The URL can be used to link to this page

Home My WebLink AboutFIRST NATIONAL OF NEBRASKA - INSURANCE CERTIFICATE (2)Client#: 299 FIR75496 ACORD. CERTIFICATE OF LIABILITY INSURANCE D1/21/0901YYVYI PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Harry A. Koch Co. P.O. Box 45279 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Omaha, NE 68145-0279 402 861-7000 INSURERS AFFORDING COVERAGE NAIC # INSURED First National of Nebraska, Inc. Attention: Patrick Mahoney 1620 Dodge St Stop Code 1155 Omaha, NE 68197-1155 INSURER A. St Paul Mercury Insurance Co INSURER e. INSURER C. 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 N R TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE'M 'DDIYY' POLICY EXPIRATION DATE MMDD Y LIMITS A GENERAL LIABILITY FS06305114 01/18/09 01/18/10 EACH OCCURRENCE $1 00Q 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED s1000QQ0 CLAIMS MADE F OCCUR SS 000 MED EXP (An, One parson) PERSONAL fl ADV INJURY S1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS COMPOP AGO $1 00O 000 POLICY lE LOU A AUTOMOBILE LIABILITY ANY AUTO FS06305114 01/18/09 01118/10 COMBINED SINGLE LIMIT (Ea accident) $1,000,QQO X BODILY INJURY (Per Parson) $ ALL OWNED AUTOS SCHEOULED AUTOS X BODILY INJURY fear accidenq $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Peracaidanp $ GA0.AGE LIABILITY AUTO ONLY EA ACCIDENT $ OTHEEA ACC THAN E ANY AUTO E AUTO ON AUTO ONLY. AGO EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE 8 OCCUR ❑ CLAIMS MADE $ DEDUCTIBLE I $ RETENTION S WORKERS COMPENSATION AND WG STATD- OTH- EMPLOYERS' LIABILITY E.L. EAGH ACCIDENT $ ANY E.L. DISEASE - EA EMPLOYEE E OFFdR CERIMEETORI EXCLUDED' OFFICERIMEMBER EXCLUDEDP It E.L. DISEASE POLICY LIMIT Is SPECIAL PROVISIONS bellaw PECAL PRa ISIO OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE: BANKING SERVICES AGREEMENT THE CITY OF FT COLLINS, ITS OFFICERS, AGENTS 8. EMPLOYEES ARE ADDL INSURED FOR GL BUT ONLY AS RESPECTS LIABILITY ARISING OUT OF PERFORMANCE OF WORK UNDER THIS AGREEMENT FIRST NATIONAL OF COLORADO, INC IS A NAMED INSURED UNDER THE POLICY CITY OF FORT COLLINS PO BOX 580 FORT COLLINS, CO 80522 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _q DAYS WRITTEN E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVE .avers.. L� (LV V t/VD) 1 oT 2 4M21536 POHLD 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 coverageafforded by the policies listed thereon. ACORD 25•S (2001108) 2 of 2 #M21536 Clinnt8. 299 ml-iliS:1:7 ACORDr. CERTIFICATE OF LIABILITY INSURANCE DATE BMl 01/21/09 Onr r) PRODUCER The Harry A. Koch Co. P.O. Box 45279 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. Omaha, NE 68145-0279 402 861-7000 INSURERS AFFORDING COVERAGE NAIC # INSURED First National of Nebraska, Inc. Attention: Patrick Mahoney 1620 Dodge St Stop Code 1155 Omaha, NE 68197-1155 INSURER A: St Paul Mercury Insurance Co INSURER B: Federal Insurance Company INBURER C: INSURER D: INSURERE. 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 N R TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE Y POLICY EXPIRATION 'Y LIMITS A GENERAL LIABILITY FS06305114 01118/09 01/18/10 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY DAMPR,AGE TO RENTracED $1 OOO OOO CLAIMS MADE 7 OCCUR MED EXP(Any one action) $5000 PERSONAL B ADV INJURY $1000000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO E1 OOO OOO POLICYPRO- DLOG JECT A AUTOMOBILE LIABILITY ANY AUTO FS06305114 01/18/09 01118/10 COMBINED SINGLE LIMIT (Ee accident)$1r000,O00 X BODILY INJURY (Per parson) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO S AUTO ONLY: AGO EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S AGGREGATE $ OCCUR CLAIMS MADE S $ DEDUCTIBLE $ RETENTION S B WORKERS COMPPNSATION AND EMPLOYERS' LIABILITY ANY PROPMETORIPARTNERPEXECUTIVE 71701763 01/16/09 01/16/10 X WC BTATU DTH- F E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE s500 OOO OFFICERIMEMBER EXCLUDED? It yoe, deandbe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT I $500 0O0 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS The City of FL Collins, its officers, agents & employees are named as additional insured for general liability but only insofar as loss or damage was the result of negligence of First National Bank (Ft. Collins). First National Bank (Ft. Collins) is a named insured under the policies. City of Ft. Collins Director of Purchasing & Risk Management PO 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 I (L 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 AUUKU n (zUUilual 1 of 2 #M21537 POHLD © 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. ACORD 25-5 (2001108) 2 of 2 #M21537