HomeMy WebLinkAboutFIRST NATIONAL OF NEBRASKA - INSURANCE CERTIFICATE (5)ACORDMR.
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PRODUCER 402 861-7000
THE HARRY A. KOCH CO.
PO BOX 45279
OMAHA NE 68145-0279
INSURED
First National of Nebraska,lnc
Attention: Patrick Mahoney
14010 First National Parkway
Omaha NE 68197-8135
DATE(MM/DD/YY)
01 /14/05
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANY A ST PAUL FIRE & MARINE
COMPANY
B
COMPANY
C
COMPANY
D
THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
CO DATE(MM/DD/YY) DATE IMM/DD/YYI
A GENERAL LIABILITY FS06303457 1/18/05 1/18/06 GENERAL AGGREGATE S 2000000
X
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 1XI OCCUR
OWNER'S & CONTRACTOR'S PROT
PRODUCTS - COMP/OP AGG
b 1000000
PERSONAL & AOV INJURY
$ 1000000
EACH OCCURRENCE
$ 1000000
FIRE DAMAGE (Any one fire)
$ 1000000
MED EXP (Any one person)
$ 5000
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
FS06303457
1 /18/05
1 /18/06
COMBINED SINGLE LIMIT
9 1000000
X
BODILY INJURY
(Per person)
8
X
BODILY INJURY
(Per accident)
9
X
PROPERTY DAMAGE
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
EACH OCCURRENCE
5
AGGREGATE
$
g
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR/ INCL
PARTNERSIEXECUTIVE
OFFICERS ARE: R EXCL
WC STATU- OTH
. _ TQRY�IMITS __ ER
EL EACH ACCIDENT
$
EL DISEASE - POLICY LIMIT
1 $
EL DISEASE - EA EMPLOYEE
$
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
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 COMPANY WILL 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 7 C MPANY,/lI6 AGENTS OR REPRESENTATIVES.