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