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ACOR F 0 <br />� CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM /DD/YYYY) <br />F6/14/2013 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />RiskPlan Insurance <br />CONTACT D.Darb <br />NAME: P <br />PHONE (303)684 -0888 FAX No: (303)689 -0887 <br />E-MAIL <br />D SS: p diana @risk laninsurance.com <br />AAA <br />659 4th Avenue <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURERA:Continental Western Insurance <br />10804 <br />Longmont CO 80501 <br />INSURED <br />INSURER B <br />X COMMERCIAL GENERAL LIABILITY <br />INSURER C : <br />SANCHEZ DITCH AND RESERVOIR COMPANY <br />INSURER D: <br />RR 1 BOX 215 <br />INSURER E : <br />A <br />CLAIMS -MADE F_x1 OCCUR <br />INSURER F <br />SAN ACACIO CO 81151 <br />COVERAGES CERTIFICATE NUMBER :CL084100127 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 <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />(MM <br />POLICY EXP <br />MMIDD <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />X COMMERCIAL GENERAL LIABILITY <br />Ea occu ence $ <br />100,000 <br />A <br />CLAIMS -MADE F_x1 OCCUR <br />X <br />PEP 3018212 - 32 <br />5/1/2013 <br />/1/2014 <br />-PREMISES <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL R ADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP /OP AGG <br />$ 2,000,000 <br />$ <br />X POLICY PRO LOC <br />" <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />A <br />ANY AUTO <br />ALL OWNED X SCHEDULED <br />AUTOS AUTOS <br />PEP 3018212 - 32 <br />/1/2013 <br />/1/2014 <br />BODILY INJURY (Per accident) <br />$ <br />RTY DAMAGE <br />PR PER <br />Per accid ent t <br />$ <br />X X NON -OWNED <br />HIRED AUTOS AUTOS <br />Uninsured motorist combined <br />$ 1,000,000 <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I I RETENTION <br />$ <br />WORKERS COMPENSATION <br />WC STATU- I OTH- <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNERIEXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br />OFFICER/MEMBER EXCLUDED? F—] <br />N/A <br />(Mandatory in NH) <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />Dam, Levee or Reservoir Operations class code 39002 <br />Certificate Holder is listed as additional insured for general liability per terms and conditions of <br />policy. <br />amber.wendell @state.co.us <br />Colorado Water Conservation Board <br />1313 Sherman St., Room 721 <br />Denver, CO 80203 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Darby /DIANA <br />ACORD 25 (2010105) ©1988 -2010 ACORD CORPORATION. All rights reserved. <br />INS025igmnn.rini Th. Ar npn n.mn enA Innn nro r»niefo—A m—lea of Arnpn <br />