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ACMD CERTIFICATE OF LIABILITY INSURANCE
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PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Front Range Insurance Group
1100 Barton Drive Suite 100
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins CO 80325
Phosse: 970-223-1804
INSURERS AFFORDING COVERAGE
NAIC0
INSUftID
INSURERA: Bmtx .I..,. CMy
INSURER B: Pinnacel Assurance
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Fl�in security Services Inc-
Forgo l''ius CO 80525
WSJRERC!
INsuRER D:
NSURERE:
THE. POUCIW OF INSUIV NOE U$TED BELOW NAVE BEE! ISSUED To THE WSURED N4FD ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTAM IN0
ANY REOUIRFLENT, TERM OR CONOTTIDN OF ANY CONTRACT OROTHFA CDCUWRT WfTH RESPECT TO WNC 14 THi4 CERTIMOA-M MAY SE MDUEO t ,
MAY PEFtTAKI, THE W$URANCE AFFORDED by THE POLICIES DESCRIBED NEREW IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
PoL C ss. AGGREOATE LIMITS SHOWN VAY HAVE MEN REDUCED BY PAID MAW,
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NSR
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POLICY NWBER
kwiMmmw
LIMITS
OBIERAL LIADUY
EACHOCCURRIME
$1000000
A
X DOMMEICLUGSNFRALLUBRm
CALMS MADE ®OCCUR
CLS1252562
04l14/07
04/14/08
sl00000
ME spwlyq pO )
$5000
P$2=U1.aADVIWUV
$1000000
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E
prof @ $1 Mil
GENERAL AGGREGATE
42000900
GM AGOMEIATE UMTAPPLIES PEFt
PROdJ=-COWYOP AGO
$2000000
7POUCY 26f 7 LDC
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fAUTOAIDBLLE
LNBILm
ANY AUTO
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COMEItffDSWREUMIT
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ALLOWNEDAUTD.S
SOHEDULFDAUTOS
HIRED AUTCE
NOTYAwNEO AUTOS
BOD((Perms 'WIRY
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PROPERTY DAMAGE
(thFaFddentj
T
GARAGE LIAMMY
ANYAUT"
AUTOONLY-FAACCIOEW
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OTHER THAN EA ACC
AUTO OISY: AGG
s
S
SMESWUMBRELLA LIAMUTY
OCCUR �CINMS MADE
!
EACH OCCURRENCE
$
AGGREGATE
S
T
DEDWT B E
RETENTAN S
S
V KWKE•RS COMPENSAnDN A
$ aiPLOYEFrs�T m 4009010 03
O NImm M�R'nlO imaUTNE /Ol/07 03/01/08
X �Rr i R
EL EACH A=WENT
1100000
ppyr�m,,
BPECVd MI N48dae
E.LDISEABE-EAEAIPI,
EL DIBEaRE-POLIOYLIMT
$100000
$500000
OE,SGRBR Of OF OPEMTIONS I LOCATIONS 1 MOLES!EXCLUSIONS ADDED pY SN®ORSFJTENTl SPECIAL IROLRUR]Ns
Socurity & Patrol services
CERTIFICATE HOLDER
PURL &/OUID ANY OF THE ABWEDB9pRIBEDwLICR;s BE eANCELLEO BEFORE THE EXPIRATR)
City of 22 asig
FTCI
Ro113a8 PurchnOAT THEWOF.THEMLRNGINSURER LENDEAVORTOMAa. 3C DAYSATSTTRR
Atttn: tft* O-221-8707 - John 3tepixens NOTICE TOTHE M"IFICAnIHOLDERNAUMM THE LEPT,BUT P/XORETo DO SO THALL
215 N Mason IMPOSE NO WLMTION OR LIASIUTY OFANYMM UPON THE WSUM'ISAOEITS OR
Fort C011inn CO 60524 RLDTtE$01TATIVES.
ACORQ CERTIFICATE OF LIABILITY INSURANCE a /1�' 00 1
Herbert -Ewing -Leavitt
2537 Research Blvd
Suite 202
Fort Collins, CO 80527-2289
508 Sedgwick Dr
Fort Collins, CO 80525-70S1
Lft-*" I 7q
INSURERS AFFORDING COVERAGE
NSIFiEftA Dw>tar�
INSURER C.
NAIL JJ
THE POLICIES OF INSURANCE LISTED BELOW WE 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.
L
TYPEOFNSIWANCE
POLICYNUMBIR
POLICYEPFECBVE
POUCYEXPW
LIAHSS
GENBiAi LIABLffY
EACH OCCLRiENCE
$
'
COM KIAL GENERAL UAS?L Y
DAMAOETORENTED
3
CLNMSM OCCUR
NEDE%P iAr�yore PersaA
$
PERSONALBADVWI
S
GENUMAGGREGATE
$
GeN AGCi EGATE -W APPLES PER
PRCbT1CTS. COMPIOP AGG
S
POLICY WT El LOC
AUTOMO&LELIABMM
A AUTO
4662790301
12/08/2006
12/08/2007
GOMBNEO SNGLE LIMi
{Eexo I)
S
1,000,0
SOMYN. y
IPe; personl
$
A
ALL OWNED AUTOS
X SD ULEDA=S
X WWAUTOS
iX
AVNOWAEDAUTOS
BDDtY W1URr
(PeraWder[)
$
PROPPRtt DAMAGE
IPeraccl0sp
s -
GPRAGELIPBILRY
AUTOO Y-EAACCIOENT
S
ANYAU.O
Oh0ONLY EA ACC
S
AUTO ONLY AOG
S
EXCE3$=NBREU.ALg.81JTY
EACHOCCURRENCE
S
CCCUt CAAISMADE
AGGREGATE
S
$
f
OEDVCTIBLE
S
RETENRJV E
S
WORKERS COMPENSATION AND
EMPLOVERS'LIABILf1Y
STA.F�i OR
El EACH ACCUENT Is
ANYPROPRIEiO ARTWREXECNVE
OMCERh&NIBER EXCLUDED?
Ayas.CLPrn V O
SPECIAL PRCVISiONSbakr
EL DISEASE - EA EM OYEE
S
EL. DiSEASE-POUCYLIMR 1
8
OTHER
DESCRWTNXJ OF OPERATi0N3f LOCATION31 VEHICLES! EXCLVS{0.NSADDEO BY EtJDOR3EMENTI SPECIAL PRDY�SIONS
City of Fort Collins
Purchasing Dept
Attn: John Stephens
21S N. Mason Street
Fort Collins, CO BOS22
ACORD2512001mm FAX:
SHOLLDANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRp VATETHEREOF,THE133UWGN3URERWU ENDEAVORTOMM
—k-Mn WRfffEN NOTICETO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
B V T FAILURE TO MAIL SUCH NOTIC E SHAIL MPOS E NO DBLtG0.T10H OR LIABMY
OF AW XM UPONTHENSURER, ITS AGENTS OR REPRESENFATNES.
AUTHORIZEO REPRESEMATIVE
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.
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