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KUCHER ELECTRIC - INSURANCE CERTIFICATE
DEC-22-2004 WED 07:44 AM FAX NO. Tuesday, December 21, 2004 0,49 AM Ken Hamacher Agency Inc 30373e 115% E 02 p,02 CERTIFICATE OF LUIpILITY IN-IiII,IRANCE Anteiieen Family Insurance Cenvery ;J American Family Mutual Inuance Corihpany If selecdo! , box Is not checked. 6000 American Phy M4Qaon, Nwonsln 5: 13.0001 "CORRECTED CERTIFICATE" Agents Name. Address and Phone Number (Agl.04t.) Inaued'o Name and Address: Ken Hamacher Agency, Inc. (124.301) Kucher Elaa;'trlc Inc $640 S Broadway 10360 E 1Giath Ave Littleton, CC 00121 Henderson V 90040 303•73e 090 TN9 c#rI leats Is Issued as a mallm of Information ** and carriers no rl" upon the CerfiD.,ido Holder. *hit aerNNneta A&" not anam& Wa A m r br Mu . u .na •N.A.4 rw ski Md.A ti I on.r COVERAOIES hin is to eerbfy that policies of imuronee Filed below have been issued to the insured named above, fa the pafoy period indmdeeL notwithstandin0 any reOfOmmi, tern or eonddan of any contract or other document with respect to which INN cardficol i i may be issued or may Pertain, the insurance afforded bythe Policies dssdrlbed nereM Is to er the temp uslorhs and candtlorn of suchDolldes POLICY YPE &NOW 60hatkm TYPE OF IN3UKANC9 POLICY NUMBER LIMITS Or LIABILITY Mo Da Yr) No'Day.ya Homeownars/ rf ;say I" and Property Damage Mobilanomeowim LI [:lioh owhrrome oe ovmen LIsbdNy :Iir a rop*rty .move 11 deourence Personal Umbras. Liability r holly irrksy and Property Damage K lnoh Ocau tams famrfRartdh LIsbdty Fu rm t: Personal LlehI ty Esoh Ocwrr*na l,rrm s Llebl Each Owurrence 11I;smory .... Worker* eompenaarron and Elmch AeNkJern 10010" ftivloyeraLlebEkt++ 05•XY2674-00 04411r04 04MV05 Cisesas-Each Employee 100.000 t I seas* • policy Urnit 00.601) awwnw Liability ci imerelAggregats 4,o00,om X Cornm*rW*I General 0&=749 02=4 02=05 F roducta. Completad Operations Aggregate 4,000.000 Usbitty (oeelxrews) Pilsronal and A&AV6$ing I*ry 2,000,000 Ruich Occurrence 21000.000 F Ia Damage (Any One Fire) 100.000 1,.odbel Exotnes (Ary One Parson) 6,000 BUBInnsaWMra Llob ft G llich ocourfence + + NII a++ AutomObb Uabsy R odily Inlay • Eacn Person 5230,000 ❑ Owned Axtos (Rasic form) IN diiy Irilusy- E■eh Aeddent $ 600,000 ® Owned Attos (Comp form) 05.X25749 02rz2M 02R2/05 Froperly Damage It 250,000 ❑ Mired Auto■ pI;,diy InIM d, Property DOM$W CoMnsd Non -owned Auto* Garage rsbiity NKCONLWM ❑ Cwrnerelal 61ansN Exo*su F. tch Ocanrence/Aggregate 0EnGRI"10N OF RPERATICN6I6GGATICNUNCHlrLCWt%CeTRIGTIQIi613PEC1AL ITP.MO "'�I�""'f1°'d"`r�o"'aM •hwmrl,nw.d �rlaebdMb.cw.r•d k 1 wrowsts WAK Ih1* poloy, + I. Producte-Completed Operodone agmeaiia N equal to each d any of Ft Collins PO BOX 600 Street Department Crushing lat Collins, CC 00622 Attn: Nail Fax: 970-221-6270 ® Should any of the above described policies be canceled before the expiration d line thereof, the company will endeavor to mall `(10 days) written nnaice to the Ceertifieah Holder named, but failure to mall sueh nofte shall Impose no obligatlen or Ilablllty of any kind upon the company, its agents or representatives. •10 days unless different numbnr or clays shown, © This cenifiu ir. coverage on the date of Issue only. The above described polloits are subject to eaneellation In conformity with their terms anti by the laws of the a%te of Issue. 1l/17tS004 i 0 .