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Home My WebLink AboutFIRST NATION OF NEBRASKA - INSURANCE CERTIFICATEClient#: 299 FIR75496 ACORD- CERTIFICATE OF LIABILITY INSURANCE 01/17/07onrvv) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Harry A. Koch Co. P.O. Box 45279 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Omaha, NE 68145-0279 402 861-7000 INSURERS AFFORDING COVERAGE NAIC # INSURED First National of Nebraska, Inc. Attention: Patrick Mahoney 1620 Dodge St Stop Code 1155 Omaha, NE 68197-1155 INSURER A: St Paul Mercury Insurance Co INSURER B: INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY 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 INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR INSRDATE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE (MMIDDNYI POLICY EXPIRATION DATE ININI 01/18/08 LIMITS A GENERAL LIABILITY FS06303926 01/18/07 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED L519A occurrence) E1 OOO DDD MED EXP (Any one person) $5 000 CLAIMS MADE Ex-1 OCCUR PERSONAL B ADV INJURY $1009000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $1000000 POLICY PRO- LOC A AUTOMOBILE LIABILITY ANY AUTO FS06303926 01/18/07 01/18/08 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per parson) E ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) E HIRED AUTOS NON-OWNEDAUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE E DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC STATULIMIT- OTH- 0RYEMPLOYERS' LIABILITY E.L. EACH ACCIDENT Is ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? R yes, describe under E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE- POLICY LIMIT I $ SPECIAL PROVISIONS below I OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE: BANKING SERVICES AGREEMENT THE CITY OF FT COLLINS, ITS OFFICERS, AGENTS & EMPLOYEES ARE ADDL INSURED FOR GL BUT ONLY AS RESPECTS LIABILITY ARISING OUT OF PERFORMANCE OF WORK UNDER THIS AGREEMENT FIRST NATIONAL OF COLORADO, INC IS A NAMED INSURED UNDER THE POLICY CITY OF FORT COLLINS PO BOX 580 FORT COLLINS, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _ n DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVE UT c JFM11U04 POHLD 0 ACORD CORPORATION 1988 ClinnNk• 70Q PIP79AQR ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE 01/17107onrw) PRODUCER The Harry A. Koch Co. P.O. Box 45279 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Omaha, NE 68145-0279 402 861-7000 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: St Paul Mercury Insurance Co First National of Nebraska, Inc. Attention: Patrick Mahoney 1620 Dodge St Stop Code 1155 Omaha, NE 68197-1155 INSURER B: Federal Insurance Company INSURER C: INSURER D: INSURER E: CnVFRAGFS THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY 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 INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE IMMIDDNYI T Y EXPIRATION POLDATE E IMMIDDrYYI LIMITS A GENERAL LIABILITY FS06303926 01/18/07 01/18/08 EACH OCCURRENCE $1 00O O00 DAMAGE TO RENTED E1 OOO OOO X COMMERCIAL GENERAL LIABILITY CLAIMS MADE O OCCUR IVIED EXP (Any one person) $5 000 PERSONAL & ADV INJURY $1 000 000 GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $1 000 000 POLICY PRO LOD A AUTOMOBILE LIABILITY ANY AUTO FS06303926 01/18/07 01/18/08 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) E HIREDAUTO$ NON-OWNEDAUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND 71701763 01/18/07 01/18/08 TH- X WC SLIM OFR EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $500000 E.L. DISEASE- EA EMPLOYEE $500000 OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $500000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS The City of Ft. Collins, its officers, agents & employees are named as additional Insured for general liability but only Insofar as loss or damage was the result of negligence of First National Bank (Ft. Collins). First National Bank (Ft. Collins) Is a named insured under the policies. City of Ft. Collins Director of Purchasing & Risk Management PO BOX 580 Fort Collins, CO 80522 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _l0_ DAYS WRITTEN :E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 3E NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AI:UKU ZO tZUUI/UD/ 1 of 2 #M11059 POHLD O ACORD CORPORATION 1988