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HomeMy WebLinkAboutNORTHSTAR FIRE PROTECTION - INSURANCE CERTIFICATEClipnfg- 191n NARTFIRI ACORD,e CERTIFICATE OF LIABILITY INSURANCE DATE 03123104orvvv) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MN -COMMERCIAL LINES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE COBB STRECKER DUNPHY 8 ZIMMERMANN HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 150 S FIFTH ST STE 2000 MINNEAPOLIS, MN 55402 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: ZURICH AMERICAN INSURANCE COMPA 4Y NORTHSTAR FIRE PROTECTION INC INSURER B: SCOTTSDALE INSURANCE CO 875 BLUE GENTIAN ROAD EAGAN, MN 55121 INSURER C: INSURER D: INSURER E: COVERAGES 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 NSR TYPE OF INSURANCE POLICY NUMBER DATEYOLI MF/DD/YYE PDATE MM/DD/YIY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE rx-1 OCCUR X XCU GLO930827901 01/01/04 01/01/05 EACH OCCURRENCE $1000000 DAMAGE TO RENTED S300ODD MED EXP (Any one person) $10 000 PERSONAL & ADV INJURY $1 000 000 X BROAD FORM PD GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER'. POLICY X PROJEC7 LOC PRODUCTS - COMPIOP AGG s2,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON-OWNEDAUTOS SAP930827801 01/01/04 01/01/05 COMBINED SINGLE LIMIT (Ea accident) $1 ,000 ,000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO q AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ B EXCESS/UMBRELLA LIABILITY -xl OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION a 10,000TATUjj UMS0014978 01/01104 01/01/05 EACH OCCURRENCE s6000000 AGGREGATE s6,000,000 $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below WC930828001 01/01/04 01/01/05 X WC SLIMIT ER E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE s500,000 E.L. DISEASE - POLICY LIMIT s500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ANY/ALL WORK PERFORMED CITY OF FORT COLLINS 281 N COLLEGE FORT COLLINS, CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL FVa0t0=j0t MAIL A0_ DAYS WRITTEN AUTHORIZED CERTIFICATE HOLDER NAMED TO THE LEFT,AJ(3(MMX%XX9Xk%X0MX AwKU ZD (ZUUlfUt5) 1 of 2 #S139773iM135089 VLH F) AL UKU GUKVUKA I IUN l9BU