Laserfiche WebLink
APPENDIX D <br />GERT~F~~ATE <br />~~ t~F L1AB ~°"8 BMMID°m':.. <br />U <br />ITY ; INSURANCE <br />~ ~ <br />: <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Aeordi• of Kentucky-Lex ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />1 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Lexinyten Green TAO, SuI S• 410 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />220 Lexlnyton Green Cl rel• COMPANIES AFFORDING COVERAGE <br />Lezi ngton KY 40503-3311 COMPANY <br />(859) 273-6600 /{ Federal Insurance Company <br />IN8URED <br /> COMPANY <br />CsnSral Appal aehl• Ylniny, LLC B <br />P.O. Boz 2827 COL~ANY <br />Piksvil ls, KY 41501 ~ (~` <br /> COMPANY <br /> D <br />cavEeac~s ; <br /> <br />THIS IS TO CERTIFY THAT THEPOLICIES OF INSURANCELISTED BELO W HA V E BEEN ISSUED TO THE INSURED NAMED ABOVEFOR THE POLICY PERIOD <br />INDICATED,NOT W ITHSTANDINGANYREOUIREMENT,TERMORCONDITIONOFANYCONTRACTOR OTHER DOCUMENT W ITHRESPECTTO W HICHTHIS <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 />CO TYPE OF UI9URANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMBS <br />LTR DATE (MMA)D/YY) DATE (MMIDDIYT) <br />A GE NERAL UABLRY ~ 37111019 5/09/03 5/09/04 GENERAL AGGREGATE S 2,000,000 <br /> % COLBIERCIAL GENERAL LIABILITY PRODUCTS.COMP/OP AGG S 2,000,000 <br /> CLAIMS MADE ~ OCCUR PERSONAL i AOV INJURY S 1,000,000 <br /> OWNER'S B CONTRACTOR'S PROT EACH OCCURRENCE S 1,000,000 <br /> FIRE DAMAGE (Any one (ire) S 50,000 <br /> MED EXP (Any one person) t 5,000 <br />A AU TOMOBLE LIABLRY 73252298 5/09/03 5/09/04 <br /> COMBII~D SINGLE LIMIT f <br /> X ANY AUTO 1,000,000 <br /> ALL OWNED AUTOS BODILY INJURY <br />' SCHEDULED AUTOS (Per person) f <br /> X HIRED AUTOS BODILY INJURY <br />S <br /> X NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE <br /> S <br /> GARAGE LIABLITY AUTO ONLY - EA ACCIDENT S <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT f <br /> AGGREGATE S <br /> EXCESS LMBLTTY EACH OCCURRENCE S <br /> UMBHELU FORM AGGREGATE S <br /> OTHER THAN UMBRELLA FORM - S <br /> WORKERS COMPENSATION ANO <br />' WC S7ATLL OTH• <br />IMIi, <br /> EMPLOYERS <br />LIABLr/Y EL EACH ACCIDENT f <br /> THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT S <br /> PARTNERS/EXECUTIVE <br /> OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE f <br />I OTHER i <br />DESCRIPTION OF OPERATIONSLOCATIONS/VEHICLESISPECLLL ITEMS <br />Ye[l ans Canyon Yine, Permit No. C-80-004 8 Yunyer Canyon Yl ns, Permit No. C-81-020 <br />S}aSa of Cel erado <br />Dl vision of Yl nerels 8 6aaleyy <br />1313 Sharman St., Room 215 <br />Osnvsr, CO 80203 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 7NE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WSJ_ ENOOrOtlRlXd(MAL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BYOt7BNIXrrXxrxxYrnrDnrcnomnnr(yrXxwoPa(rrxxxwB(xa(xsrxxx~a(rrlrncrxxx <br />aawrlo(xlDmlrxxrlaRDO(xaxlD®Bne,RDm(xxRxxx~aeroR(xRrx)NBBNBBENmaacxeD( <br />Philip B. Gibzen <br /> <br /> <br />