HomeMy WebLinkAboutHealth Services District of Larimer County - Insurance Certificate 2025 Calve" adoSN6WDl.biM Certificate Number
Property and Liability Pool CERTIFICATE OF COVERAGE CERT-007211
ADMINISTRATOR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
Colorado Special Districts Property and Liability Pool CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE
c/o McGriff Insurance Services, LLC DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
PO Box 1539 POLICIES BELOW.
Portland,OR 97207-1539
COMPANIES AFFORDING COVERAGE
NAMED MEMBER COMPANY A: Colorado Special Districts Property and Liability Pool
Health Services District of Northern Larimer County COMPANY B:
CO COMPANY C:
COVERAGES
THIS IS TO CERTIFY THAT COVERAGE DOCUMENTS LISTED HEREIN HAVE BEEN ISSUED TO THE NAMED MEMBER HEREIN FOR THE
COVERAGE PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT
WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE COVERAGE AFFORDED BY THE COVERAGE
DOCUMENTS LISTED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH COVERAGE DOCUMENTS.
CO
CO Type of Coverage Coverage# Effective Date Expiration Date LIMITS
LTR
General Liability 25PL-22599-3298 01/01/25 12/31/25 General Aggregate Unlimited
*Except that for claims,occurrences or suits to which the
X❑Commercial General Liability monetary limits of the Colorado Immunity Act,C.R.S.&24-
10-101,et.seq.,as amended,apply,there shall be a further
A ❑X Public Officials Liability sublimit of(a)$424,000 for an injury to any one person in
any single occurrence;and(b)$1,195,000 for an injury to Each Occurrence* $2,000,000
NEmployment Practices two or more persons in any single occurrence;but in the
event of an injury to two or more persons in any single
Occurrence occurrence,the sublimit shall not exceed$424,000 for each
injured person.
Automobile Liability
❑Scheduled Autos
Each Occurrence*
❑Hired Autos
❑Non-Owned Autos
Auto Physical Damage
❑Scheduled Autos
❑ Hired Autos
Excess Liability General
❑Other Than Umbrella
Aggregate
Form Each
Occurrence*
Property
El
Description:
Evidence of Coverage Only.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED COVERAGES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Fort Collins
ACCORDANCE WITH THE COVERAGE FORM PROVISIONS.
Attn:Engineering Dept;281 N.College Ave AUTHORIZED REPRESENTATIVE:
y P B Joseph E.DePae
P.O.Box 580 pe
Fort Collins,CO 80522 Date: December 16,2024