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HomeMy WebLinkAboutUNITED WAY OF LARIMER COUTY - INSURANCE CERTIFICATEACORD CERTIFICATE OF LIABILITY INSURANCE 0DATE 6/25/08DIvvr) 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 P O Box 270370 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins, CO 80527 INSURERS AFFORDING COVERAGE NAIC # '-"'- United Way 102 r County 424 Pine Street #102 Fort Collins, CO 80524 INSURER A: rn Baaeipma insurance Companies INSURER B: Pinnacol Assurance - INSURER C: NSURER D: INSURER E: 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 INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD/VV POLICY EXPIRATION DATE MM/DDIYY LIMITS A GENERAL LIABILITY PHPK314715 07/01/08 07/01/09 EACH OCCURRENCE $1000000 _X COMMERCIAL GENERAL LIABILITY CLAIMS MADE F—xl OCCUR DAMAGE TO RENTED P e E E r it n� $100 000 MED EXP (Any one person) $5 000 PERSONAL&ADV INJURY $1000000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $2000000 PROL POLICY D ECT LOC A AUTOMOBILE LIABILITY ANY AUTO PHPK314715 07/01/08 07/01/09 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS NONOWNED AUTOS X BODILY accident) (Per Accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AGO A EXCESS/UMBRELLA LIABILITY PHUB239834 07/01/08 07/01/09 j-1J W OCCUR El CLAIMS MADE DEDUCTIBLE X RETENTION $ 10000 _ S B WORKERS COMPENSATION AND 1139172 07/01/08 07/01/09 X WCSTATU- OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $SOO,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEE $500,000 OFFICERIMEMBER EXCLUDED? If yes, describe under E.L. DISEASE -POLICY LIMIT 1 $500,000 SPECIAL PROVISIONS below A OTHER Property PHPK314715 07/01/08 07/01/09 Bus. Personal Property $200,000 special form DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate holder is named as additional insured. City of Fort Collins Risk Management P O Box 580 215 N Mason Fort Collins, CO 80522 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 DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVE $IV14IOU 14 KXH © ACURD CORPORATION 1988 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. Aa Vmu ca•a tcuuuua) 2 Of 2 #M418974