HomeMy WebLinkAboutCITY OF FORT COLLINS - INSURANCE CERTIFICATE (3)ACORD CERTIFICATE OF LIABILITY INSURANCE Oni/22//DDnvvv)
04/22/Oa
PRODUCER 1-303-773-9999 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Arthur J. Gallagher Risk Management Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
6399 S. Fiddlers Green Cir ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
Suite 200
Greenwood Village, CO 80111
of Fort Collins
0 sox 580
Collins, CO 80522
INSURER E:
CnVFRA('FR
THE POLICIES OF INSURANCE LISTED BELOW RAVE 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 ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INBR
DUO'
-
POLICY NUMBER
POLICYEFFECTIVE
POUCYEXPIRATION
LIMITS
A
GENERAL LIABILITY
NIA3RL000004801.
04/15/08
04/15/09
EACH OCCURRENCE
$500,000
A�MI503I
K COMMERCIAL GENERAL LIABILITY
PRI'ML'ES Eo ocau,enca
A000
$
DLAIMSMADE OCCUR
MEDEXP Anyonoperson)
$
_
PERSONAL& ADV INJURY
---_ - —
_
$
__________.................
X SIR $500,000 Per
X OccurrenceGENERAL
GENERALAGGHEGA'IE
$500,000
PRODUCTS-COMPIOPAGG
S
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO LOD
v�
AUTOMOBILELIABILITY
(
COMBINED SINGLELIMIT
$
ANY AU70
AUTO
(Ea acci0sn0
_—`----
( INJURY
---------
ALL OWNED AUTOS
SCHEDULEDAUTOS
(PerPer person)
S
BODILY INJURY
S
HIRED AUTOS
NON-OWNEOAUTOS
(Peraccitlent)
PROPF.RTYDAMAGE
$
—
(Peraoddent)
_GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
§
OTHERTHAN ..EA ACC-___
$
ANYAUTO
AUTOONLY: AGG
$
A
EXCESS/UMBRELLALIABILLTY
N1A3F0000000601
04/15/08
04/15/09
EACHOCCURRENCE
X
OCCUR CLAIMS MADE
AGGREGATE
_$2,500,000
$ 5,500,000
Is
RETENTION $
WORKERS COMPENSATION AND
WCSTATU OTW
TDR I I-IMITR
EMPLOYERS' MASILITY
ANVPROPRIMBEREXCLUDE/EY,ECUTIVE
E.I.. F.ACH ACCIDENT
$
— —
E.L. DISEASE - EA EMPLOYEE
---- -
$
OfFICERIMEMBEREXCLUDED?
OyeS1AL'PROVISInr
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL. PROVISIONS
For GL Policy - Cov A. - General Liability, Auto Liability, LEL Liability. Cov. B Public Officials Liability.
Re: Port Collins Capital Leasing Corporation is named Additional Insured as respects General Liability coverage
regarding the Lease Agreement dated July 27, 2004 for Deicing Facility which terminates on June 1, 2023 and for Police
Building which terminates on June 1, 2026.
Collins Capital Leasing Corporation
5 N. Mason Street
0 BOX 580
rt Collins, CO 80522.
USA
10b)trapal
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR