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$;