HomeMy WebLinkAboutNORTH WELD COUNTY WATER DISTRICT - INSURANCE CERTIFICATE (6)CERTIFICATE OF COVERAGE Certificate #: 4174
Administrator
Colorado Special Districts Property and Liability Pool
PO Box 1539
Portland, OR 97207-1539
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN
THOSE PROVIDED IN THE COVERAGE DOCUMENT. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY
THE COVERAGE DOCUMENTS LISTED HEREIN.
COMPANIES AFFORDING COVERAGE
NAMED MEMBER
North Weld County Water District
PO Box 56
Lucerne, 6 806460056
COMPANYA Colorado Special Districts Property and Liability Pool
COMPANY B General Reinsurance Corporation
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
LTR
Type of Coverage
Coverage #
Effective Date
Expiration Date
Limits
A,
B
General
Liability
Commercial General Liability
Public Officials Liability
Employment Practices
Occurrence
30054082-501
1/1/2017
1/1/2018
General Aggregate
Unlimited
` Except that for claims, occurrences or suits to which the
monetary limits of the Colorado Governmental Immunity Act,
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
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
injury to two or more persons in any single occurrence, the
sublimit shall not exceed $350,000 for each injured person.
Each Occurrence `
$2,000,000
X
X
X
X
A
B
Automobile Liability
X Scheduled Autos
X Hired Autos
X Non -Owned Autos
30054082-501 1/1/2017
1/1/2018
Each Occurrence*
$2,000,000
Auto Physical Damage
Scheduled Autos
Hired Autos
B
Excess Liability
X Other Than Umbrella Form
30CS4082-601
1/1/2017
1/1/2018
General Aggrega te
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
City of Fort Collins
PO Box 580
Ft. Collins, CO 80522
CANCELLATIOWSHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
By: Joseph E. DePaepe Date: 12/14/2016
V-7 V ry%J W-