HomeMy WebLinkAboutNORTH WELD COUNTY WATER DISTRICT - INSURANCE CERTIFICATECERTIFICATE
OF COVERAGE Corn cater 4174 c z
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Administrator
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN
Colorado Special Districts Property and Liability Pool
THOSE PROVIDED IN THE COVERAGE DOCUMENT. THIS CERTIFICATE
POB 1539
DOES NOTAMEND, EXTEND ORALTER THE COVERAGE AFFORDED BY
THE COVERAGE DOCUMENTS LISTED HEREIN.
Portland, OR 97207-1539
COMPANIES AFFORDING COVERAGE
NAMED MEMBER
COMPANY Colorado Special Districts Property and Liability Pool
North Weld County Water District
COMPANY B General Reinsurance Corporation
32825 WCR39
POB 56
COMPANY C Certain Underwriters at Lloyd's of London
COMPANY D
Lucerne, CO 806460056
This is to certify that coverage documents listed herein have been issued to the Named Member herein for the Coverage period indicated. Nothwithstanding any
requirement, term or condition of any contract or other document with respect to which the certificate may be issued or may pertain, the coverage afforded by the coverage
documents listed herein is subject to all the terms, conditions and exclusions of such coverage documents.
CO
Type of Coverage
Coverage #
Effective Date
I
Expiration Date
Limits
LTR
A.
B
General Liability
X Commercial General Liability
27C54082-394
1/1/2014
1/1/2015
General Aggregate
Unlimited
' Except that for claims, occurrences or suits to which the
monetary limits of the Colorado Governmental Immunity Act,
Each Occurrence
$1,000,000
X Public Officials Liability
C.R.S. § 24-10-101, et. seq., as amended, apply, there shall be
a further sublimit of (a) $350,000 for an injury to any one person
X Employment Practices
in any single occurrence; and (b) $990,000 for an injury to two or
more persons in any single occurrence; but in the event of an
X Occurrence
injury to two or more persons in any single occurrence, the
sublimit shall not exceed $350,000 for each injured person.
A
Automobile Liability
27C54082-394
1/1/2014
1/1/2015
Each Occurrence'
$1,000,000
B
X Scheduled Autos
X Hired Autos
X Non -Owned Autos
Auto Physical Damage
Scheduled Autos
Hired Autos
A.
B
Excess Liability
X Other Than Umbrella Form
27C54082-394
1/l/2014
1/1/2015
General Aggregate
Unlimited
Each Occurrence •
{ $4,000,000
Property
DESCRIPTION:
Certificate Holder is an additional covered Member for those coverages noted hereunder but only with respect to those liabilities that are covered by
the Pool's coverage document for the Member District arising from the easement agreement and subject to the provisions and limitations contained
in C.R.S. 24-10-101. The Pool will limit any amounts to the monetary limits and sublimits of the Colorado Governmental Immunity Act, C.R.S. 24-10-
101 et. Seq., as amended, would apply to the Covered Member.
CERTIFICATE HOLDER
CANCELLATIOWSHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Fort Collins
ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 580
Ft. Collins, CO 80522
By'. Joseph E. DePaepe / �r�f Date: 6117/2014