HomeMy WebLinkAbout113874 FOOD BANK FOR LARIMER COUNTY - INSURANCE CERTIFICATE (2)Clientg- 47947
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ACORDT,., CERTIFICATE OF LIABILITY INSURANCE
DATE
8/301081DDIVYVY)
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
P O Box 270370
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Fort Collins, CO 80527
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
Food Bank for Larimer County
1301 Blue Spruce
Fort Collins, CO 80524
INSURERA: Philadelphia Insurance Companies
INSURER B:INSURERC
—
-- --—
DE ER D:
NSURER 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
LTR
D
NM
TYPE OF INSURANCE
POLICY NUMBER
POLICYEFFECTIVE
DATE MMIDDIYV
POLICY EXPIRATION
DATE MMIDDIVV
LIMITS
A
GENERAL LIABILITY
PHPK318447
07/01/08
07/01/09
EACH OCCURRENCE
$1000000
X COMMERCIAL GENERAL LIABILITY
DAMAGE TC RENTEDinduce,
$1 OO OOO
MED EXP (Any one person)
$5 000
CLAIMS MADE a OCCUR
PERSONAL. & ADV INJURY
0000
GENERAL AGGREGATE
0GERL
AGGREGATE LIMIT APPLIES PER:
PRODUCTS COMP/OP AGO
0000POLICY
PRO-
ECT OCAUTOMOBILE
LIABILITY
rs2-2,000,0-0
COMANY
LIMITALL
AUTO
(a accideDISINGLE
OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS
(Per person)
HIRED AUTOS
BODILY
$
NON -OWNED AUTOS
accident)
(Per accident)t)
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
AUTO ONLY � EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
S
AUTO ONLY: AGG
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
OCCUR CLAIMS MADE
$
$
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
WC STA7 U- OTH
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, describe under
E L, DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
SPECIAL PROVISIONS below
,A
OTHER D&O Liab
PHSD333924
07/01/08
07/01/09
$2,000,000 Occurrence
$2,000,000 Aggregate
$2,500 Deductible
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Attn: Deputy City Clerk - Amy Jensen
City of Ft Collins
P O Box 580
Fort Collins, CO 80522
SHOULDANYOF 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
AUTHORIZED REPRESENTATIVE
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--••� ���� -�I I oI c 041 V440n1`141 U44Z SXC 0 ACORD 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 UKU co -a tmvuuo) 2 of 2 #S419448/M419442