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HomeMy WebLinkAboutFOOTHILLS GATEWAY - INSURANCE CERTIFICATE (2)Clipnf#- 37370 ACORDU,., CERTIFICATE OF LIABILITY INSURANCE DIYYYY) O6/O9/08 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 Foothills Gateway, Inc. 301 West Skyway Drive Fort Collins, CO 80525 INSURERA'. New Hampshire Ins Co INSURER : National Union Fire Insurance INSURERC: Pinnacol Assurance INSURER D: Granite State Insurance 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 DATE (MMIDDIYYI POLICY EXPIRATION DATE MMIDDIYYJ LIMITS A GENERAL LIABILITY 01LX0003773494000 07/01/08 07/01/09 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE- a OCCUR DAMAGE TOE RENTED $200000 MED EXP (Any one person) $1 Q 000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE s3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s3000000 POLICY PRO JGCT LOC D AUTOMOBILE LIABILITY ANY AUTO 02CA0036905234000 07/01/08 07/01/09 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIREDAUTOS NON-OWNF'DAUTOS X PROPERTY DAMAGE (Per aocidenQ $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGO B EXCESSIUMBRELLALIABILITY 29UD0069147154000 07/01/08 07/01/09 EACH OCCURRENCE $2000000 X1 OCCUR CLAIMS MADE AGGREGATE s2,000,O00 $ DEDUCTIBLE $ X RETENTION $ 10000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 703552 07/01/08 07/01/09 X I WCSTATU- oTH- RY LII IT R EL EACH ACCIDENT $SOO,000 E.L. CISEASF - EA EMPLOYE:: $500,000 OFPICERIMEMBER EXCI ()DEW If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $500,000 A OTHER Professional 01LX0003773494000 07/01/08 07/01109 Aggregate $3,000,000 Liability Occurrence $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Certificate holder is named as additional insured. City of Fort Collins PO Box 580 Fort Collins, CO 80522 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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 ACORD 25 (2001/08) 1 of 2 #M417504 AUTHORIZED REPRESENTATIVE KI R 0 ACORD CORPORATION 198P 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. AWKU zs•s (zouvos) 2 of 2 #M417504