HomeMy WebLinkAbout446619 NORTH RANGE BEHAVORIAL HEALTH - INSURANCE CERTIFICATEACORDI CERTIFICATE OF LIABILITY INSURANCE '., OPID DPI DATE MMI,DONYYV)
PRODUCER
Rich & Cartmill Ins of CO
of Colorado LLC
8213 W. 20th Street
Greeley CO B0634
Phone: 970-356-8030 Fax!970-356-8032
INSURED
North Ran e Behavioral Health
1300 N. I th Avenue
Greeley CO 80631
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE NAIC #
INSURERA Granite Insurance_ Company I
INSURI It Pinnacol Assurance
INSURER C n_ac 1 u o_ ev i co.
INSURER D:
THE POLICIES OF INSURANCE LISTFD BELOW HAVE BEEN ISSUED To THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOIVATHS'fANU ING
ANY REQUIREMFNT. TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TOM IICH IHIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESC RIBFO I BIRL:IN IS SUBJECT I'O ALL H It, I ERMS, EXCLUSIONS AND GOINGGOING I I IONS 01SUCI I
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS,
IN.YOU YEFFECTIVE POLICY EXPIRATION
LTR INSR� TYPE OF INSURANCE POLICY NUMBER DATE MMIDDIYV DATE MMIDDery LIMITS
___R_ _
II
GENERAL LIABILITY
EACH OCCURRENCE
.. ___....
I $ 1,000,000
A
X
XICOMMERCIMGENFRnIIIANIIITYIO2LXO9O55771000
07/O1/OB
07/O1/09
DAMAGE, 10IPLNTTD
IRFMISI$teno
50 , 010 0
. L.._.I tdS L:ADD IX�OCCUR'
1Q,nQQ...
_
1 DEYP'Any P cnj
_. _
PERSONAL &ADV INJURY
$1 000,000
X Professional Liab
GLNERALAGGRLGAC
s3 000,000
CENTAGGREGATE LIMITAPPIICS PER:
.....—
PRODUCTS - COMWOP AGO
S3 000, 000
I POLICY JecT I.oc
j
Emp..Ben_
..._
1,000,000
ADTOMOBILE
LIABILITY
A
IX
IANYAUIO
02LX09055771000
07/01/08
07/01/09
GOMBINEOSINGIF tIMIT
51, 000 000
A I. 0 WNEU nU105
---
INJURY
S
SCHEDULED AUTOS
Per"parson)
HIRED AUTOS
j
BODILY INJURY
NON -OWNED AUTOS
I
(Petan'.iden
$q I
_....._.._._. __._. ....._..
PROPFRTYOAMAGE
S
(Per aO,!dont)
GARAGE LIABILITY
:
AUTO ONLY. FA ACUOFN!
$
-A NYAUTO
j-
01 HER IRAN FAACC
--
__..
--
AUI0 ONLY: AGG..S
EXCESSIUMORELLA LIABILITY i
EACH OCCURRENCE
s2,000,000
C
X_occuR CLAIMS MADE ;29UD02944181000
07/01/08
07/01/09
$2,000,000
AGGREGATE
I
UE000TIULE
I
-_IS
_._.. _. __..._.
I
X RETENTION $10,000
WOE KERSOOMPMLITY ON AND
X1IORY IWQ IM S � � FR-I
`-_-
B
FIdPLOYERS' LIABILITY
ANYIROPRIBTOWPARTNEWEXECUTIVE
4044331
07/01/08
07/01/09
EL LACHACCIDENT
$ 100000
OFFIP ERIMEMDER EXCLUDEITI
100000
f DISEASE-Ln EMPLOYEE
j
Ify d tribe under
SI•„CJAL FROVISIONS below
L.L. OiSLASE -POLICY LIMIT
----.
S500000
I
OTHER
,
DESCRIPTION OF OPERATIONS I LOCATIONS !VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
City of Fort Collins, Colorado, A Municipal Corporation is listed as
additional insured as pertains to the general liability policy,
City of Fort Collins, Colorado
A Municipal Corporation
300 LaPorte Ave
PO Box 580
Fort Collins CO 80522
ACORD 25
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES HE 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
IMPOSE NO OBLIGATION Olt LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES
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