HomeMy WebLinkAboutLARIMER COUNTY CHILD ADVOCACY - INSURANCE CERTIFICATECERTIFICATE OF LIABILITY INSURANCE DATOE/MM2005
PRODUCER
ADCO GENERAL CORPORATION
PO BOX 40007
DENVER CO 80204
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
LARIMER COUNTY CHILD ADVOCACY
CENTER
5529 S. TIMBERLINE RD
FT. COLLINS CO 80528
INSURER A:PENN-STAR INSURANCE COMPANY
INSURER B:
INSURERC:
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.
INSR
LTR
ADD'L
INSRD
E OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM)DD/YY)
POLICY EXPIRATION
DATE (MMIDD/YY)
LIMITS
GENERAL
LIABILITY
EACH OCCURRENCE
$1, 000, 000
A
X
COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED
PREMISES(Ea me renw)
$100 000
CLAIMS MADE® OCCUR
MED EXP (Any we pwom)
$5,000
PAC6449666
04/30/2005
05/01/2005
PERSONAL &ADV INJURY
$1, 000, 000
GENERAL AGGREGATE
s2,000,000
GENT AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP,DPAGG
$INCLUDED
POLICY 0 PROJECT❑LOC
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$
ANY AUTO
(Each Accident)
ALL OWNED AUTOS
BODILY INJURY
$
SCHEDULED AUTOS
!Par pore°°)
HIRED AUTOS
BODILY INJURY
$
NON -OWNED AUTOS
(Per accident)
PROPERTY DAMAGE
$
War accident)
GARAGE
LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN EA ACC
$
AUTO ONLY:
8
AGG
EXCESSNMBRELLA LIABILITY
EACH OCCURRENCE
$
OCCUR F-ICLAIMS MADE
AGGREGATE
$
3
DEDUCTIBLE
8
RETENTION a
a
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
WC STATU-
OTH-
ANY PROPRIETORRARTNER/EXECUTIVE
OFFICERIMEMBER,XXCLUDED 7
El. EACH ACCIDENT
8
E.L. DISEASE - EA EMPLOYEE
$
If Yea, desaihe under
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONSILO:ATIONSNENICLES/EXCLUSIONS ADDED BY ENDORSI'MENT/sPECULL PROVISIONS
CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED WITH RESPECTS TO GENERAL LIABILITY
FOR THE SPECIAL EVENT BEING HELD ON 04/30/O5.
• •vra r r. r rvr.vs.n %.ANI.CLLA I IUN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Be CANCELLED BEFORE THE
CITY OF FORT COLLINS EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO
PURCHASING MAIL DAY BUT rAIEURE TO DO TPOSE ENO CERTIFICATE HOLDER
ORRLLIAB�TY OF ED TO � KIND
U
PO BOX 580 UPON THE IN .IT TS PRESENTATIVES.
FT. COLLINS, CO 80522 AUTRORIM nvE
ACORD 25 (08101) ACORD CORPORATION 1988