HomeMy WebLinkAboutNORTH WELD COUNTY WATER DISTRICT - INSURANCE CERTIFICATE (3)CERTIFICATE OF COVERAGE Certificate #: 4174
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
PO Box 1539 DOES NOT AMEND, EXTEND OR ALTER 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
PO Box 56
Lucerne, CO 80646-0056 COMPANY C Colorado Special Districts Property and Liability Pool
COMPANY D
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
LTR
Type of Coverage
General Liability
X Commercial General Liability
I Coverage # Effective Date
Expiration Date
Limits
Unlimited
$2,000,000
A,
B
32CS4082-477 1/1/2019
1/1/2020
General Aggregate
' Except that for dams, occurrences or st& to which the
monetary limits of the Colorado Governmental Immunity Act,
Each Occurrence•
X Public Officials Liability
C.R.S. § 24-10-101, et. seq., as amended, apply, there shall be
a further sublimit of (a) $387,000 for an injury to any one person
_
X Employment Practices
in any single occurrence; and (b) $1,093,000 for an injury to two
or more persons in any single occurrence; but in the event of an
Occurrence
FX'
injury to two or more persons in any single occurrence, the
isublimit shall not exceed $387,000 for each injured person.
A, Automobile Liability
B X Scheduled Autos
X Hired Autos
X Non -Owned Autos
Auto Physical Damage
Scheduled Autos
Hired Autos
B Excess Liability
77X Other Than Umbrella Form
Property
32C54082-477 1 1 /1 /2019
32C54082-477
1/1/2019
1/1/2020 1Each Occurrence ' 1 $2,000,000
1/1/2020 General Aggregate I Unlimited
Each Occurrence' $4,000,000
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 at. Seq., as amended, would apply to the Covered Member.
CERTIFICATE HOLDER
City of Fort Collins
PO Box 580
Ft. Collins, CO 80522
CANCELLATION:
(SHOULD ANY OF THE ABOVE DESCRIBED COVERAGES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH
,THE COVERAGE FORM PROVISIONS.
By: Joseph E. DePaepe / Date: 11/28/2018