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HomeMy WebLinkAboutANCORP - INSURANCE CERTIFICATE (3)ACORD. ° CER FiCAATE O I�IABII�ITY INSt.1RANCt= 11/25/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE FEDERATED MUTUAL INSURANCE COMPANY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 5701 W. Talavi Boulevard ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE Glendale, AZ 85306 Phone: 1-888-333-4949 Home Office: Owatonna, MN 55060 COMPANY FEDERATED MUTUAL INSURANCE COMPANY OR A FEDERATED SERVICE INSURANCE COMPANY INSURED ANCORP 5414 W 59TH AVE #C 293-949-4 COMPANY B ----- - - ---- - - - ------ ---- -.__.. ARVADA CO 80003 COMPANY C --------------- COMPANY D COVRAGE THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MM/DDIYY) POLICY EXPIRATION DATE(MMIDDIYY) LIMITS _GENERAL LIABILITY GENERAL AGGREGATE 5,. 2, 000, 000 _ COMMERCIAL GENERAL LIABILITY PRODUCTS COMP/OP AG_G $-2, 000000 A CLAIMS MADE LX� OCCUR 9403310 11/26/08 11/26/09 PERSONAL & ADV INJURY S 1 z000�000 _- _ OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ � 000,00D X BUSINESSOWNER'S POLICY FIRE DAMAGE Any one fire) $ 50,000 MED EXP Any one person) $ AUTOMOBILE LIABILITY -" COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY (Per person) 9 ALL OWNED AUTOS SCHEDULED AUTOS --- HIRED AUTOS NON OWNED AUTOS BODILY INJURY (Per accident) 5 PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY EA ACCIDENT $ ANY AUTO OTHER l'HAN ACT ONLY: EACH ACCIDENT 5 -- ___ .— —_' — AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE S 1 ,000 000 A X UMBRELLA FORM 9403311 11/26/08 11/26/09 AGGREGATE $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORV LIMITS ER OR SLIMIT OER '( —-----_—_---�------- EL EACH ACCIDENT —— $ THE PROPRIETOR/ INCL PARTNERSIEXECUTIVE -- EL DISEASE - POLICY LIMIT --------------------- $ ------ OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESISPECIAL ITEMS GERTIFIGAT£ H4L.D£R is : GJ:4NC£1.LATION ...._...:.. ..::� ... _.....< E6 m4 CITY OF FORT COLLINS ....�...... i% ........ ........._..... ..:. _:.: ....< ..< SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE PO BOX 580 EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL FT COLLINS CO 80522 __3Q _ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMP ITS AGE TS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIV ACC�I3D 2"� I5 t7/5S) PRESID rvr OAGQRp CQRi QI?ATION 198$;