HomeMy WebLinkAboutDOWNTOWN DEVELOPMENT - INSURANCE CERTIFICATE (2)C-Ne^.r�: Z4255 UVWUE'
AUORDr. CERTIFICATE OF LIABILITY INSURANCE 0DATE (MM/D
1/15/09DNYYY)
PI".ODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Fic od & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4821 Wheaton Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P O Box 270370
I
Fort Collins, CO, 80527 INSURERS AFFORDING COVERAGE '' ' - NAIL #
INSURED t,,:, ".r s.."� INSURERA: Travelers Insuranc4iCompany'�
Downtown Development Authority, '-• - - -
INSURER B:
—19-Old Town Square, Suite 230
Fort Collins CO 80524 INSURER C:
f t "•. INSURER D:
INSURER 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.
LTR
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDDf
POLICY EXPIRATION
DATE MM/DD/YY
LIMITS
A
GENERAL LIABILITY
1660267P2018TIL09
01/01/09
01/01/10
EACH OCCURRENCE
$1 00O 000
MERCIAL GENERAL LIABILITY
DAMAGE TO RENTED
MISCLAIMS
$1 OO 000
MED EXP (Any one person)
$5 000
NCOM
MADE � OCCUR
PERSONAL & ADV INJURY
$1 00O 000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
s2,000,000
.. POLICY ` - ' PRO% LOC
JECT
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
(Per person)
-
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
GARAGE LIABILITY
AUTO ONLY`- EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
A
EXCESS/UMBRELLA LIABILITY
X OCCUR CLAIMS MADE
WSFCUP2094T2421NDO
01/01/09
01/01/10
EACH OCCURRENCE
$1 000 000
AGGREGATE .
$1 OOO 000
$
DEDUCTIBLE
$
_ RETENTION $
A
WORKERS COMPENSATION AND "'"
IKUB267P201809
01/01/09
01/01/10
X I WC91TMIT
1s500,000
EMPLOYERS'LIABILITY
E.L. EACH ACCIDENT
ANYPROPRIETOR/PARTNER/EXECUTIVE
_
OFFICER/MEMBER EXCLUDED?
If yes, describe under
E.L. DISEASE - EA EMPLOYEE
$500,000
E.L. DISEASE -POLICY LIMIT
$500,000
SPECIAL PROVISIONS below
•DESCRIPTION
OTHER
OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Certificate Holder is listed as Additional Insured as their interest may
appear regarding: "Transform" Sculpture in Old Town Square, Ft. Collins,
CO.
City of Ft. Collins
P O Box 580
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 in 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 y-
P-/004 k 'V" ®I: a ?5��..! al:�✓�asi'ttwsJ a 2�,JC.
,��^� %—v 11vof -1 oT [ ;;M434Ib7 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.
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