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HomeMy WebLinkAboutROCKY MOUNTAIN INNOVATION - INSURANCE CERTIFICATEClient# 49137 RMINN ACORD- CERTIFICATE OF LIABILITY INSURANCE DATE 4/8/08M/DOmyY) PRODUCER` THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4821 Wheaton Drive HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW P O Box 270370 Fort Collins CO 80527 INSURERS AFFORDING COVERAGE NAIC # INSURED Rocky Mountain Innovation Initiative I 200 W Mountain Ave Suite C Fort Collins, CO 80521 INSURER Auto Owners Insurance Group INSURER B Philadelphia Insurance Companies 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 POLICY EFFECTIVE PDAITV EXPIRATION LIMITS A GENERAL LIABILITY 4755119500 03/01/08 03/01/09 EACH OCCURRENCE $2 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $50000 MED EXP (Any one person) $5 000 CLAIMS MADE a OCCUR PERSONAL S ADV INJURY $2 000 000 GENERAL AGGREGATE $2 000 000 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS COMP/OP AGG s2,000,000 1-1 POLICY JECTPRO LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED (a acadennt)SINGLE LIMIT $ BODILY INJURY (Per parson) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Peraccident) $ HIRED AUTOS NON OWNED AUTOS PROPERTY DAMAGE (Per accideM) $ GARAGE LIABILITY AUTOONLV EAACCOENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY AGO EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ E $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WCSTATU OTH IR EMPLOYERS LIABILITY EL EACH ACCIDENT $ ANV PROPRIETOWPARTNER/EXECUTIVE EL DISEASE EAEMPLOYEE $ OFFICERIMEMBER EXCLUDED? It yes describe under SPECIAL PROVISIONS below EL DISEASE POLICY LIMIT E B OTHER D & O Liab 03/01/08 03/01/09 $1 000 000 Limit IPHSD311964 $1 000 Deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BV ENDORSEMENT I SPECIAL PROVISIONS Certificate holder is named as additional Insured as owner/lessor as regards the following location Loc# 1 200 W Mountain Ave Suite C Fort Collins CO City of Fort Collins 300 Laporte Ave Fort Collins CO 80521 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_ DAYS WRITTEN E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL IE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR AUTHORIZED REPRESENTPPTIVE Fl0004 'r l/t.f�ScnJ I Z..JC ACORD 25 (2001/08) 1 of 2 #S411487/M411486 SYC 0 ACORD CORPORATION IQR$ IMPORTANT If the certificate holder is an ADDITIONAL INSURED the policy(ies) must be endorsed A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) If SUBROGATION IS WAIVED subject to the terms and conditions of the policy certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s) authorized representative or producer and the certificate holder nor does it affirmatively or negatively amend extend or alter the coverage afforded by the policies listed thereon Z OTZ IM47740HM479466