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Home My WebLink AboutTHE WOMENS CENTER OF LARIMER COUNTY - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCEMEN oNuD DATE(MMIDDIYY) 1 06/22/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown Inc - Ft Collins ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 125 S Howes, 5th Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 222 6 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P O Box Fort Collins CO 80522-2226 Phone:970-482-7747 Fax:970-484-4165 INSURERS AFFORDING COVERAGE INSURED INSURER A: Philadelphia Indemnity INSURER B: The Womens Center of Larimer County INSURER C: 424 Pine Street Suite 201 INSURER D: Ft Collins CO 86524 1 INSURER E. rnVFRAnPR 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. ILTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE MMIDDNY LIMITS AMERCIAL A L LIABILITY GENERAL LIABILITY �l CLAIMS MADE X OCCUR nofessionalLiab PHPK081493 PHPK081493 06/30/04 06/30/04 06/30/05 06/30/05 EACH OCCURRENCE $ 1000000 FIRE DAMAGE (Anyone fire) $ 100000 MED EXP (Any one person) PERSONAL BADVINJURY $ 5000 $ 1000000 GENERAL AGGREGATE $ 2000000 GENT AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT PRODUCTS - COMPIOP AGG s2000000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS PHPK081493 06/30/04 06/30/05 COMBINED SINGLE LIMIT (Ea accident) $ lOOOOOO BODILY INJURY (Per person) $ X X BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANYAUTO AUTO ONLY - EA ACCIDENT $ OTHERTHAN EAACC AUTO ONLY: AGG - $ $ A EXCESS LIABILITY X OCCUR CLAIMSMADE DEDUCTIBLE X RETENTION $ 0 PHUB030617 06/30/04 06/30/05 EACH OCCURRENCE $ 1000000 AGGREGATE $ 1000000 $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WU b LIMITS ER TORY E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT 1 $ OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Certificate holder is included as additional insured on the general liability. CITYFT7 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN City of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Department of Purchasing P. O. Box 580 IMPOSE NO OBLIGATION OR LITY OF ANY KIND UPON THE INSURER, ITS AG NTS OR Fort Collins CO 80522 REPRESENTATIVES. 1 AUTHORIZED REPRESENTATI ^` W�u &U-O V"WrI UAGUKU GUKPURATIUN 1933 ACORD CERTIFICATE OF LIABILITY INSURANCE OPID R DATE(MMIDDIYY) MEN-1 06/29/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown Inc - Ft Collins ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 125 S Howes, 5th Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O Box 2226 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins CO 80522-2226 Phone: 970-482-7747 Fax: 970-484-4165 INSURERS AFFORDING COVERAGE INSURED INSURERA: Philadelphia Indemnity INSURER B: The Womens Center of Larimer County NSURER C: 424 Pine Street Suite 201 INSURER D: Ft Collins CO 86524 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 TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE MMIDDIYY LIMITS A A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑X OCCUR X Professional Liab PHPK081493 PHPK081493 06/30/04 06/30/04 06/30/05 06/30/05 EACH OCCURRENCE $ 1000000 FIRE DAMAGE (Any one lire) $ 100000 MED EXP (Any one person) $ 5000 PERSONAL BADVINJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 7 PRO LOC JECT PRODUCTS - COMPIOP AGG $2000000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS PHPK081493 06/30/04 06/30/05 (EaCOMBINED SINGLE LIMIT CO accident) $ 1000000 BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANYAUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGO $ $ A EXCESS LIABILITY X OCCUR CLAIMSMADE DEDUCTIBLE X RETENTION $ 0 PHUB030617 06/30/04 06/30/05 EACH OCCURRENCE $ 1000000 AGGREGATE $ 1000000 $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY I TORY LIMITS ER — E.L.EACHACCIDENT $ E.L. DISEASE - EA EMPLOYEEI $ E.L. DISEASE -POLICY LIMIT 1 $ OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Certificate holder is included as additional insured on the general liability. CERTIFICATE HOLDER Y I ADDITIONAL INSURED; INSURER LETTER: A CANCELLATION CITYFT7 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIC DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN City of Fort Collins NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALI Department 8 0 Purchasing P. O. Box 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fort Collins CO 80522 REPRESENTATIVES. AUTHORIZED RE ENTATIVE i /I ACORD 25-S (7/97) CORPORATION 1988