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Home My WebLink AboutFIRST NATIONAL - INSURANCE CERTIFICATEClient#: 299 FIR74AQA ACORD- CERTIFICATE OF LIABILITY INSURANCE UYVYY) 0°111�10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Harry A. Koch Co. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 45279 Omaha, NE 68145-0279 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 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: CoV 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 INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY FS06303926 01/18/07 01/18/08 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED E1 OOO OOO $j 000 CLAIMS MADE a OCCUR MED EXP (Any one person) PERSONAL A ADV INJURY $1 OOO 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $1 000 000 PRO- LOC POLICY JE 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) E ALL OWNALL OWNEO AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS X BODILY INJURY (Per accident) E X PROPERTY DAMAGE (Per accident) E GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC STIA TTMI OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If yea, describe under E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below I —1 I OTHER j DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / 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 'An DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 30 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVE Arnen oft fenn.rme%. ` "'•" Iww" POHLD o ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-5 (2001/08) 2 of 2 #M11064 nle..ye• ooG ' rr\I J�JV ACORD- CERTIFICATE OF LIABILITY INSURANCE /o�� o�°"��' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Harry A. Koch Co. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 45279 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Omaha, NE 68145-0279 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 402 861-7000 INSURERS AFFORDING COVERAGE NAIC q INSURED INSURER A: St Paul Mercury Insurance Co First National Nebraska, Inc. INSURERB: Federal Insurance Company Attention: Patrick Mahoney 1620 Dodge St Stop Code 1155 INSURER C:INSURER D: Omaha, NE 68197-1155 INSURER E: UUVGK 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. INSR TR ADD' N SR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY FS06303926 01/18/07 01/18/08 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE F-XI OCCUR DAMAGE TO RENTED PREMISES (Ea occurrencel MED EXP (Any one person) a1 000 000 $5 000 PERSONAL & ADV INJURY $1 00O 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $1 OOO OOO POLICY PE O- LOC A AUTOMOBILE X LIABILITY ANY AUTO F806303926 01/18/07 01/18/08 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Par parson) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X BODILY INJURY (Peraccident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO P $ AUTO ONLY: AGG E%CESSIUMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE S a DEDUCTIBLE is RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 71701763 01/18/07 01/18/08 X WC STATU- OTH- E.L. EACH ACCIDENT $5000OO ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYEE $SOO OOO E.L. DISEASE - POLICY LIMIT $500OOO SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I 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 1_ DAYS WRITTEN :E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL iE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ArAnm Ve ".....m . ' ' ". ` Wr'r I IwUv POHLD O ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S (2001/08) 2 of 2 #M11059