HomeMy WebLinkAboutNORTH WELD COUNTY WATER DISTRICT - INSURANCE CERTIFICATE (4)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 NOTAMEND, EXTEND ORALTERTHE COVERAGE AFFORDED BY
THE COVERAGE DOCUMENTS LISTED HEREIN.
Portland, OR 97207-1539
'NAMED
COMPANIES AFFORDING COVERAGE
MEMBER
COMPANYA Colorado Special Districts Property and Liability Pool
North Weld County Water District
COMPANY B General Reinsurance Corporation
PO Box 56
- — — - — - —
Lucerne, CO 806460056
COMPANY C Colorado Special Districts Property and Liability Pool
COMPANY D
COVERAGES
—
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
Expiration Date Limits
LTR
i General Liability
A,
B X Commercial General Liability
29C54082-409
1/1/2016
1/1/2017
General Aggregate
Unlimited
$1,000,000
' Except that for claims, occurrences or suits to which the Each Occurrence `
monetary limits of the Colorado Governmental Immunity Act,
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
29C54082-409 1/1/2016
1/1/2017
Each Occurrence •
$1,000,000
B
X Scheduled Autos
X Hired Autos
X Non -Owned Autos
Auto Physical Damage
Scheduled Autos
Hired Autos
B
Excess Liability
29C54082-409
1/1/2016
1/1/2017
General Aggregate
Unlimited
Each Occurrence
$4,000,000
AI Other Than Umbrella Form
I
Property
i�
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
CANCELLATION: SHOULD 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
Date: 12/28/2015
By: Joseph E. DePaepe1. // ,� ) fl
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