HomeMy WebLinkAbout438171 BIKE FORT COLLINS - INSURANCE CERTIFICATE (2)ACORD,, CERTIFICATE OF LIABILITY
INSURANCE
DATE (MMIDDNYYY)
3/16/2009
PRODUCER (641)842-2135 FAX: (641)828-2013
McKay Insurance Agency, Inc.
Y g y,
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
106 East Main Street
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P 0 Box 151
Knoxville IA 50138
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
INSURERA'. Philadelphia Indemnity
INSURER 8:
Friends of the Fort Collins Bicycle Program
_
INSURER C:
_
INSURER D:
PO Box 1632
INSURER E:
Fort Collins CO 80522-1632
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING AN
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.
TE LIMITS SHOWN MAY HAVE 13PE q REDUCED BY PAID CLAIMS
NISRIADD-L NgRn TYPE OF INSURANCE POLICY NUMBER DATEYMWDDMEPDAITE MWDDTION LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
RENTED
DAMAGE TOlF
$ 100,000
A
X COMMERCIAL GENERAL LIABILITY
CLAIMSMADE MXOCCUR
PHPK387381
3/9/2009
3/9/2010
MED EXP kr one ,wn
$ Exclude
PERSONAL&A INJURY
S 1,000,000
GENERAL AGGREGATE
$ 3,000,000
GEN11 AGGREGATE
LIMIT APPLIES
PER:
PRODUCTS -COMP/OP
$ 3,000,000
X POLICY
JECT
LOC
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accitlenl)
$
BODILY INJURY
(Per person)
$
ALLOWNEDAUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
S
OTHER THAN EA AC C
S
ANY AUTO
AUTO ONLY:
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
$
OCCUR CLAIMS MADE
AGSREGATE
$
S
DEDUCTIBLE
RETENTION
WORKERS COMPENSATION AND
TATU- OTH-
WCSTORY
El EACH ACCIDENT
$
EMPLOYERS' LIABILITY
ANY PROPRIETOR,PARTNER,EXECUTIVE
E.I. DISEASE -EA EMPLOYEE
OFFICERIMEMBER EXCLUDED?
EL DISEASE -POLICY LIMIT
S
Ryes, describe unde,
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Certificate holder is an additional insured but only with respect to liability arising out of the operations of the
above named insured.
City of Fort Collins
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
30 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
?Scott Ziller/IiILARY
ACORD 25 (2001/08)
1 LICnDR" no'no..
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