS <br /> L-. BROAD FORM PROPERTY DAMAGE <br /> ~ PERSONAllNJURV PERSONAL INJURY $ <br /> ~UTOMOBILE LIABILITY BlX>LY ~ <br /> A 101201)100 01/01192 01101/93 INJURY $ <br /> ANY AUTO (PERPERSlN) <br /> ~ All OWNED AUTOS (PRIV. PASS) <br /> IlOOllY <br />.... '- INJURY <br /> All OWNED AUTOS (OTHER THAN) (PfRACCIDENT] $ - <br /> '- PRIV. PASS. - <br /> ~ HIRED AUTOS PROPERTY <br /> NON.OWNED AUTOS DAMAGE $ - <br /> ~ GARAGE LIABILITY <br /> ~ al & PO <br /> COMBINED t <br /> EXCESS LIABILITY <br /> H- UMBRELLA FORM ~:~EO $ $ <br /> OTHER THAN UMBRELLA FORM <br /> STATUTOAY I <br /> WORKERS' COMPENSATION $ (EACH ACCIDENT) <br /> AND $ (DISEASE.PDlICY LIMIT) <br /> EMPLOYERS' LIABILITY $ (DISEASE.EACH EMPlOVEE) <br /> OTHER <br /> DE~RIPThON OF OP~~TIONS~ATIO~SNEHIClfSlSPECIAL IAEM~. . . Coverages subject to aggregate lioits, <br /> *$lJU,OV 1$4uO,oOv erson [cur. Dvrnan Imfunlty ct LLdlIDSj $lH PrsnlDccur. Fed, ClaIms; <br /> As respects Irrlgati~n Project. Beginning fal: 1992. Estloated [~.pletion -- Fall 1994. Value: $ 250,000. <br /> <br /> <br />Proof of Insurance: Certificat, &0: 1138 <br />State of Colorado Water Conservation B~ard <br />721 State Cer.tennlal Building <br />1312 She(~an Street <br />nevver CO 80203 <br />kttn: trank Acres <br />