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Home My WebLink About374454 ARTHUR J GALLAGHER RISK MGT SERVICES - INSURANCE CERTIFICATE (5)f ACORD. CERTIFICATE OF LIABILITY INSURANCE of/16/i 0 ' PRODUCER (303) 773-9999 FAX Arthur J. Gallagher & Co. - Denver 6399 S. Fiddlers Green Circle, Suite 200 Greenwood Village, CO 80111 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. INSURERS AFFORDING COVERAGE NAIC # INSURED City of Fort Collins P.O. BOX S80 Ft Collins, CO 80522 INSURERA Genesis Insurance Company INSURERS: Lexington Insurance Company INSURERC: INSURER D: INSURER E: 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 1413131 NM TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDD/M POLICY EXPIRATIONIm DATE fMMIDDfYY1 LIMITS GENERAL LIABILITY YXB300654E 01/01/2004 04/1S/2005 EACH OCCURRENCE S 3,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE X❑ OCCUR COV A - GENERAL LIAR. MED FRCP (Any one Person) $ A X X SIR $250,000 Per AUTO LIAB., LEL LIAB. PERSONAL& ADV INJURY $ B - PUBLIC OFFICIALS Occurrence COV GENERAL AGGREGATE $ 6,000,00 LAIBILITY GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ X PRO- LOC POLICY JECT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ X ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per Person) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EAACC AUTO ONLY: AGG $ $ EXCESSIUMBRELLA LIABILITY OCCUR a CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECUT WE OFFICERIMEMBER EXCLUDED If yyes, describe under SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ B OTHER ropertForm lnkt Bldg g & Pers Prop 8752796 INCLUDES AUTOMOBILE 01/01/2004 04/15/2005 Per Occurrence: $100,000,000 Policy Deductible: $50,000 Y PHYSICAL DAMAGE Vehicle Deductible: $100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS e: Fort Collins Capital Leasing Corporation is named Additional Insured as respects General Liability coverage regarding the Lease Agreement dated July 27, 2004 for Deicing Facility which terminates on June 1, 2023 and for Police Building which terminates on June 1, 2026. Fort Collins Capital Leasing Corporation 215N. Mason Street PO BOX 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE V Karen Graham/NMS - ACORD 25 (2001108) ©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. AGURD 25 (2001108)