HomeMy WebLinkAboutFIRST NATIONAL OF NEBRASKA - INSURANCE CERTIFICATE (3)FIR75dQA
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ACORD,. CERTIFICATE OF LIABILITY INSURANCE
01/161os°"�Y'
PRODUCER
The Harry A. Koch Co.
P.O. Box 45279
Omaha, NE 68145-0279
402 861-7000
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
First National of Nebraska, Inc.
Attention: Patrick Mahoney
1620 Dodge St Stop Code 1155
Omaha, NE 68197-1155
INSURER A: St Paul Fire & Marine
INSURER B:
INSURER C:
INSURER D:
INSURER E:
r•nvee Anec
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
R
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
A
GENERAL LIABILITY
FS06303926
01/18/06
01/18/07
EACH OCCURRENCE
$1 000 000
DAMAGE SfETO RENTED
$1 000 000
X COMMERCIAL GENERAL LIABILITY
MED EXP (Any one person)
$5 000
CLAIMS MADE a OCCUR
PERSONAL &ADV INJURY
$1 000 000
GENERAL AGGREGATE
s2.000.000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMPlOP AGG
$1000000
PRO- LOC
POLICY JE
A
AUTOMOBILE
LIABILITY
ANY AUTO
FS06303926
01/18/06
01/18/07
COMBINED SINGLE LIMIT
(Ea accident)
$1 000 ,000
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Per axident)
$
HIREDAUTOS
NON-OWNEDAUTOS
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
OCCUR CLAIMS MADE
$
$
DEDUCTIBLE
$
RETENTION $
W C STI. OTH-
WORKERS COMPENSATION ANDTIC
E.L. EACH ACCIDENT
._,
E
EMPLOYERS' LIABILITY
ANY PROPRIETORMARTNER(EXECUTIVE
OFFICERIMEMBER EXCLUDED?
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
N yes, describe under
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
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
LID ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL AIII _ DAYS WRITTEN
T TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVE T_
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ACORD 25 (2001/08) 1 of 2 #M3873 POHLD 9 ACORD CORPORATION 1988