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YOUTH ORCHESTRA - INSURANCE CERTIFICATE
ACORD,. CERTIFICATE OF LIABILITY INSURANCE OP ID L DATE(MMIDDIYYYY) YOUTH-1 05 13/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown Inc 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: 970-464-4165 INSURERS AFFORDING COVERAGE NAIC # INSURED " INSURER A: Pinnacol,Assurance _. INSURER B Youth Orchestra of the wsuRERc Rockies Association P.O. Box 270396 --- Ft Collins CO 80527 IINSURER 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 ADD' 4 - POLICY EFFECTIVE -POLICY EXPIRATION -_-- - _-- _ LTR INSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDO/YV DATE MMIDOIYY LIMITS GENERAL LIABILITY I EACH OCCURRENCE I $ DAMAGE TO RENTED j �. COMMERCIAL GENERAL LIABILITY j f ; PREMISES (Ea occurenoe) $ _ t CLAIMS MADE _ l OCCUR MED EXP (Any one person), $ i PERSONAL B ADV INJURY 1 $ Jill I GENERAL AGGREGATE $ AGGREGATE LIMIT APPLIES PER:; � PRODUCTS COMP/OP AGG I $ _. PRO- POLICY JECT LOC AUTOMOBILE LIABILITY i I COMBINED SINGLE LIMIT $ ANY AUTO ! t To accident) ALL OWNED AUTOS { JI BODILY INJURY $ SCHEDULED AUTOS j (Per person) HIRED AUTOS BODILY INJURY I $ NON -OWNED AUTOS i (Per I en)AMAGE PROPER $ ( GARAGE LIABILITY j AUTO ONLY EA ACCIDENT $ ANY AUTO OTHER TLY: EA ACCAUTO $ l OTHER THAN _ I .., AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ i I _. 1 OCCUR � � CLAIMS MADE I AGGREGATE i $ — j _. $ I t I DEDUCTIBLE _ $ ( RETENTION $ j $ UIHR TORY LIMITS Eli ! WORKERS COMPENSATION AND ! A EMPLOYERS' LIABILITY ! 4029998 1 06/01/08 06/01/09 EL EACH ACCIDENT $ 100000 ! ANPROPRIETORIPARTNER/EXECUTIVE OFYFICERIMEMBER EXCLUDED? ! EL DISEASE EAEMPLOYEE $ 100000 It yes, describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500000 OTHER I I DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION CITYFI O SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Fort Collins 215 N. Mason St. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fort Collins CO 80521 REPRESENTATIVES. AUT IZED REPRES v ACORD 25 (2001/08) ©ACORD CORPORATION 1988