HomeMy WebLinkAboutNCB - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE CSR
DATE (MMI/
NCBLL-1
10 2604 04
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Compass Insurance Agency, Inc.
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Olson & Olson Division
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 1467
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Englewood CO 80150
Phone: 303-761-0085 Fax:303-788-1817
INSURERS AFFORDING COVERAGE
NAIC 9
INSURED
INSURER A: Plnnacol Assurance
INSURER B:
INSURER C:
NCB LLC
922t Teddy Lane.Ste. 125
LoneTree CO
INSURER D:
INSURER E:
COVED^GES
THE I">I CTES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY R�OUIREMENT, 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
[,,I-
INS ') TYPE OF INSURANCE
POLICY NUMBER
POLICY
DATE MMID
DATE MMIDD/YY
LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
EACH OCCURRENCE
$
D—'
PREMISES (Es occurence)
$
MED EXP (Any one person)
$
PERSONAL &ADV INJURY
$
GENERAL AGGREGATE
$
I GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO-
JECT LOC
PRODUCTS-COMP/OP AGG
$
I AUTOMOBILE
LIABILITY
ANVAUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NON -OWNED AUTOS
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
(Per Person)
S
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANYAUTO
AUTO ONLY - EA ACCIDENT
S
OTHER THAN EA ACC
AUTO ONLY: AGG
$
S
EXCESS/UMBRELLA LIABILITY
OCCUR El CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
E
$
$
A
WOR'<ERS COMPENSATION AND
EMPLOYERS' LIABILITY
aOPRJETORlPARTNER/EXECUTIVE A �'�
�'
0.ri i- RMEMBEREXCLUDED?
If ys. lescrlbe under
'J. PROVISIONS below
4062613
11/01/04
11/01/05
X TORY LIMITS ER
E.L. EACH ACCIDENT
$100,D00
- — _
E.L.DISEASE-EAEMPLOYEES100,000
E.L. DISEASE -POLICY LIMB
1 $500 000
-EXCEPT FOR 10 DAYS FOR
NON-PAYMENT OF PREMIUM
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CER- " -nTE HOLDER
City of Ft. Collins
281 N. College Avenue
Ft Collins CO 80522
CANCELLATION
CYFTCO2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 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
REPRESENTATIVES.
ACORD 25 (2001/081